Corsi Matthew P, Darwiche Hussein F, Nham Fong, Court Tannor, Goitz Henry
School of Medicine, Wayne State University, Detroit, USA.
Department of Orthopaedic Surgery, Detroit Medical Center, Detroit, USA.
Cureus. 2024 Mar 20;16(3):e56529. doi: 10.7759/cureus.56529. eCollection 2024 Mar.
Cyclops lesions are characterized as fibroid nodules with granulation tissue that looks similar to a cyclops eye during arthroscopy. These are rare postoperative complications following anterior cruciate ligament reconstruction (ACLR), presenting typically within six months of their reconstruction. This case report presents a 21-year-old male, three years following hamstring autograft ACLR, with a symptomatic cyclops lesion. Contrary to the reported literature, this delayed presentation showed a painful flexion contracture of the knee and intraoperative findings consistent with a cyclops lesion. The treatment consisted of surgical debridement and notchplasty with subsequent posterior medial and lateral meniscal horn repairs. This case report presents a lesson to indicate that cyclops lesions can occur in a delayed setting following ACLR and to show a technique for successful surgical management of the lesion.
“独眼巨人”病变的特征是在关节镜检查时呈现为带有肉芽组织的纤维瘤结节，形似独眼巨人的眼睛。这些是前交叉韧带重建（ACLR）术后罕见的并发症，通常在重建后的六个月内出现。本病例报告介绍了一名21岁男性，在自体腘绳肌ACLR三年后，出现了有症状的“独眼巨人”病变。与已报道的文献相反，这种延迟出现表现为膝关节疼痛性屈曲挛缩，术中发现与“独眼巨人”病变一致。治疗包括手术清创和髁间窝成形术，随后进行后内侧和外侧半月板角修复。本病例报告提供了一个经验教训，表明“独眼巨人”病变可在ACLR后延迟出现，并展示了一种成功手术治疗该病变的技术。
