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2019, vol. 72, iss. 1-2, pp. 17-24
Cyclops syndrome: A complication after anterior cruciate ligament reconstruction
aGeneral Hospital Subotica, Department of Orthopedic Surgery and Traumatology, Subotica
bClinical Center of Vojvodina, Novi Sad
cUniversity of Novi Sad, Faculty of Medicine + Clinical Center of Vojvodina, Novi Sad
dUniversity of Novi Sad, Faculty of Medicine, Institute for Child and Youth Health Care of Vojvodina + University of Novi Sad, Faculty of Medicine

emailvujadin.milankov@mf.uns.ac.rs
Abstract
Introduction. Cyclops syndrome is one of the causes of failure of anterior cruciate ligament reconstruction. The aim of the study was to examine the quality of life of patients who had this complication and its consequences till the return to unrestricted (sports) activities. Material and Methods. During an eighteen-year follow-up of 4330 patients, cyclops syndrome was found in 71 patients (1.64%). This study included 60 of them, who agreed to fill out a questionnaire and functional scoring scales. Results and Discussion. The mean Tegner score was 5.95 and Lysholm score was 86.13 points. After the arthroscopic removal of cyclops lesion, excellent results were found in 22 patients (36.7%), good in 19 (31.7%), poor in 16 (26.7%) and very poor in three cases (5%). On average, athletes lose 10 months from injury to anterior cruciate ligament reconstruction. It takes at least 6 months to return to competitive sports. If cyclops lesion occurs, it takes approximately 10 months to arthroscopy, and on average 3 months of postoperative recovery. Conclusion. Cyclops lesion is a complication that significantly compromises the outcome of anterior cruciate ligament reconstruction, in terms of functional scores, subjective symptoms, the intensity of sports activities, and quality of life. Arthroscopic removal of the cyclops lesion leads to satisfactory postoperative results, but athletes lose 2.5 years on the whole, from injury to return to unrestricted sports activities.
References
Ahn, J.H., Yoo, J.C., Yang, H.S., Kim, J.H., Wang, J.H. (2007) Second-look arthroscopic findings of 208 patients after ACL reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy, 15(3): 242-248
Asocijacija za sportsku traumatologiju i artroskopsku hirurgiju Srbije Upitnik o kvalitetu života posle rekonstrukcije prednjeg ukrštenog ligamenta kolena. [Internet]. [cited 2018 Jun 15]. Available from: http://www.astas.rs/dokumenti/ upitnik o kvalitetu života posle rekonstrukcije prednjeg ukrštenog ligamenta kolena.pdf
Bach, B.R. (2004) Revision ACL Reconstruction: Indications and Technique. in: Textbook of Arthoscopy, Elsevier BV, 675-686
Baldwin, K., Harper, C., Eckenrode, B.J., Sennett, B., Tjoumakaris, F. (2011) The arthroscopic treatment of cyclops syndrome. Current Orthopaedic Practice, 22(4): 327-332
Delince, P. (1998) Different aspects of the cyclops lesion following anterior cruciate ligament reconstruction: A multifactorial etiopathogenesis. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 14(8): 869-876
Facchetti, L., Schwaiger, B.J., Gersing, A.S., Guimaraes, J.B., Nardo, L., Majumdar, S., Ma, B.C., Link, T.M., Li, X. (2017) Cyclops lesions detected by MRI are frequent findings after ACL surgical reconstruction but do not impact clinical outcome over 2 years. European Radiology, 27(8): 3499-3508
Fujii, M., Furumatsu, T., Miyazawa, S., Okada, Y., Tanaka, T., Ozaki, T., Abe, N. (2015) Intercondylar notch size influences cyclops formation after anterior cruciate ligament reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy, 23(4): 1092-1099
George, M.S., Dunn, W.R., Spindler, K.P. (2006) Current Concepts Review: Revision Anterior Cruciate Ligament Reconstruction. American Journal of Sports Medicine, 34(12): 2026-2037
Herrington, L., Wrapson, C., Matthews, M., Matthews, H. (2005) Anterior Cruciate Ligament reconstruction, hamstring versus bone-patella tendon-bone grafts: a systematic literature review of outcome from surgery. Knee, 12(1): 41-50
Howell, S.M., Clark, J.A., Farley, T.E. (1992) Serial magnetic resonance study assessing the effects of impingement on the MR image of the patellar tendon graft. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 8(3): 350-358
Irisawa, H., Takahashi, M., Hosokawa, T., Nagano, A. (2007) Cyclops syndrome occurring after chronic partial rupture of the anterior cruciate ligament without surgical reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy, 15(2): 144-146
Jackson, D.W., Schaefer, R.K. (1990) Cyclops syndrome: Loss of extension following intra-articular anterior cruciate ligament reconstruction. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 6(3): 171-178
Kulczycka, P., Larbi, A., Malghem, J., Thienpont, E., Vande, B.B., Lecouvet, F. (2015) Imaging ACL reconstructions and their complications. Diagnostic and Interventional Imaging, 96(1): 11-19
LaPrade, R.F., Spiridonov, S.I., Coobs, B.R., Ruckert, P.R., Griffith, C.J. (2010) Fibular Collateral Ligament Anatomical Reconstructions. American Journal of Sports Medicine, 38(10): 2005-2011
Lysholm, J., Gillquist, J. (1982) Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. American Journal of Sports Medicine, 10(3): 150-154
McMahon, P.J., Dettling, J.R., Yocum, L.A., Glousman, R.E. (1999) The Cyclops Lesion: A Cause of Diminished Knee Extension After Rupture of the Anterior Cruciate Ligament. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 15(7): 757-761
Milankov, M., Miličić, A., Savić, D., Stanković, M., Ninković, S., Matijević, R., Radić, S. (2007) Ponovna rekonstrukcija prednjeg ukrštenog ligamenta zbog nestabilnosti kolena. Medicinski pregled, vol. 60, br. 11-12, str. 587-592
Millet, P.J. (2008) Arthrofibrosis of the knee. in: [ed.] The crucial principles in care of the knee, Philadelphia: Wolters Kluwer, Part II; p. 163-184
Muellner, T., Kdolsky, R., Großschmidt, K., Schabus, R., Kwasny, O., Jr, H. P. (1999) Cyclops and cyclopoid formation after anterior cruciate ligament reconstruction: clinical and histomorphological differences. Knee Surgery, Sports Traumatology, Arthroscopy, 7(5): 284-289
Ninković, S., Miličić, A., Savić, D., Stanković, M., Radić, S., Milankov, M. (2006) Correlation between radiological and clinical findings after anterior cruciate ligament reconstruction. Medicinski pregled, vol. 59, br. 9-10, str. 421-425
Ninković, S., Avramov, S., Harhaji, V., Obradović, M., Vranješ, M., Milankov, M. (2015) Uticaj različitih nivoa sportske aktivnosti na kvalitet života posle rekonstrukcije prednjeg ukrštenog ligamenta. Medicinski pregled, vol. 68, br. 3-4, str. 116-121
Nuccion, S.L., Hame, S.L. (2001) A symptomatic cyclops lesion 4 years after anterior cruciate ligament reconstruction. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 17(2): 1-4
Pinto, F.G., Thaunat, M., Daggett, M., Kajetanek, C., Marques, T., Guimares, T., i dr. (2017) Hamstring contracture after ACL reconstruction is associated with an increased risk of cyclops syndrome. Orthop J Sports Med., 5(1): 1-5
Ristić, V., Maljanović, M., Harhaji, V., Milankov, M. (2014) Infekcije posle rekonstrukcija prednjeg ukrštenog ligamenta. Medicinski pregled, vol. 67, br. 1-2, str. 11-15
Ristić, V., Ristić, S., Maljanović, M., Milankov, V., Harhaji, V., Đuričin, A. (2015) Kvalitet života nakon obostranih rekonstrukcija prednjeg ukštenog ligamenta. Medicinski pregled, vol. 68, br. 9-10, str. 308-315
Ristić, V., Ninković, S., Harhaji, V., Stanković, M., Savić, D., Milankov, M. (2010) Rekonstrukcija prednjeg ukrštenog ligamenta pomoću dve različite tehnike. Medicinski pregled, vol. 63, br. 11-12, str. 845-850
Ristić, V., Vranješ, M., Obradović, M., Bjelobrk, M., Harhaji, V., Milankov, M. (2017) Complications of anterior cruciate ligament reconstructions. Medicinski pregled, vol. 70, br. 11-12, str. 449-458
Ristić, V., Ristić, N., Harhaji, V., Bjelobrk, M., Milankov, V. (2018) Radiografska analiza položaja tunela na golenjači posle rekonstrukcije prednjeg ukrštenog ligamenta. Medicinski pregled, vol. 71, br. 1-2, str. 15-20
Ristić, V., Ristić, S., Maljanović, M., Đan, V., Milankov, V., Harhaji, V. (2015) Faktori rizika za nastanak obostrane povrede prednjeg ukrštenog ligamenta. Medicinski pregled, vol. 68, br. 5-6, str. 192-197
Ristić, V., Ninković, S., Harhaji, V., Milankov, M. (2010) Causes of anterior cruciate ligament injuries. Medicinski pregled, vol. 63, br. 7-8, str. 541-545
Roos, E.M., Lohmander, L.S. (2003) The knee injury and Osteoarthritis Outcome Score (KOOS): from joint injury to osteoarthritis. Health Qual Life Outcomes, 1: 64
Shelbourne, K. D., Patel, D.V., Martini, D.J. (1996) Classification and Management of Arthrofibrosis of the Knee after Anterior Cruciate Ligament Reconstruction. American Journal of Sports Medicine, 24(6): 857-862
Shelbourne, K. D., Nitz, P. (1990) Accelerated rehabilitation after anterior cruciate ligament reconstruction. American Journal of Sports Medicine, 18(3): 292-299
Sonnery-Cottet, B., Lavoie, F., Ogassawara, R., Kasmaoui, H., Scussiato, R.G., Kidder, J.F., Chambat, P. (2010) Clinical and Operative Characteristics of Cyclops Syndrome After Double-Bundle Anterior Cruciate Ligament Reconstruction. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 26(11): 1483-1488
Tegner, Y., Lysholm, J. (1985) Rating Systems in the Evaluation of Knee Ligament Injuries. Clinical Orthopaedics and Related Research, (198): 42-49
Veselko, M., Rotter, A., Tonin, M. (2000) Cyclops Syndrome Occurring After Partial Rupture of the Anterior Cruciate Ligament Not Treated by Surgical Reconstruction. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 16(3): 328-331
Vinagre, G., Kennedy, N.I., Chahla, J., Cinque, M.E., Hussain, Z.B., Olesen, M.L., LaPrade, R.F. (2017) Hamstring Graft Preparation Techniques for Anterior Cruciate Ligament Reconstruction. Arthroscopy Techniques, 6(6): e2079-e2084
Wang, J., Ao, Y. (2009) Analysis of Different Kinds of Cyclops Lesions With or Without Extension Loss. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 25(6): 626-631
 

About

article language: English
document type: Scientific Paper
DOI: 10.2298/MPNS1902017R
published in SCIndeks: 20/05/2019

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