Intraligamentous Hematoma of the Anterior Cruciate Ligament
Lesions of the anterior cruciate ligament (ACL) are rare entities in clinical practice. Here, we present the case of an intraligamentous hematoma of the ACL. A 20-year-old man (height 173 cm, weight 62.9 kg, body mass index 21) with no significant past medical history developed progressively worseni...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2019/9378632 |
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| author | Yasuaki Tamaki Daisuke Hamada Tadashi Mitsuhashi Tokio Kasai Takuya Mishiro Takahiko Tsutsui Kenichiro Kita Koichi Sairyo |
| author_facet | Yasuaki Tamaki Daisuke Hamada Tadashi Mitsuhashi Tokio Kasai Takuya Mishiro Takahiko Tsutsui Kenichiro Kita Koichi Sairyo |
| author_sort | Yasuaki Tamaki |
| collection | DOAJ |
| description | Lesions of the anterior cruciate ligament (ACL) are rare entities in clinical practice. Here, we present the case of an intraligamentous hematoma of the ACL. A 20-year-old man (height 173 cm, weight 62.9 kg, body mass index 21) with no significant past medical history developed progressively worsening pain and limitation of range of motion in the left knee due to minor trauma. No abnormality was found on plain radiography; however, magnetic resonance imaging revealed a cystic lesion in the intercondylar fossa that was hypointense on T1-weighted imaging and hyperintense on T2-weighted imaging. We performed knee arthroscopy, made a longitudinal incision in the anterior aspect of the ACL, and identified a hematoma. The patient’s postoperative course was uneventful. There is no evidence of recurrence at one year after surgery. Although the ACL is a relatively hypovascular structure, it does contain microscopic blood vessels. In this case, we speculate that the intraligamentous hematoma was the result of rupture of these very small blood vessels in response to a minor injury. |
| format | Article |
| id | doaj-art-d8d033e09e394656936e3cf6a3bcc70f |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-d8d033e09e394656936e3cf6a3bcc70f2025-02-03T06:11:32ZengWileyCase Reports in Orthopedics2090-67492090-67572019-01-01201910.1155/2019/93786329378632Intraligamentous Hematoma of the Anterior Cruciate LigamentYasuaki Tamaki0Daisuke Hamada1Tadashi Mitsuhashi2Tokio Kasai3Takuya Mishiro4Takahiko Tsutsui5Kenichiro Kita6Koichi Sairyo7Department of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-853, JapanDepartment of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-853, JapanDepartment of Orthopedics, Takamatsu Red Cross Hospital, 4-1-3 Ban-cho Takamatsu 760-0017, JapanDepartment of Orthopedics, Takamatsu Red Cross Hospital, 4-1-3 Ban-cho Takamatsu 760-0017, JapanDepartment of Orthopedics, Takamatsu Red Cross Hospital, 4-1-3 Ban-cho Takamatsu 760-0017, JapanDepartment of Orthopedics, Takamatsu Red Cross Hospital, 4-1-3 Ban-cho Takamatsu 760-0017, JapanDepartment of Orthopedics, Takamatsu Red Cross Hospital, 4-1-3 Ban-cho Takamatsu 760-0017, JapanDepartment of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-853, JapanLesions of the anterior cruciate ligament (ACL) are rare entities in clinical practice. Here, we present the case of an intraligamentous hematoma of the ACL. A 20-year-old man (height 173 cm, weight 62.9 kg, body mass index 21) with no significant past medical history developed progressively worsening pain and limitation of range of motion in the left knee due to minor trauma. No abnormality was found on plain radiography; however, magnetic resonance imaging revealed a cystic lesion in the intercondylar fossa that was hypointense on T1-weighted imaging and hyperintense on T2-weighted imaging. We performed knee arthroscopy, made a longitudinal incision in the anterior aspect of the ACL, and identified a hematoma. The patient’s postoperative course was uneventful. There is no evidence of recurrence at one year after surgery. Although the ACL is a relatively hypovascular structure, it does contain microscopic blood vessels. In this case, we speculate that the intraligamentous hematoma was the result of rupture of these very small blood vessels in response to a minor injury.http://dx.doi.org/10.1155/2019/9378632 |
| spellingShingle | Yasuaki Tamaki Daisuke Hamada Tadashi Mitsuhashi Tokio Kasai Takuya Mishiro Takahiko Tsutsui Kenichiro Kita Koichi Sairyo Intraligamentous Hematoma of the Anterior Cruciate Ligament Case Reports in Orthopedics |
| title | Intraligamentous Hematoma of the Anterior Cruciate Ligament |
| title_full | Intraligamentous Hematoma of the Anterior Cruciate Ligament |
| title_fullStr | Intraligamentous Hematoma of the Anterior Cruciate Ligament |
| title_full_unstemmed | Intraligamentous Hematoma of the Anterior Cruciate Ligament |
| title_short | Intraligamentous Hematoma of the Anterior Cruciate Ligament |
| title_sort | intraligamentous hematoma of the anterior cruciate ligament |
| url | http://dx.doi.org/10.1155/2019/9378632 |
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