A Severe Case of Arthrofibrosis After Anterior Cruciate Ligament (ACL) Reconstruction in a 25-Year-Old Female Hispanic Patient: A Case Report.
| Autor: | Ujaque Rivera E; Internal Medicine, University of Medicine and Health Sciences, Basseterre, KNA., Rivera Troia F; Surgery, University of Medicine and Health Sciences, Basseterre, KNA.; Genetics, Ponce Health Sciences University, Ponce, PRI., Perez Roman G; Sports Medicine, Dr. Gerardo Perez Roman Orthopedics, San Juan, PRI. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Sep 22; Vol. 16 (9), pp. e69933. Date of Electronic Publication: 2024 Sep 22 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.69933 |
| Abstrakt: | 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. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Ujaque Rivera et al.) |
| Databáze: | MEDLINE |
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