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Related Experiment Video

Updated: Jan 12, 2026

Author Spotlight: Double Posteromedial Approach for Treating Posterior Cruciate Ligament Cysts
05:44

Author Spotlight: Double Posteromedial Approach for Treating Posterior Cruciate Ligament Cysts

Published on: October 20, 2023

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Cyclops lesion post-meniscal repair.

Joana Almeida1, Ana I Morais2, Paulo Oliveira1,3

  • 1Orthopedics and Traumatology Department, Unidade Local de Saúde São João, Porto, Portugal.

BMJ Case Reports
|October 31, 2025
PubMed
Summary

An adolescent developed anterior arthrofibrosis after meniscal repair, a rare complication. Early diagnosis and treatment with arthroscopic debridement led to full recovery, highlighting the importance of considering this in postoperative knee pain.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Knee Arthroscopy

Background:

  • Meniscoplasty is a surgical repair for meniscus tears.
  • Discoid meniscus is a congenital anomaly that can lead to tears.
  • Arthrofibrosis is the formation of scar tissue within a joint.

Purpose of the Study:

  • To report a rare case of anterior arthrofibrosis following meniscoplasty for a discoid meniscus.
  • To discuss the potential causes and management of this complication.
  • To emphasize the importance of considering arthrofibrosis in postoperative knee pain.

Main Methods:

  • Case report of an adolescent patient.
  • Initial meniscoplasty for discoid meniscus with horn detachment and rupture.
  • Subsequent MRI to diagnose anterior arthrofibrosis.
Keywords:
Knee injuriesMeniscal tearsOrthopaedic and trauma surgeryOrthopaedics

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  • Arthroscopic debridement for scar tissue removal.

    • Main Results:

    • The patient initially recovered well after meniscoplasty.
    • Developed knee pain and extension deficit one year post-surgery.
    • MRI confirmed anterior arthrofibrosis despite an intact anterior cruciate ligament (ACL).
    • Arthroscopic debridement resulted in full recovery.

    Conclusions:

    • Anterior arthrofibrosis is a rare complication after meniscal repair, even without anterior cruciate ligament reconstruction (ACLR).
    • Surgical creation of an anterior working space may contribute to its development.
    • Consideration of anterior arthrofibrosis in differential diagnosis is crucial for postoperative knee pain and extension loss.