Streckdefizit bei Zyklopstumor im Kniegelenk nach VKB-Plastik

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• 作者：Dr. G. Fieseler (1)
  P. Jungermann (1) (2)
  R. Schwesig (2)
  
  1. Zentrum f眉r Orthop盲dische Chirurgie (ZOC) ; Burckhardtstr. 60 ; 34346 ; Hann. Muenden ; Deutschland
  2. Abteilung f眉r Experimentelle Orthop盲die ; Department f眉r Orthop盲die ; Unfall- und Wiederherstellungschirurgie ; Martin Luther Universit盲t ; Halle-Wittenberg ; Deutschland
  
• 关键词：Vorderes Kreuzband ; Zyklopssyndrom ; VKB ; Plastik ; Arthrofibrose ; Extensionsdefizit ; Anterior cruciate ligament ; Cyclops syndrome ; Local arthrofibrosis ; ACL reconstruction ; Extension deficit
• 刊名：Arthroskopie
• 出版年：2015
• 出版时间：February 2015
• 年：2015
• 卷：28
• 期：1
• 页码：53-56
• 全文大小：326 KB
• 参考文献：1. Aglietti P, Buzzi R, De Felice R et al (1995) Results of surgical treatment of arthrofibrosis after ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 3:83鈥?8 CrossRef
  2. Bosch U, Zeichen J, Lobenhoffer P et al (1999) Arthrofibrose 鈥?Ein chronisch inflammatorischer Prozess. Arthroskopie 12:117鈥?20 CrossRef
  3. Cosgarea AJ, Sebastianelli WJ, Dehaven KE (1995) Prevention of arthrofibrosis after anterior cruciate ligament reconstruction. Am J Sports Med 23:87鈥?2 CrossRef
  4. Jackson DW, Schaefer RK (1990) Cyclops syndrome: loss of extension following intraarticular anterior cruciate ligament reconstruction. Arthroscopy 6:1771鈥?778
  5. Mayr HO, Weig TG, Plitz W (2004) Arthrofibrosis following ACL reconstruction: reasons and outcomes. Arch Orthop Trauma Surg 124:518鈥?22 CrossRef
  6. Muellner T, Kdolsky R, Grossschmidt K et al (1999) Cyclops and cyclopoid formation after cruciate ligament reconstruction: clinical and histomorphological differences. Knee Surg Sports Traumatol Arthrosc 7(5):284鈥?89 CrossRef
  7. Petersen W, Laprell H (1999) Treatment of combined ruptures of the anterior cruciate ligament and the medial collateral ligament. Arch Orthop Trauma Surg 119:258鈥?62 CrossRef
  8. Petersen W (2009) Bewegungseinschr盲nkungen und Arthrofibrose nach VKB-Ersatz. In: Petersen W, Zantop T (Hrsg) Das vordere Kreuzband. Deutscher 脛rzteverlag, K枚ln, S聽209鈥?14
  9. Runyan BR, Bancroft LW, Petersen JJ et al (2007) Cyclops lesions that occur in the absence of prior anterior ligament reconstruction. Radiographics 27(6):e26 CrossRef
  10. Shelbourne KD, Patel DV (1995) Timing of ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 5:150鈥?56 CrossRef
  11. Shelbourne KD, Patel DV, Martine DJ (1996) Classification and management of arthrofibrosis of the knee after anterior cruciate ligament reconstruction. Am J Sports Med 24:857鈥?62 CrossRef
  12. Shelbourne KD, Patel DV (1999) Treatment of limited motion after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 7:85鈥?2 CrossRef
  13. Shelbourne KD, Patel DV (2000) Management of combined injuries of the anterior cruciate and medial collateral ligament. J Bone Joint Surg Am 77:800鈥?06
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Orthopedics
  Surgical Orthopedics
  Traumatic Surgery
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1434-3924

文摘

Introduction The cyclops syndrome or cyclopoid formation, is an arthrofibrotic pathology and described as a secondary complication after reconstruction of the anterior cruciate ligament (ACL). Possible risk factors or reasons are related to the time of surgery after the injury, strong perioperative and postoperative pain conditions or an overly aggressive rehabilitation. In clinical terms, the cyclops syndrome is present as a persistent and painful lack of extension at the knee joint. Case report We report about a 48-year-old sportive, male patient who underwent an arthroscopic reconstructive ACL surgery with hamstring tendons after an injury suffered while playing soccer in September 2010. During the first weeks after surgery, the patient first recognized a lack of extension at the knee joint, further diagnostic investigations were not made by the responsible clinic. At the first examination in this center, we found a painful lack of extension about 10 degrees and recurrent symptoms under workload. Preoperative clinical and radiological examinations and the revision arthroscopy showed an intercondylar cyclops formation, which was arthroscopically resected. Postinterventionally the patient has been free from pain and demonstrated a full range of motion without any lack of extension. Conclusions Ongoing articular pain under workload and painful lack of motion, especially minor extension, should be clinically and radiologically examined after surgical ACL-repair in consideration of time of surgery, peri-/postoperative pain and intensity of rehabilitation. The cyclops syndrome or cyclopoid formation as a secondary scar pathology need to be excluded. If present, they need to be arthroscopically resected.