Calcificación del ligamento colateral medial de la rodilla: manejo rehabilitador con ondas de choque más iontoforesis de una entidad poco frecuente. Caso clínico y revisión / Calcification of the medial collateral ligament of the knee: Rehabilitative management with radial electro shock wave therapy plus iontophoresis of a rare entity. Clinical case and review

El ligamento colateral medial (LCM) de la rodilla es una estructura ligamentosa muy frecuentemente lesionada. La calcificación del LCM es muy infrecuente, benigna, relacionada con desórdenes metabólicos y es consecuencia del depósito de hidroxiapatita de calcio en la región periarticular. El cuadro clínico, histológico y radiológico de la tendinitis calcificante está definido y la etiología es multifactorial. El tratamiento es inicialmente conservador, y si fracasara, intervencionista, siendo la cirugía el último escalón terapéutico. Existen muy pocos reportes en la literatura, estando publicados apenas 10 casos/series de casos. Es importante diferenciarlo del signo y/o síndrome de Pellegrini-Stieda, donde el antecedente traumático es fundamental para diagnosticarlo.El caso clínico es el de una mujer de 64 años en quien presentamos el tratamiento de la calcificación del LCM mediante ondas de choque más iontoforesis, reportamos la efectividad del tratamiento en el manejo del dolor y la calcificación y realizamos una somera revisión sobre el tema.(AU)

The medial collateral ligament (MCL) of the knee is a commonly injured ligament structure. Calcification of the MCL is very infrequent, benign, related to metabolic disorders and is a consequence of the deposition of calcium hydroxyapatite in the periarticular region. The clinical, histological and radiological picture of calcific tendonitis is defined and the etiology is multifactorial. Treatment is initially conservative and if it fails, interventionist; surgery being the last therapeutic step. There are very few reports in the literature, with only 10 cases/case series published. It is important to differentiate it from the Pellegrini–Stieda sign and/or syndrome, where the traumatic history is essential to diagnose it.The clinical case is that of a 64-year-old woman in whom we present the treatment of calcification of the MCL using radial electro shock wave therapy plus iontophoresis, we report the effectiveness of the treatment in the management of pain and calcification, and we carry out a brief review on the subject.(AU)

[Calcification of the medial collateral ligament of the knee: Rehabilitative management with radial electro shock wave therapy plus iontophoresis of a rare entity. Clinical case and review]. / Calcificación del ligamento colateral medial de la rodilla: manejo rehabilitador con ondas de choque más iontoforesis de una entidad poco frecuente. Caso clínico y revisión.

The medial collateral ligament (MCL) of the knee is a commonly injured ligament structure. Calcification of the MCL is very infrequent, benign, related to metabolic disorders and is a consequence of the deposition of calcium hydroxyapatite in the periarticular region. The clinical, histological and radiological picture of calcific tendonitis is defined and the etiology is multifactorial. Treatment is initially conservative and if it fails, interventionist; surgery being the last therapeutic step. There are very few reports in the literature, with only 10 cases/case series published. It is important to differentiate it from the Pellegrini-Stieda sign and/or syndrome, where the traumatic history is essential to diagnose it. The clinical case is that of a 64-year-old woman in whom we present the treatment of calcification of the MCL using radial electro shock wave therapy plus iontophoresis, we report the effectiveness of the treatment in the management of pain and calcification, and we carry out a brief review on the subject.