Ujaque Rivera Edrick, Rivera Troia Felix, Perez Roman Gerardo
Internal Medicine, University of Medicine and Health Sciences, Basseterre, KNA.
Surgery, University of Medicine and Health Sciences, Basseterre, KNA.
Cureus. 2024 Sep 22;16(9):e69933. doi: 10.7759/cureus.69933. eCollection 2024 Sep.
Arthrofibrosis is the most common postoperative complication of anterior cruciate ligament (ACL) reconstruction. It is caused by an exaggerated immune reaction to a pro-inflammatory trigger that causes abnormal periarticular fibrosis and joint stiffness. The shoulder, elbow, and knee are especially prone to this condition, often following trauma, surgery, or adhesive capsulitis. We describe the case of a 25-year-old Hispanic female who presented to the clinic with knee instability after experiencing a twisting and popping sensation in her left knee while playing tennis. Physical examination revealed increased anterior tibial translation, and imaging confirmed a torn ACL. She subsequently underwent ACL reconstruction using the bone-patellar tendon-bone graft technique. However, during her follow-up appointments, she reported persistent difficulties with active and passive range of motion in both flexion and extension despite undergoing appropriate physical therapy. Now, three months post-operation, she continues to experience limited knee range of motion. To our knowledge, there are only a few reports of arthrofibrosis in this particular age group and demographic undergoing this procedure. Our objective is to contribute this case to the scientific community, aiming to encourage future studies and gather epidemiological data on this topic.
关节纤维化是前交叉韧带（ACL）重建术后最常见的并发症。它是由对促炎触发因素的过度免疫反应引起的，这种反应会导致关节周围异常纤维化和关节僵硬。肩部、肘部和膝盖特别容易出现这种情况，通常发生在创伤、手术或粘连性囊炎之后。我们描述了一名25岁的西班牙裔女性的病例，她在打网球时左膝出现扭转和弹响感后，因膝关节不稳定前来诊所就诊。体格检查发现胫骨前移增加，影像学检查证实ACL撕裂。她随后采用骨-髌腱-骨移植技术进行了ACL重建。然而，在随访过程中，尽管接受了适当的物理治疗，但她报告说在屈伸的主动和被动活动范围方面仍持续存在困难。现在，术后三个月，她的膝关节活动范围仍然受限。据我们所知，在接受该手术的这个特定年龄组和人群中，关于关节纤维化的报道很少。我们的目的是将这个病例贡献给科学界，旨在鼓励未来的研究并收集关于这个主题的流行病学数据。
