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Arthroscopic Excision of Posterior Cruciate Ligament Cysts Using a Double Posteromedial Approach
Published on: October 20, 2023
Case Series: Cyclops lesion - extension loss after ACL reconstruction
Sunita Dhanda1, Darshana Sanghvi, Dinshaw Pardiwala
1Department of Diagnostic and Interventional Radiology, Kokilaben Dhirubhai Ambani Hospital and Research Centre, Mumbai, India.
The Indian Journal of Radiology & Imaging
|November 3, 2010
Summary
Cyclops lesions, a common cause of knee extension loss after ACL reconstruction, can cause pain. Arthroscopic removal of these anterior arthrofibrosis lesions significantly improved patient symptoms and knee function.
Area of Science:
- Orthopedics
- Sports Medicine
- Knee Surgery
Background:
- Anterior cruciate ligament (ACL) reconstruction is a common orthopedic procedure.
- Localized anterior arthrofibrosis, known as a cyclops lesion, is a frequent complication following ACL reconstruction, leading to loss of knee extension.
Observation:
- Two patients with previous ACL reconstructions presented with persistent knee pain and limited extension.
- Magnetic resonance imaging (MRI) and subsequent arthroscopy confirmed the presence of cyclops lesions in both patients.
Findings:
- Arthroscopic resection of the cyclops lesions was performed in both cases.
- Following the surgical intervention, both patients experienced substantial relief from their symptoms and regained knee extension.
Implications:
- Cyclops lesions are a significant cause of morbidity after ACL reconstruction.
- Arthroscopic debridement is an effective treatment for symptomatic cyclops lesions, restoring knee function.
- Early diagnosis and treatment are crucial for optimal outcomes in patients experiencing extension loss post-ACL surgery.