Kelmer G, Johnson AH, Turcotte JJ, Redziniak DE. Recurrent cyclops lesion after primary anterior cruciate ligament reconstruction using bone tendon bone allograft: A case report. World J Orthop 2023; 14(11): 836-842 [PMID: 38075472 DOI: 10.5312/wjo.v14.i11.836]
Corresponding Author of This Article
Andrea H Johnson, MSN, Research Scientist, Orthopedic Research, Anne Arundel Medical Center, No. 2000 Medical Parkway Suite, Annapolis, MD 21401, United States. ajohnson21@luminishealth.org
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Nov 18, 2023; 14(11): 836-842 Published online Nov 18, 2023. doi: 10.5312/wjo.v14.i11.836
Recurrent cyclops lesion after primary anterior cruciate ligament reconstruction using bone tendon bone allograft: A case report
Grayson Kelmer, Andrea H Johnson, Justin J Turcotte, Daniel E Redziniak
Grayson Kelmer, Andrea H Johnson, Justin J Turcotte, Orthopedic Research, Anne Arundel Medical Center, Annapolis, MD 21401, United States
Grayson Kelmer, Medical School, Campbell University School of Osteopathic Medicine, Lillington, NC 27546, United States
Daniel E Redziniak, Orthopedic Surgery, Anne Arundel Medical Center, Annapolis, MD 21401, United States
Author contributions: Kelmer G was responsible for investigation, data curation and writing-original draft; Johnson AH was responsible for conceptualization, investigation, data curation, writing-review and editing; Turcotte JJ was responsible for writing-review and editing and supervision; Redziniak DE was responsible for conceptualization, writing-review and editing and supervision.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Andrea H Johnson, MSN, Research Scientist, Orthopedic Research, Anne Arundel Medical Center, No. 2000 Medical Parkway Suite, Annapolis, MD 21401, United States. ajohnson21@luminishealth.org
Received: August 4, 2023 Peer-review started: August 4, 2023 First decision: September 14, 2023 Revised: September 21, 2023 Accepted: October 25, 2023 Article in press: October 25, 2023 Published online: November 18, 2023
Abstract
BACKGROUND
Cyclops lesions are a known complication of anterior cruciate ligament (ACL) reconstruction, with symptomatic cyclops syndrome occurring in up to 11% of surgeries. Recurrent cyclops lesions have been rarely documented; this case study documents the successful treatment of a recurrent cyclops lesion.
CASE SUMMARY
A 28-year-old female presented following a non-contact injury to the right knee. Workup and clinical exam revealed an ACL tear, and arthroscopic reconstruction was performed. Two years later a cyclops lesion was discovered and removed via arthroscopic synovectomy. Seven months postoperatively, the patient presented with pain, stiffness, and difficulty achieving terminal extension. A smaller recurrent cyclops lesion was diagnosed, and a repeat synovectomy was performed. The patient recovered fully.
CONCLUSION
To the best of our knowledge, this is the first documented case of recurrent cyclops lesion after bone-patellar tendon-bone allograft ACL reconstruction presenting as cyclops syndrome.
Core Tip: A 28-year-old female presented following a noncontact injury to the right knee. Workup and clinical exam revealed an anterior cruciate ligament tear, and arthroscopic reconstruction was performed. Two years later a cyclops lesion was discovered and removed via arthroscopic synovectomy. Seven months postoperatively, the patient presented with pain, stiffness, and difficulty achieving terminal extension. A smaller recurrent cyclops lesion was diagnosed, and a repeat synovectomy was performed. The patient recovered fully.
