Giant ACL Lesion with Destruction Requiring ACL Reconstruction and Operative Management of ACL Lesions

Bayam L, Kochai A, Erdem AC, Bayam F and Erdem M

Department of Orthopaedics, Sakarya University, Turkey

^*Correspondance to: Bayam L 

 PDF  Full Text DOI: 10.25107/2474-1647.2202

Abstract

We present an unusual giant lesion of Anterior Cruciate Ligament (ACL) causing destruction and requiring reconstruction of ACL. A 32 year-old male patient presented to orthopaedic outpatient clinic with 2 years history of right knee instability and clicking symptoms with no history of an obvious injury. MR Scan showed a giant lesion occupying all ACL structure in the knee with 30 mm × 15 mm × 15 mm dimensions. The patient had an arthroscopy and it showed destruction of ACL, which required ACL reconstruction in the same sitting. Biopsy results showed a chronic non-specific inflammatory synovial epithelial tissue with increased vascularity and thickened wall vessels. The cysts are mostly managed conservatively or draining, however, it may very rarely require further management such as ACL reconstruction. The absence of ACL reconstruction as treatment option for these cases is probably due to its rarity. We would like to emphasize that in case of nonfunctional ACL due to its destruction, ACL reconstruction could be the choice of treatment.

Keywords

Cite the article

Bayam L, Kochai A, Erdem AC, Bayam F, Erdem M. Giant ACL Lesion with Destruction Requiring ACL Reconstruction and Operative Management of ACL Lesions. Clin Surg. 2018; 3: 2202.