Ultrasound-Guided Treatment of Medial Collateral Ligament Calcification of the Knee With Tenjet™: A Case Report

Abstract

Calcification of the medial collateral ligament is a rare cause of medial knee pain along with functional impairment. Most cases are asymptomatic but those that are symptomatic typically respond to conservative management. However, in those instances with persistent symptoms that desire further intervention but want to minimize the risks associated with surgery, we present a novel approach for calcium removal with an ultrasound-guided percutaneous needle tenotomy with TenJet™ as a reasonable treatment modality.

Keywords::

• hydroxapatite calcification
• MCL
• TenJet™
• ultrasonic percutaneous debridement

Acknowledgments

Thanks to the Cleveland Clinic Orthopaedic and Rheumatologic Institute, specifically Cleveland Clinic Sports Medicine research team, staff, and research personnel whose efforts related to this project made this consortium successful.

Financial disclosure

The author has no financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties.

Competing interests disclosure

M Dakkak does consult work with Hydrocision. The author, their immediate family, and any research foundation with which they are affiliated did not receive any financial payments or other benefits from any commercial entity related to the subject of this article. The author has no other competing interests or relevant affiliations with any organization or entity with the subject matter or materials discussed in the manuscript apart from those disclosed.

Writing disclosure

No writing assistance was utilized in the production of this manuscript.

Ethical conduct of research

The authors state that they have obtained verbal and written informed consent from the patient for the inclusion of their medical and treatment history within this case report.