Provided by the Springer Nature SharedIt content-sharing initiative. 2018 Sep;10(3):307-314. doi: 10.4055/cios.2018.10.3.307. There is no consensus on treatment and evidence is scarce. The .gov means its official. The purpose of this study was to diagnose mucoid degeneration of anterior cruciate ligament and to assess the effectiveness of arthroscopic treatment in these patients.Materials and MethodsBetween December 2007 and November 2011, 20 patients were diagnosed to be suffering from mucoid degeneration of anterior cruciate ligament (ACL) on the basis . 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. An official website of the United States government. Federal government websites often end in .gov or .mil. Accessibility Average improvement in flexion was 21.5 degrees (0 to 60 degrees). These appearances must be differentiated from mucoid degeneration of the intact ACL. eCollection 2022 May-Jun. The authors declare that they have no competing interests. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. Therefore, Anterior Cruciate Ligament tear is more susceptible during any injury to the knee. https://doi.org/10.1007/s00167-012-1991-9, McIntyre J, Moelleken S, Tirman P (2001) Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears. 4. Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Diet therapy and various other treatments (general aspects) Discipline Radiotherapy. (10%) and highest in the study of Ventura et al. Bergin et al. Advanced MR imaging of the cruciate ligaments. Instrumental treatment. 2022 Oct 23;34(1):40. doi: 10.1186/s43019-022-00169-9. 2022 Jun 2;20(1):225-228. doi: 10.33314/jnhrc.v20i01.4182. sharing sensitive information, make sure youre on a federal Both anterior cruciate ligament ganglion cysts and mucoid degeneration have a high association with intraosseous cysts [3] (figures 1 and 2). ACL tears don't heal as such. For treatment of this, partial removing of bulky ACL is generally done, which causes weakness of the ACL. Would you like email updates of new search results? 2021 Sep;50(9):1837-1843. doi: 10.1007/s00256-021-03750-7. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. Part of 2013;15(1). https://doi.org/10.4103/0019-5413.101037, Srivastava A, Pateliya S, Singh H, Aggarwal S, Srivastava S (2016) Mucoid degeneration of anterior cruciate ligament management and functional outcome of 18 cases. Disclaimer. 2 ). On MRI, the ligament is thickened and ill-defined with a "celery stalk" appearance. All nine studies were case series; six were retrospective and three were prospective studies. PMC This was lowest in the study of Cha et al. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. . The origin of MDACL may be degenerative or traumatic. Bethesda, MD 20894, Web Policies NCI CPTC Antibody Characterization Program. The ligament is mainly responsible for restraining anterior translation of knee. In that case, mucoid degeneration can be extruded from the ligament and will be removed in the saline flow. Cite this article. government site. 2022 Mar;50(3):3000605221084865. doi: 10.1177/03000605221084865. National Library of Medicine Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Knee Surg Relat Res. It is lined by the synovial fluid, which provides the nutrition and plays an integral part in healing. Bethesda, MD 20894, Web Policies Hypothesis: Multiple theories have been put forth that explains the pathological disorganization in the collagen fibers of the Anterior Cruciate Ligament, such as synovial, traumatic, and degenerative, "Synovial theory- states that there is accumulation of synovial fluid inside the substance of ACL in a herniated pouch of synovium. Disclaimer. Knee Surg Sports Traumatol Arthrosc. Knee Surg Sports Traumatol Arthrosc. Signal intensity of the anteromedial bundle (AMB) or posterolateral bundle (PLB) graft standardized to the intensity of the PCL was defined as signal intensity ratio (SIR). Conclusion: Treatment of ACL mucoid degeneration by this modality is effective in preventing recurrence, post-operative laxity and provides better functional outcome compared to the classical partial resection of the degenerated ACL. In contrast to the tear, mucoid degeneration of the ACL characteristically does not cause knee instability [20, 21, 22]. Arthroscopic debridement may help relieve the anterior knee pain. Study record managers: refer to the Data Element Definitions if submitting registration or results information.. Search for terms Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first characterized by Kumar et al. Third, clinical outcomes were reported using a variety of scores, so a data meta-analysis was not possible. There was strong association between MDACL and chondral lesions (82%) and between MDACL and meniscal tears (69%). 2012 Sep;46(5):561-5. doi: 10.4103/0019-5413.101037. Check for errors and try again. Google Scholar, Cha JR, Lee CC, Cho SD, Youm YS, Jung KH (2013) Symptomatic mucoid degeneration of the anterior cruciate ligament. sharing sensitive information, make sure youre on a federal Not really known: Mucoid degeneration of the ACL is seen most commonly in adults (35-55 years of age). -, Hodler J, Haghighi P, Trudell D, Resnick D. The cruciate ligaments of the knee: Correlation between MR appearance and gross and histologic findings in cadaveric specimens. Case report: ACL ganglion cyst at arthroscopy may appear as a cystic mass with . to 44% in the study of Cha et al. (A) Bulging of the hypertrophied anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc. 2023 BioMed Central Ltd unless otherwise stated. This systematic review has some limitations. 8600 Rockville Pike Unable to load your collection due to an error, Unable to load your delegates due to an error. Federal government websites often end in .gov or .mil. Sagittal T2-weighted MRI view showing intact anterior, Fig. Accessibility After arthroscopic debridement of the lesion, the patient regained full range of motion of the knee and were pain-free at follow-up. I have persistent pain in the back of that knee that is exacerbated by walking and bending it. 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. Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. -. Preoperative and postoperative results of eleven patient were compared. [16]. [18] did not comment on an association between MDACL and chondral or meniscal lesions: after the exclusion of that report, the total number of patients with associated chondral lesions was 226 out of 275 patients (82%) and 190 patients had meniscal lesions (69%). Arthroscopy. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. 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. Careers. This is basically an MRI diagnosis of expansion and increased signal of an intact ACL in a person with knee pain which is worse on knee flexion/bending. Clipboard, Search History, and several other advanced features are temporarily unavailable. FOIA Morice et al. Risk factors Predisposing factors include the following 1: aging Would you like email updates of new search results? Instrumental treatment. and transmitted securely. Epub 2011 Feb 18. Read More Created for people with ongoing healthcare needs but benefits everyone. Management of mucoid degeneration of the anterior cruciate ligament: a systematic . Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Along with that, it also controls the internal rotation. The mean follow up ranged from 13 to 72months. The cause is not really known, but patients usually do not complain of instability. Mucoid degeneration of the anterior cruciate ligament. J Bone Joint Surg Br. Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. Kwee RM, Hafezi-Nejad N, Roemer FW, Zikria BA, Hunter DJ, Guermazi A, Demehri S. Association of Mucoid Degeneration of the Anterior Cruciate Ligament at MR Imaging with Medial Tibiofemoral Osteoarthritis Progression at Radiography: Data from the Osteoarthritis Initiative. 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. Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). Introduction: There is strong association between MDACL and chondral and meniscal lesions, which may support the theory that MDACL is a degenerative process. This site needs JavaScript to work properly. The inclusion criteria for this study were (1) studies including symptomatic patients with mucoid degeneration of the ACL, (2) studies of 10 or more patients, (3) a minimum of 6months follow up and (4) patients treated conservatively or surgically (arthroscopic debridement with or without simultaneous ACL reconstruction). Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of knee pain. proposed a different intervention called reduction plasty, whereby the hypertrophic ACL is reduced to normal size without excision of all mucoid substance [17]. the degree of laxity, and the patient's age and willingness to pursue vigorous postoperative physical therapy are other major determinants. Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study. 5. In this review, the mean age of patients ranged from 31 to 78years; mean age was highest in the study of Kim et al. 2001;30(6):312315. Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) flowchart illustrating the selections of trials included in the systematic review. MUCOID DEGENERATION OF ACL - ARTHROSCOPIC TREATMENT 2,375 views Sep 15, 2019 23 Dislike Dr. Prateek Joshi- Ortho 1.02K subscribers Notice Age-restricted video (based on Community Guidelines). This ranged from 90 to 95% in all studies, except in the report by Kim et al., where only 53.8% of patients (57/106) had complete pain relief after surgery. Mucoid degeneration of the anterior cruciate ligament. ANZ J Surg 73(9):712716. After the literature search and exclusion of duplicates, 54 papers were retrieved: 12 articles were assessed for eligibility, and of these, 9 papers met the inclusion criteria and were included in the systematic review [3, 6, 13,14,15,16,17,18,19] (Fig. 1. Mucoid degeneration of the anterior cruciate ligament. -Provided skilled hands on in post-op rehabilitation to various population including Head and neck cancers, Lymph edema management, Bone cancers. The .gov means its official. It often presents with progressive knee pain, restriction in range of motion without a significant history of trauma, and without knee instability. Functional Outcome of Arthroscopic Debridement of Mucoid Degeneration of the Anterior Cruciate Ligament. Average postoperative differential laxity on the Telos device was 8.3 mm (5 to 13 mm). Mucoid degeneration of the anterior cruciate ligament. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. The primary intervention was arthroscopic ACL debridement in eight studies; this was combined with notchplasty in cases of impingement with the lateral wall of the notch in five studies [6, 14, 16,17,18] (Table 3). Post-debridement arthroscopic view showing yellowish lesion of the anterior cruciate ligament which was debrided.
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