Journal of the American Academy of Orthopaedic Surgeon, 7(2), 119-127. Assess the knee for effusions regularly, especially before loading. Whatever the cause, the evidence currently suggests its not the fault of the patient or the physio. Log in Register. The development of patella baja is made more apparent by comparing current and prior studies by plain film or MRI (Figure 11). Careers. The risk of cyclops lesions is between 1-10% of ACLR surgeries. This is part of the screw-home mechanism or that locked out feeling you get when you straighten your knee. We now report such a case. At the end of the procedure the patient had a range of movement of -5 to 140 and negative Lachman, anterior drawer and pivot shift tests. Home. 2. In the knee, arthrofibrosis most often occurs following anterior cruciate ligament reconstruction and total knee arthroplasty and represents a potentially devastating complication. Skeletal Radiol. Cyclops lesions develop in the anterior aspect of the intercondylar notch typically after anterior cruciate ligament (ACL) reconstruction or injury. The hallmark sign of a cyclops lesion is loss of knee extension range often about 2-3 months following an ACL surgery. What's new. We recommend a consultation with a medical professional such as James McCormack. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); We understand the importance of convenience to fit around your busy lifestyle. Haklar U, Ayhan E, Ulku TK, Karaoglu S. Arthrofibrosis of the Knee. Motion Loss after Ligament Injuries to the Knee. We failed to demonstrate any connection between the lesion and the femoral tunnel on arthroscopy but it was extending deeper into the notch towards the ACL graft. Delinc P, Krallis P, Descamps PY, Fabeck L, Hardy D. Different aspects of the cyclops lesion following anterior cruciate ligament reconstruction: a multifactorial etiopathogenesis. The moniker of cyclops lesion was given based on the arthroscopic appearance of the fibrous nodule and vessels that resemble an eye. After surgery, working with a physical therapist will be helpful to guide you with exercises and advice to achieve this. The exact aetiology is uncertain. It may be more comfortable to have the weight applied either side of the knee joint if the knee itself is sore. This syndrome, which is the result of a fibrous nodule (termed a cyclops nodule), has recently been described in patients who have sustained ACL injury but have not undergone reconstructive surgery. The functionality is limited to basic scrolling. Our case differs from that of Rubin et al2 by the fact that it followed a four-strand hamstring reconstruction of the ACL. ACL tears are a relatively common injury that if untreated can result in secondary osteoarthritis and meniscal tears 1, as well as an increased risk for reinjury of the knee. Recommend medically-directed interventions such as non-steroidal anti-inflammatory medication (NSAIDs) or direct needle aspiration if indicated. In cases involving an old ACL injury or loss of extension after ACL reconstruction, the footprint of the ACL should be inspected for a remnant of the ACL (Cyclops lesion). Methods MRI has been shown to be 84% accurate in detecting cyclops lesions (2) and surgical intervention is generally successful in restoring knee function (8). Mayr HO, Weig TG, Plitz W. Arthrofibrosis following ACL reconstruction Reasons and outcome. Excessively anterior tibial tunnel placement. Cyclops, inverted; Anterior cruciate ligament reconstruction; Complication, Annals of The Royal College of Surgeons of England, Cyclops syndrome: loss of extension following intra-articular anterior cruciate ligament reconstruction, Extension loss secondary to femoral-sided inverted cyclops lesion after anterior cruciate ligament reconstruction, Arthroscopic findings associated with roof impingement of an anterior cruciate ligament graft, Progressive loss of knee extension after injury. But the sharp pain still persists with some things, especially going down steps in a slow & controlled manner. Cyclops syndrome should be suspected in any patient in whom an ACL nodule is identified at MR imaging, and similarly a cyclops nodule should be considered as a possible cause of loss of extension in any patient who has sustained ACL injury. Josyula, MS (Ortho), DSc (Sports Medicine) Loss of extension is one of the most common complications following ACL surgery and can be of detriment to functional ability, especially in the athletic population (6). Cyclops lesion after ACL Reconstruction When patients struggle to regain extension after ACL reconstruction, one of the important things to exclude is the 'cyclops' lesion. A notchplasty was performed following debridement of the lesion from the 9 oclock to the 1 oclock position. Why is my knee so tight after ACL surgery? The great part about this exercise is that it can be performed in a more functional, weight-bearing position. Arthroscopy . nerve entrapment and posterior thigh pain, Hip, hip, hooray! We recommend a consultation with a medical professional such as James McCormack. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 8(1), 10-18. doi:10.1016/0749-8063(92)90129-y, Minne, C., Velleman, & Sulleman, F. E. (2012). Most of these reports are based on single-bundle ACL reconstruction. Stretches and massage can help to lengthen and relax your hamstring, which can tighten from the knee being bent and also if the graft has been taken from it. Cyclops lesions detected by MRI are frequent findings after ACL surgical reconstruction but do not impact clinical outcome over 2 years . It can block the knee range of movement, limiting the full extension of the knee, and can therefore cause quadriceps dysfunction. The repaired ACL was intact. You may switch to Article in classic view. Simultaneously apply pressure down on the knee. What are the findings? Disclaimer. It is accepted that the origin is multifactorial.4 Cyclops syndrome has been reported following different types of grafts and procedures. MAY 1951 No. Scarring and contraction resulting in a foreshortened suprapatellar bursa leads to further loss of knee flexion.2, Fibrosis of the infrapatellar fat pad appears to be an important cause of pain and stiffness.12,13 The infrapatellar fat pad is susceptible to trauma at the time of the ACL tear, from untreated instability, and from subsequent arthroscopic surgery and ACL reconstruction. This did not resolve following intensive physiotherapy. One common complication of ACL reconstruction is a limited range of motion, especially obtaining a fully straight knee. Evaluation and treatment of disorders of the infrapatellar fat pad. The scarred synovium is hypointense to muscle on proton density-weighted and T2-weighted MR images (Figure 12).17. Regaining full knee extension is one of the most important goals to achieve as soon as possible after ACLR surgery. Simpfendorfer C, Miniaci A, Subhas N, Winalski CS, Ilaslan H. Pseudocyclops: two cases of ACL graft partial tears mimicking cyclops lesions on MRI. Developing collective mental resilience to manage competition demands, State of mind: understanding cognitive load in performance and injury rehabilitation. Based in Australia, he recently acted as the High Performance Manager for the Brisbane Roar Soccer Team who play in the Australian A League. It is not a huge loss of extension, often less than 10, but its enough to be a problem (8). Continued or recurrent tear of medial meniscus. When it comes to ACL reconstruction surgery, there are some options. Patellofemoral compartment and medial tibiofemoral compartment cartilage loss. It was located in the anterior part of the roof of the notch and extended deeper into the notch towards the ACL graft. Misdiagnosis of an atypical cyclops lesion 4 years after single-bundle anterior cruciate ligament reconstruction. In simple terms, it is a lump of scar tissue at the front of the knee and it blocks it from completely straightening. Never miss a podcast or blog post when you subscribe to our weekly newsletter. Early pool work also provides hydrostatic pressure to aid with effusion drainage. I'm just a bit pissed about this, as I was considering my 1st cycle. It is a frequent complication associated with surgery and trauma. Adhesions can form between the capsule and articular cartilage. Stump Entrapment of the Torn Anterior Cruciate Ligament. You can read about ligament injuries of the knee in our related articles: PCL Tear, MCL Injury, and LCL Injury. 2015 Mar;73(1):61-4. 174 NEWSNews and Provisional Program for 1951 Annual Meeting; Dis- trict Meetings; Technical Committee Notes. To compare anterior cruciate ligament (ACL) soft-tissue allograft reconstruction using suspensory versus aperture fixation. At least that's one theory. Generating an ePub file may take a long time, please be patient. It could be that the old ACL stump has a protective effect on the graft. Adhesions in the suprapatellar bursa can form between the capsular elements of the bursa and the medial or lateral gutters. I had a cyclops lesion without loss of extension. An 18 year-old female college athlete presents 6 months following ACL reconstruction with locking and catching. (2C) The oblique proton density-weighted image again demonstrates the mass (arrow) anterior to the inferior portion of the central femoral trochlea. Extracapsular fibrosis may also be seen. Bone debris from drilling during the ACLR. The ePub format uses eBook readers, which have several "ease of reading" features Also, moving your knee in & out of terminal extension helps develops hamstring and quadriceps control which can be lacking post-injury. J Chiropr Med. Kambhampati, MS (Ortho), FRCS (Eng & Glasg), FRCS (Trauma & Orth), Dip (Applied Biomech), Srikanth Gollamudi, MS (Ortho), FRCS, Saseendar Shanmugasundaram, MS (Ortho), DNB (Ortho), Dip SICOT (Belgium), and Vidyasagar V.S. ( a) Supine leg press with elastic band is initiated utilizing elastic band for closed-chain exercises. Podcast. The cyclops lesion is a nodule of scar tissue that has grown in the front of the knee joint The cause of cyclops lesions is likely multi-factorial but may be linked to debris in the joint The hallmark sign of a cyclops lesion is loss of extension post-surgery Patients usually also have anterior knee pain and quadriceps dysfunction Lucas TS, DeLuca PF, Nazarian DG, Bartolozzi AR, Booth RE. Reconstruction of the anterior cruciate ligament (ACL) is a commonly performed procedure that produces reliable and reproducible outcomes [1], [2], [3].Although the post-operative complication rate is low, loss of knee extension may require revision surgery [4], [5], [6], [7].Cyclops syndrome was first described in 1990 by Jackson and Schaefer as loss of full knee extension . First described in 1990 by Jackson and Schaefer (1), a cyclops lesion is a reasonably common complication following anterior cruciate ligament reconstruction (ACLR), with the majority being benign and asymptomatic (2). sharing sensitive information, make sure youre on a federal New posts. Jackson and Shaefer first defined cyclops syndrome in 1990.1 The location of this lesion is frequently anterolateral to the tibial tunnel. Orthopedics. The knee appeared stable. Cyclops Lesions That Occur in the Absence of Prior Anterior Ligament Reconstruction1. Thepodcast features interviews with the worlds leading physical performers,and some of the worlds leading health and fitness experts. In general, arthroscopic debridement is preferred to open debridement when the pathology is largely intra-articular. He said it sounds like either patellofemoral pain syndrome or a cyclops lesion, but sounds more like patellofemoral, so he got me back in physical therapy and said if it still persists in a few months to come back and he'll get me scheduled for an MRI to check for the cyclops lesion. Dragoo JL, Johnson C, McConnell J. So I guess my question is, for those of you who have had a cyclops lesion, does this sound like one or what you went through? Following excision of the lesion and notchplasty, our patient regained full range of movement of the knee. Inverted Cyclops Lesion without Extension Block: A Case Report and Literature Review. Surgery is needed to remove the lesion. Fritz J, Lurie B, Potter HG. FOIA Forums. Also noted is fibrosis within the infrapatellar fat pad (arrowheads). (2A) The T2-weighted sagittal image demonstrates a nodular heterogeneously low signal mass (arrow) at the anterior margin of the ACL graft. Sanders TL, Kremers HM, Bryan AJ, Kremers WK, Stuart MJ, Krych AJ. Fibrosis in the suprapatellar bursa typically limits knee flexion. This is sometimes referred to as a "Cyclops lesion" or arthrofibrosis. New media New comments. The axial proton density-weighted image (13B) reveals this structure to be a band-like region of arthrofibrosis (arrowheads) passing posterior to the patella and blending with the synovium medial and lateral to the patella, likely contributing to the patients mechanical symptoms. He's worked with elite level State and National rugby and football teams in Australia, the UK and France. This has all been terribly frustrating for me, so I'm sure it is for you too. SA Orthopaedic Journal, 11(2). I have seen Brad twice now and he is absolutely fantastic. official website and that any information you provide is encrypted From the moment you walk through the door, the team make you feel very welcome and comfortable. The appearance and clinical history are suggestive of patellar clunk syndrome. Movies available at http://radiographics.rsnajnls.org/cgi/content/full/e26/DC1. A sagittal T2-weighted image demonstrates prominent peripatellar scarring in the infrapatellar fat pad (asterisk) and above the patella with a nodular component extending inferiorly at the posterior margin of the superior patella (arrows). 31(1). The repaired ACL was intact. 2011, 22(4). I would highly recommend pogo physio. Former Head of Performance for London Irish Rugby Union, he served a consultancy role with a professional French Rugby Union team. Physio is working on strength to compensate as much as possible, but suggested meeting with Ortho to discuss surgical options, regardless of whether surgery is an immediate next move, something in 5 years or avoidable all together. Srinivasan R, Wan J, Allen CR, Steinbach LS. Procedural intervention for arthrofibrosis after ACL reconstruction: trends over two decades. Sharkey PF, Lichstein PM, Shen C, Tokarski AT, Parvizi J. To provide the highest quality clinical and technology services to customers and patients, in the spirit of continuous improvement and innovation. Federal government websites often end in .gov or .mil. A sagittal proton density-weighted image demonstrates a diffuse fibrotic reaction encasing the ACL graft with a cyclops lesion anterior to the ACL graft (arrow) and fibrosis posterior to the ACL graft (asterisk) extending to the posterior capsule. As soon as you walk through the door you feel welcome and after my first session with Brad I had no doubts he would get me back to my best . You may notice problems with A cyclops lesion is described as a focal anterior arthrofibrosis, which is an excessive formation of scar tissue on the anterior cruciate ligament. I enjoy myself every time I walk into POGO! Clinical Outcomes After Arthroscopic Release of Patellofemoral Arthrofibrosis in Patients With Prior Anterior Cruciate Ligament Reconstruction. An increased incidence of anterior cruciate ligament (ACL) injuries in children over the last few decades has led to a corresponding increase in ACL reconstruction procedures in children. Bethesda, MD 20894, Web Policies Poor regain of knee extension in both terms of speed and range. The cyclops lesions had a mean size of 16 x 12 x 11 mm, with 90% of them located just anterior to the distal ACL. 2017 Jul 10;3(4):242-246. doi: 10.1016/j.artd.2017.06.002. the display of certain parts of an article in other eReaders. A 17 year-old male 1 year after ACL reconstruction, felt a pop while stepping into a hole with swelling and limited extension at the knee. Brad and the whole team make every visit there so pleasant. Clinically it is reported to have prevalence of 1% to 10 % but magnetic resonance imaging (MRI) studies have shown the physiological changes occurring in about 25% to 47% of cyclops lesions. Mild low-signal thickening (arrowhead) is present posterior to the ACL graft, overlying the reattached posterior root of the lateral meniscus. Glossary of terms for musculoskeletal radiology. Bradley DM, Bergman AG, Dillingham MF. Kim DH, Gill TJ, Millett PJ. National Library of Medicine Sports Injury Bulletin brings together a worldwide panel of experts including physiotherapists, doctors, researchers and sports scientists. look for a Cyclops lesion, because it's in five to 10% of cases typically, but I think it's underdiagnosed and it's a reason why people . Cyclops lesion which represents arthrofibrosis in midline anterior knee. Neil Duplantier MD. A femoral-sided cyclops lesion has not been reported following hamstring reconstruction of the ACL. Tonin et al reported it in patients with ACL injury without reconstruction surgery.4 In the absence of surgery, the origin was thought to be due to avulsion of pieces of bone from the attachment of the ligament. I'm just asking here cause I'm wondering if I should give it another month with the physical therapy exercises and see what it feels like then/if it gets better, or if I should just go back to the doctor now and save some time. 0. eCollection 2019 Dec. Arthroplast Today. New posts. Unfortunately, physiotherapy isnt able to help your cyclops lesion. Abreu MR, Chung CB, Trudell D, Resnick D. Hoffas fat pad injuries and their relationship with anterior cruciate ligament tears: New observations based on MR imaging in patients and MR imaging and anatomic correlation in cadavers. Clinical Perspective The only case reported previously was by Rubin et al following bone-patellar tendon-bone ACL reconstruction.2. Assessment of the type of deficit is important in directing the therapeutic approach. 3. This may be accompanied by pain, swelling, stiffness, the knee may lock, and there can be a palpable or an audible clunk. Removing the internal fluid will significantly reduce the internal pressure within the knee and improve quadriceps strength. MRI can confirm and define the extent of a suspected fibrotic lesion and assist in detecting and differentiating other postoperative complications with a similar clinical presentation. Apr 11, 2013. Introduction. On MRI, nodular or band-like synovial thickening or intra-articular masses demonstrate low to intermediate signal on proton-density and T2-weighted images (Figure 13). Sonographic and Magnetic Resonance Imaging Examination of a Cyclops Lesion After Anterior Cruciate Ligament Reconstruction: A Case Report. 2017 October ; 35(10): 22752281, Annals of Rheumatic Diseases, 1993. A focus of soft tissue thickening is compatible with a small cyclops lesion anterior to the graft (arrowhead). Press question mark to learn the rest of the keyboard shortcuts. HHS Vulnerability Disclosure, Help Resources. Which is when a bone segment is pulled away from the bone as the ligament tears. We present 2 cases (3 knees) in which cyclops lesions appeared atypically following bicruciate-retaining total . (84.6%), and accuracy (84.8%) of MR imaging of cyclops lesions in patients with persistent symptoms after ACL reconstruction. Factors that are felt to increase the likelihood of diffuse arthrofibrosis include ACL reconstruction within 4 weeks of the ACL injury, additional ligamentous injuries, and diminished knee flexion preoperatively. The cyclops lesion after bicruciate-retaining total knee replacement. I couldn't recommend the practise more :-). I cannot thank you all enough. "The articles are well researched, and immediately applicable the next morning in the clinic. Patrick C. McCulloch MD. These lesions result in pain and loss of extension with impingement of the lesion. There are several different risk factors that are thought to increase the chance of developing this condition. Read about treatments for other ligament injuries in our related articles: PCL Recovery, MCL Injury Treatment, and LCL Injury Recovery. Arthroscopy. Fixation of the graft at high knee flexion angles. The Physical Performance Show: Dan Lorang Endurance Coach & Sports Scientist, The Physical Performance Show: Harry Garside Olympic Bronze Lightweight Boxing Medallist, The Physical Performance Show: 2022 TOP 10 Countdown, The Physical Performance Show: Dr Kevin Wernli Lower Back Pain: fear, posture, & movement, The Physical Performance Show: Dr Dan Plews Low CHO diet: Right Fuel-Right Time Approach, How Runners Can Overcome Tight Calves: My top 3 Exercises, Proximal Hamstring Tendinopathy Exercise Protocol, 13 Top Tips that will help your Proximal Hamstring Tendinopathy, The cyclops lesion is a nodule of scar tissue that has grown in the front of the knee joint, The cause of cyclops lesions is likely multi-factorial but may be linked to debris in the joint, The hallmark sign of a cyclops lesion is loss of extension post-surgery, Patients usually also have anterior knee pain and quadriceps dysfunction, Physiotherapy is ineffective once the lesion exists and arthroscopic surgery is needed which is often very successful, Its extremely important to work on regaining knee extension following any ACL surgery, Millett, P. J., Wickiewicz, T. L., & Warren, R. F. (2001). That was back in December. 12. I have been going to pogo for 2 years now. (i.e. It is not an actual Cyclops lesion as it is a torn ACL instead of fibrotic tissue. Arthrofibrosis is the abnormal proliferation of fibrous tissue in a joint leading to loss of motion, pain, muscle weakness, swelling, and functional limitation and is most commonly associated with joint trauma or surgery.1. Unresolved deficits warrant further intervention including manipulation under anesthesia, arthroscopic debridement, and open debridement. Diffuse arthrofibrosis surrounding the ACL graft is rare. A Cyclops lesion which is also known as localized anterior arthrofibrosis is defined as a painful lesion in the inner mass present at the anterior side of knee. 11 months post-op here missing a few degrees of extension. Read more about ACL Rehab Exercises, in our related article. Their program works! In one study, the incidence was 25% in the initial 6 months post-surgery, and 33% within two years. We report the case of an inverted cyclops lesion limiting extension of the knee joint after a four-strand hamstring anterior cruciate ligament (ACL) reconstruction. 52: 829-834, The Journal of Bone and Joint Surgery, 1988. History or limited range of motion knee. Epub 2016 Aug 3. TECHNIQUE STEPS. The American Journal of Sports Medicine, 29(5), 664675. Complications following primary ACLR using quadriceps tendon autograft were recorded in 10.5% of knees, with persistent knee pain being most common. Limitation of extension is one of the complications after anterior cruciate ligament (ACL) reconstruction commonly caused by a cyclops lesion, which is most frequently seen in the anterior aspect of the knee arising near the tibial attachment of the graft. Sports med doc said it's likely inoperable, but offered no solutions. Key points: Cyclops lesions had a prevalence of 25% in patients after ACL reconstruction. It may be an incidental finding on a follow-up scan or if the knee is scanned for another reason. Latest reviews. Or sometimes if I'm lying down with my knees bent, then try to raise my leg and fully straighten it or if I'm just sitting and try to straighten it, there's a sharp pain and sometimes it'll hurt but then my kneecap will pop and I can straighten it with no pain. Finally, a physical therapist can assist you with straightening your knee with various manual techniques, and advice for what you can do at home. Focal areas of fibrosis following TKA are often seen in the peripatellar region and can present with mechanical symptoms. Sagittal proton density-weighted images demonstrate the normal appearance of the infrapatellar fat pad on the left and the typical mild post-surgical scarring following ACL reconstruction (arrowheads) on the right. Physiotherapy was organised for regaining range of movement. Please enable it to take advantage of the complete set of features! After briefly reviewing relevant normal ACL anatomy, we will review imaging findings of congenital ACL . Related Articles: ACL grafts are very strong. i didn't have a cyclops lesion specifically, but i did have scar tissue buildup and needed an MUA & scoping 9 weeks post-op from the initial recon (hammy ACL graft + meniscal stitch). 2010. He said it sounds like either patellofemoral pain syndrome or a cyclops lesion, but sounds more like patellofemoral, so he got me back in physical therapy and said if it still persists in a few months to come back and he'll get me scheduled for an MRI to check for the cyclops lesion. Intraarticular fibrous nodule as a cause of loss of extension following anterior cruciate ligament reconstruction. This bundle of scar needs to be removed with an arthroscopy. By continuing to browse this site you are agreeing to our use of cookies. Sequential sagittal T2-weighted images demonstrate a thickened band of fibrosis along the anterior interval of the knee (arrows). Why is my knee so tight after ACL surgery? Thanks Pogo Physio! The goal of this series is to present our 10-year experience with this condition. Splinting or bracing may be used for extension deficits. 36-40, Knee Surg Sports Traumatol Arthrosc, 2014. Usually the patient will also have some quadriceps dysfunction. Large graft relative to intracondylar notch, slightly higher incidence with double bundle compared to single bundle for this reason. ACL Reconstruction - Hamstring Autograft. MRI of the right knee (Figure 3) showed a thickened patellar tendon, supra-patellar effusion, bone contusion and oedema in the anterior aspect of the tibial plateau as well as anterior and superior to the bony tract of the ACL repair. Anterior Cruciate Ligament injuries: Stories, Tips, and Advice for recovery, Press J to jump to the feed. . Knee postoperative stiffness manifests as an insufficient range of motion, which can be caused by poor graft position, cyclops lesions, and arthrofibrosis [5,6,7]. Sagittal T2-weighted (5A) and axial fat-suppressed proton density-weighted (5B) images demonstrate a 5 mm intra-articular chondral body (arrows) surrounded by joint fluid anterior to the ACL graft. I also expla. Injury after AC. i dont have idea about the other issues. During the past 3 decades, graft reconstruction of the anterior cruciate ligament (ACL) has become an accepted treatment for symptomatic ACL deficiency. In a long-sit position place a towel or band around your foot. He offers Online Physiotherapy Appointments for 45. Quadriceps grafts were found to have a higher risk than hamstring, which may have been related to the bundle size (. eCollection 2017 Dec. Radiol Case Rep. 2016 Oct 4;4(1):268. doi: 10.2484/rcr.v4i1.268. The Pseudocyclops lesion is a rare complication of the arthroscopic reconstruction of the ACL in which a partial graft tear occurs and subsequently the torn fibres are flipped anteriorly mimicking a Cyclops lesion. I had an MRI done a few weeks ago and the results were obnoxious vague. A band of low signal extends over the posterior aspect of the infrapatellar fat pad (short arrows). MR Imaging of Complications of Anterior Cruciate Ligament Graft Reconstruction. Although much less recognised, it is possible for patients who have suffered ACL trauma to develop a cyclops lesion even without having had surgery. Cyclops lesions occur in the minority of cases of ACLR surgery, between 1-10%. 1990. No loss for either but the pain & catching feeling when I fully extend it is what confuses me Like I try to straighten it and it gets to a point where theres pain but if I push through the pain (Its sharp but not unbearable) I can fully straighten it still, just as much as my other one.
How To Copy Files In Bluestacks Media Manager, Charleston Diocese Lawsuit, Claybar Funeral Home Orange, Tx Obituaries, Articles C