Giant anterior cruciate ligament lesion with destruction: operative management

Authors

Levent Bayam, Alauddin Kochai, Ahmet Can Erdem, Fatma Bayam, Mehmet Erdem
https://doi.org/10.18621/eurj.477636
We present a case report of an unusual giant lesion of anterior cruciate ligament (ACL) causing destruction and requiring reconstruction of ACL. A case report of a 32-year-old male patient presented to orthopedics outpatient clinic with 2 years history of right knee instability and clicking symptoms with no history of an obvious injury. Magneric resonance imaging showed a giant lesion occupying all ACL structure in the knee with 30×15×15 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. 
ACL reconstruction, ACL ganglion, Anterior cruciate ligament (ACL) lesion

1. Sonnery-Cottet B, Guimarães TM, Daggett M, Pic JB, Kajetanek C, de Padua VB, et al. Anterior cruciate ligament ganglion cyst treated under computed tomography - Guided aspiration in a professional soccer player. Orthop J Sports Med 2016;4:2325967116644585.

2. Parish EN, Dixon P, Cross MJ. Ganglion cysts of the anterior cruciate ligament: a series of 15 cases. Arthroscopy 2005;21:445-7.

3. Plotkin B, Agarwal VK, Varma R. Ganglion cyst of the anterior cruciate ligament. Radiol Case Rep 2009;4:309.

4. Su Y, Bai L. [Diagnosis and treatment of anterior cruciate ligament cysts]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2011;25:650-2 [Article in Chinese]

5. Tzurbakis M, Mouzopoulos G, Morakis E, Nikolaras G, Georgilas I. Intra-articular knee haemangioma originating from the anterior cruciate ligament: a case report. J Med Case Rep 2008;2:254.

6. Drosos GI, Pozo JL. Large extrasynovial intracapsular ganglia of the knee: a report of 3 cases. Arthroscopy 2005;21:1362-5.

There are 6 references in total.
1.
Bayam L, Kochai A, Erdem AC, Bayam F, Erdem M. Giant anterior cruciate ligament lesion with destruction: operative management. Eur Res J. 2020;6(3):257-259. doi:10.18621/eurj.477636

Downloads

Article Information

  • Article Type Case Report
  • Submitted February 21, 2026
  • Published May 3, 2020
  • Issue Vol. 6 No. 3 (2020)
  • Section Case Report
  • File Downloads 905
  • Abstract Views 193
  • Altmetrics
  • Share
Download data is not yet available.