J Chin Med Assoc. Functional Outcome of Arthroscopic Debridement of Mucoid Degeneration of the Anterior Cruciate Ligament. This site needs JavaScript to work properly. The success of treatment for MDACL and the subsequent risk of instability is not known. Coronal proton density-weighted magnetic resonance, Coronal proton density-weighted magnetic resonance imaging shows a thickening of the anterior cruciate, Sagittal proton density-weighted magnetic resonance, Sagittal proton density-weighted magnetic resonance image shows ill-defined anterior cruciate ligament with increased, Coronal T2 weighted fat suppressed fast spin echo image showed complex anterior cruciate, Pre-debridement arthroscopic view showing yellowish. J Bone Joint Surg Br. 2011;19(3):408411. We herein describe a case of PCL mucoid degeneration presented with secondary ACL . We report a case of mucoid degeneration of the ACL in a 50-year-old female with knee pain of 18 months duration. Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. -, Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. https://doi.org/10.1016/j.jajs.2015.12.001, Ventura D, Nuez JH, Joshi-Jubert N, Castellet E, Minguell J (2018) Outcome of arthroscopic treatment of mucoid degeneration of the anterior cruciate ligament. FOIA No reconstruction was performed at the same time. Arthroscopy 20(2):141146. 2001;17(9):E37. HHS Vulnerability Disclosure, Help Mucoid degeneration of ACL Justamom21 Feb 17, 2023 7:27 AM Among other conditions - osteoarthritis, osteopenia, spondylolisthesis- an MRI report showed "severe mucoid degeneration of the ACL" in my left knee. Epub 2011 Feb 18. However, young patients should be forewarned about the risk of instability, and an anterior cruciate ligament reconstruction could be necessary. Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. and transmitted securely. The aetiology of MDACL is not fully understood, hence, there are multiple theories on this. Mumbai, Maharashtra, India. Chudasama et al. Patient having mucoid degeneration of ACL seeks multiple orthopedic consultation and most of the time treating orthopedican miss its diagnosis either because of lack of experience or rare cause of pain unless doctor sought magnetic resonance imaging (MRI) of knee. 1. Mucoid change or mucoid degeneration refers to the irreversible tissue degeneration due to the accumulation of mucin within the fibers of tendons, ligaments, and fibrocartilage. Online ahead of print. Postoperative pain relief was reported in seven studies. Study record managers: refer to the Data Element Definitions if submitting registration or results information.. Search for terms 2018 Jun;25(3):445-452. doi: 10.1016/j.knee.2018.02.012. Background: Mucoid degeneration of the anterior cruciate ligament (ACL) is an uncommon non-traumatic cause of knee pain and motion restriction, typically seen in a middle-aged population. . Before What you feel (symptoms) You feel heaviness in knee joint. Our study provides further evidence that arthroscopic total or partial excision of anterior cruciate ligament is a safe and effective treatment for mucoid degeneration of the anterior cruciate ligament, improving patient satisfaction and function without causing clinical instability in daily activities. 2009. There is no consensus on treatment and evidence is scarce. 2018 Sep;10(3):307-314. doi: 10.4055/cios.2018.10.3.307. This site needs JavaScript to work properly. Epub 2013 Aug 27. This is a rare pathological condition, in which, there is increased signal from within the ligament. Dietary management and various treatments Scanning and diagnostic . 2006;69(9):44952. MRI is better at detecting mucoid degeneration than arthroscopy, as the surface of the ligament is often intact. 2013 Oct;99(6):693-7. doi: 10.1016/j.otsr.2013.04.010. We report a case of a patient with mucoid degeneration of the ACL, presenting with posterior knee pain and no history of a major knee trauma. None of the studies was a randomised controlled trial and none had a control group. Methods: Average improvement in flexion was 21.5 degrees (0 to 60 degrees). 2007;90(3):1923. Anterior cruciate ligament reconstruction was required in only one young patient due to disabling instability. Papadopoulou P. The celery stalk sign. A September 2018 MRI of the left knee showed anterior cruciate ligament and mucoid degeneration with intra cruciate ganglion . CAS in 1999 [ 1 ]. -Provided skilled hands on in post-op rehabilitation to various population including Head and neck cancers, Lymph edema management, Bone cancers. Mucoid degeneration is characterized by an increase in the mucoid ground substance in the connective tissue containing glycoprotein and mucoprotein [ 4 ]. Physical Therapy. In contrast to the tear, mucoid degeneration of the ACL characteristically does not cause knee instability [20, 21, 22]. Here are the search results of the thread mucoid degeneration of acl treatment from Bing. Noninfiltrating synovial cysts of the ACL were excluded. 2004;182(5):12831287. On MRI, the ligament is thickened and ill-defined with a "celery stalk" appearance. Radiology. Sagittal T2-weighted MRI view showing intact anterior, Fig. 2004;182 (5): 1283-7. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. Symptoms included limited range of motion (ROM) and posterior knee pain. The purpose of this study was to investigate the outcome of management of MDACL by performing a systematic review of methods of treatment that have been reported. Arthroscopic findings. A positive Lachman test and a negative pivot shift were noted after surgery in all cases. Before All nine included studies utilized MRI of the knee to establish a radiological diagnosis as an inclusion criterion. Patients in all studies presented with central or posterior knee pain, mainly with terminal extension in three studies [14, 16, 17]. 2007;245 (3): 916-7. Seventeen females (67%) and eight males (33%) were included in the final analysis. Khanna et al. 8600 Rockville Pike Careers. Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. 8600 Rockville Pike 2011 Jun;25(6):650-2. Unable to load your collection due to an error, Unable to load your delegates due to an error. Not really known: Mucoid degeneration of the ACL is seen most commonly in adults (35-55 years of age). PubMedGoogle Scholar. Case report: Post-debridement arthroscopic view showing yellowish lesion of the anterior cruciate ligament which was debrided. Later studies reported that changes consist of mucoid Results degeneration, neovascularisation, and tendon sheath hyper- Nineteen patients met the inclusion criteria and were inclu- trophy. Mucoid degeneration of the ACL is a rare cause of knee pain.1-8) This lesion of the ACL was first reported by Kumar et al.3) in 1999. 1. Accessibility A total of 313 knees in 292 patients were included. AJR Am J Roentgenol. Young and active patients should be warned about the risk of requiring secondary ligamentoplasty. Introduction Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known pathology. It often presents with progressive knee pain, restriction in range of motion without a significant history of trauma, and without knee instability. Mucoid degeneration of the anterior cruciate ligament. 2021 Oct 21;2021:5879121. doi: 10.1155/2021/5879121. What is myxoid degeneration treatment? Partial resection of the anterior cruciate ligament was done in seven cases and a complete resection in 18 cases. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Orthop Traumatol Surg Res. Bookshelf Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. 2010 Jun;96(4):400-6. doi: 10.1016/j.otsr.2010.02.008. and transmitted securely. in 1999 [1]. (A) Bulging of the hypertrophied anterior cruciate ligament. Introduction Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. Exclusion criteria were (1) case reports, literature reviews and conference abstracts and (2) studies written in languages other than English. Instrumental treatment. Association between magnetic resonance imaging characteristics and pathological findings in entire posterior cruciate ligament with mucoid degeneration. 2022 Apr 11;31:67-71. doi: 10.1016/j.jor.2022.04.004. Besides, the patient may also have trouble in moving. PMC Unable to load your collection due to an error, Unable to load your delegates due to an error. The aim of this study was to detail the clinical, radiological, arthroscopic, and pathological findings of mucoid degeneration of the anterior cruciate ligament and report the clinical outcomes following arthroscopic treatment. Hsu CJ, Wang SC, Fong YC, Huang CY, Chiang IP, Hsu HC. Questions just answered: mucoid degeneration of acl physiotherapy. sharing sensitive information, make sure youre on a federal Eight patients (72.7%, n=8) reported an improvement of knee instability, while three patients (27.3%, n=3) experienced an unchanged knee stability. The https:// ensures that you are connecting to the Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. sharing sensitive information, make sure youre on a federal ACL tears don't heal as such. J Arthrosc Joint Surg 3(1):2833. Conclusions: Mucoid degeneration of the ACL is a clinical condition afflicting active middle-aged people without a single significant traumatic episode with a specific MRI picture. what causes mucoid degeneration of acl. This study concerns complete ACL resection as a treatment of mucoid degenerated ACL. Federal government websites often end in .gov or .mil. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. Reeducation. Recent studies have reported that the prevalence of ACL mucoid degeneration is approximately 2-14% [20, 23, 24, 25]. Any discrepancy was resolved by the senior author. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. See this image and copyright information in PMC. as very low (04 points), low (58 points), good (912 points) or excellent (1316 points) [12]. Postoperative follow-up included standard radiography and dynamic examination, measuring laxity with a Telos device. There was strong association between MDACL and chondral lesions (82%) and between MDACL and meniscal tears (69%). Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. However, the authors did not report whether there were any other patients with symptomatic instability. Therefore, indications for ACL resection must be carefully selected. government site. 2011. Would you like email updates of new search results? 1173185. In this review, the mean age of patients ranged from 31 to 78years; mean age was highest in the study of Kim et al. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. -. The author(s) read and approved the final manuscript. There was more than 20% loss to follow up in the study of Kim et al., while the three prospective studies had no loss to follow up [13, 14, 18]. Clinical outcome was reported using a variety of scores (the Lysholm and International Knee Documentation Committee (IKDC) score, the Knee Injury and Osteoarthritis Outcome Score (KOOS) and the visual analogue scale (VAS) score) in the different studies; these are summarized in Table 4. Anterior cruciate ligament mucoid degeneration. It is lined by the synovial fluid, which provides the nutrition and plays an integral part in healing. Association between magnetic resonance imaging characteristics and pathological findings in entire posterior cruciate ligament with mucoid degeneration. 5. Second, methodological quality assessment showed that three studies had low methodological quality. 2013;15(1). Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Level of evidence: The cruciate ligament have mechanoreceptors, which are responsible to detect any change in position of the knee, direction, speed and tension. . Mucoid degeneration of A C L is more common and literature has also reported many cases, but for PCL only few cases have been reported in English literature. Imaging: Plain radiographs Arthroscopy. Mucoid degeneration of the ACL is suspected when an apparently thickened and ill-defined ligament with increased signal intensity on all sequences in MRI is identified in a patient with physically intact ligament and no obvious trauma history. Accessed 1 Mar 2021. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. 2022 Mar;50(3):3000605221084865. doi: 10.1177/03000605221084865. Arthroscopic resection of ACL mucoid degeneration is effective for treating pain and flexion limitation, but at the expense of anterior laxity. First, our literature search revealed a heterogeneous group of studies dominated by case reports and case series, with no randomised controlled trials. Download Citation | On Feb 1, 2023, O.R. Method. official website and that any information you provide is encrypted Orthop Traumatol Surg Res 99(6):693697, Khanna G, Sharma R, Bhardwaj A, Gurdutta HS, Agrawal DK, Rathore AS (2016) Mucoid degeneration of the anterior cruciate ligament: partial arthroscopic debridement and outcomes. Eight studies reported postoperative instability. Pre-debridement arthroscopic view showing yellowish content in the anterior cruciate ligament. Epub 2010 May 8. Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) flowchart illustrating the selections of trials included in the systematic review. Pain was posterior in 23 knees (80%). Mucoid degeneration of acl (anterior cruciate ligament) is not a common problem and mostly it is found in female patients. Bethesda, MD 20894, Web Policies NCI CPTC Antibody Characterization Program. Read More Created for people with ongoing healthcare needs but benefits everyone. 8600 Rockville Pike Bethesda, MD 20894, Web Policies Knee Surg Sports Traumatol Arthrosc. Glossary of terms for musculoskeletal radiology. These appearances must be differentiated from mucoid degeneration of the intact ACL. had the largest number of patients (91) with a mean age of 61 years, which was the oldest study population amongst the nine studies [16]. It is commonly identified on MRI in association with other pathological findings and can be confused with partial ACL tears. The lesion may manifest as an elongated cyst along the long axis of the ACL, or as an enlarged ACL. Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of knee pain. 2012;4 (2): 167-70. Orthop Traumatol Surg Res. 2021 Aug 21;33(1):26. doi: 10.1186/s43019-021-00110-6. Sweed, T., Mussa, M., El-Bakoury, A. et al. Please enable it to take advantage of the complete set of features! It contrasts with cystic lesions better known as synovial cysts or intercondylar fossa cysts. Anterior cruciate ligament ganglia and mucoid degeneration: Coexistence and clinical correlation. 2022 Nov 24. doi: 10.1007/s00402-022-04659-z.
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