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Abstract
We report the case of a 34-year-old woman who presented with calcium pyrophosphate
dihydrate (CPPD) crystal deposition disease shortly after anterior cruciate ligament
(ACL) reconstruction using a polyester artificial ligament (Leeds-Keio; Neoligaments,
Leeds, England). The patient had earlier undergone a medial collateral ligament repair
of a sprain to her right knee incurred while skiing. Nine years later, she underwent
ACL reconstruction. Seventeen months after ACL reconstruction, calcification was observed
on radiographs of the medial and lateral menisci. Based on these calcifications and
polarized light microscopic findings of the joint fluid, the diagnosis was made of
CPPD crystal deposition. CPPD deposition appeared to have resulted from intra-articular
damage incurred during ACL reconstruction as well as prolonged anterior instability.
Arthroscopy 1998 Sep;14(6):634-6
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Copyright
© 1998 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
