Ligament Calcification: Causes, Treatment, and Recovery - Orthopedics

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Ligament calcification


Doctor, I injured my left ankle with a sprain last October.
After two weeks of no pain, I returned to playing basketball, but unfortunately, I re-injured it, resulting in a left ankle dislocation fracture along with a ligament tear.
It wasn't until January of this year that the pain completely subsided, allowing me to play basketball again.
However, in April of this year, I sprained my ankle again.
After an X-ray, it was discovered that I have mild "ligament calcification." Will this condition improve? Will I need surgery? Can I regain the normal function of my ankle for playing basketball as I did before?

Jun Jie, 20~29 year old female. Ask Date: 2016/04/06

Dr. Shi Guozheng reply Orthopedics


Calcification usually does not have an impact, but it is advisable to wear ankle braces while playing to prevent re-injury.

Reply Date: 2016/04/06

More Info


Ligament calcification, also known as calcific tendinitis or calcific ligamentitis, is a condition characterized by the deposition of calcium salts in the ligaments or tendons, often resulting from chronic injury or inflammation. In your case, the history of multiple ankle injuries, including a sprain and a fracture, likely contributed to the development of this condition.

Causes of Ligament Calcification
The primary causes of ligament calcification include:
1. Chronic Injury: Repeated trauma or stress to the ligaments can lead to inflammation and subsequent calcification.

2. Age: As individuals age, the tendons and ligaments may undergo degenerative changes, making them more susceptible to calcification.

3. Metabolic Disorders: Conditions such as hyperparathyroidism or other metabolic imbalances can lead to abnormal calcium deposition.

4. Genetic Factors: Some individuals may have a genetic predisposition to calcific conditions.


Symptoms
Symptoms of ligament calcification can vary but often include:
- Pain and tenderness in the affected area, especially during movement.

- Swelling and stiffness.

- Reduced range of motion.

- In some cases, a palpable lump may be felt over the calcified area.


Diagnosis
Diagnosis typically involves a physical examination and imaging studies such as X-rays or MRI. X-rays can reveal the presence of calcification, while MRI can provide more detailed information about the surrounding soft tissues.


Treatment Options
The treatment for ligament calcification depends on the severity of the symptoms and the extent of the calcification. Common treatment options include:
1. Conservative Management:
- Rest: Avoiding activities that exacerbate the pain.

- Ice Therapy: Applying ice to reduce swelling and pain.

- Physical Therapy: Engaging in rehabilitation exercises to strengthen the surrounding muscles and improve flexibility.

- Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Medications like ibuprofen can help alleviate pain and inflammation.

2. Injections:
- Corticosteroid injections may be administered to reduce inflammation and pain in the affected area.

3. Surgery:
- If conservative treatments fail to relieve symptoms, surgical intervention may be considered. The procedure typically involves removing the calcified tissue and repairing any damaged ligaments.


Recovery and Prognosis
The prognosis for ligament calcification varies based on the individual and the extent of the condition. Many patients experience significant improvement with conservative treatment and can return to their previous level of activity. However, recovery may take time, and it is essential to follow a structured rehabilitation program.

In your case, since you have a history of multiple injuries and have developed calcification, it is crucial to consult with an orthopedic specialist. They can evaluate the severity of your condition and recommend an appropriate treatment plan tailored to your needs.

Conclusion
While ligament calcification can be concerning, many individuals can recover fully with the right approach. It is essential to listen to your body and avoid pushing through pain, as this can exacerbate the condition. With proper management, including rest, physical therapy, and possibly medical intervention, you may regain the function of your ankle and return to playing basketball. Always consult with your healthcare provider for personalized advice and treatment options.

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