2012 Sep;46(5):561-5. doi: 10.4103/0019-5413.101037. Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. Hamal B, Karmacharya M, Mangal Joshi K, Gorkhali R. J Nepal Health Res Counc. https://doi.org/10.1016/j.arthro.2008.02.004, Morice A, Coupry A, Lintz F, Robert H (2013) Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. 2018. http://journals.sagepub.com/doi/10.1177/2325967118786930, Pandey V, Suman C, Sharma S, Rao SP, Kiran Acharya K, Sambaji C (2014) Mucoid degeneration of the anterior cruciate ligament: management and outcome. Morice et al. Mucoid degeneration, is the irreversible degeneration of the tissue with the infiltration of mucin(glycosaminoglycans) within the fibers[1][2]. Mucoid degeneration of ACL is a disease affecting ACL in which mucoid like substance (glycosaminoglycans) gets interspersed within the substance of ACL and as a result ACL gets thickened. Google Scholar, Salvati F, Rossi F, Limbucci N, Pistoia ML, Barile A, Masciocchi C (2008) Mucoid metaplastic-degeneration of anterior cruciate ligament. [16]. Postoperative recovery was four weeks on average. This series describes the clinicoradiological presentation of patients with mucoid ACL, partial arthroscopic debridement of ACL and outcomes. A 48-year-old-male patient presented with knee pain and limitation of motion. This study concerns complete ACL resection as a treatment of mucoid degenerated ACL. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Federal government websites often end in .gov or .mil. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. in 1999 [ 1 ]. Hide glossary Glossary. Careers. Partial/Total ACL resection arthroscopically- There is marked improvement in the range and reduced posterior pain, but at the cost of increased post-operative knee laxity. 2011;19(3):408411. See this image and copyright information in PMC. International Journal of Orthopaedics. However, MDACL is asymptomatic in most patients. 5. Am J Roentgenol 182(5):12831287. Ever since mucoid degeneration of the anterior cruciate ligament (MD-ACL) was named by Kumar et al. MRI - Interstitial ACL tear With Mild knee joint effusion ,No evidence of discontinuation of fibre Can Interstitial ACL tear heal without surgery Asked for Male, 22 Years 78 Views v Dr. Abhishek Kaushik Joint Replacement Surgeon | Delhi 1/1 people found this helpful Hi. Arthroscopic debridement of the anterior cruciate ligament (ACL) results in satisfactory pain relief and improvement in knee outcome scores. Therefore, Anterior Cruciate Ligament tear is more susceptible during any injury to the knee. Arthroscopy. Several authors have identified this condition, described their experiences, and suggested their own guidelines for management. https://doi.org/10.1046/j.1445-2197.2003.02748.x, Ekhtiari S, Horner NS, Bedi A, Ayeni OR, Khan M. The learning curve for the Latarjet procedure: a systematic review. 2022 Jun 2;20(1):225-228. doi: 10.33314/jnhrc.v20i01.4182. Surgical treatment involves arthroscopic debridement of ACL, with partial or total resection, occasionally combined with ACL reconstruction. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Therefore, indications for ACL resection must be carefully selected. Knee Surg Sports Traumatol Arthrosc 21(3):658663. The total number of patients with symptomatic instability was 18 out of 288 (6%). Knee Surg Sports Traumatol Arthrosc 19(8):13261333. 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. Clipboard, Search History, and several other advanced features are temporarily unavailable. The ligament is mainly responsible for restraining anterior translation of knee. 1. Please enable it to take advantage of the complete set of features! Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. 2009. Reeducation. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review, https://doi.org/10.1186/s43019-021-00110-6, https://doi.org/10.1302/0301-620X.81B2.0810304, https://doi.org/10.1007/s00167-011-1433-0, https://doi.org/10.2214/ajr.182.5.1821283, https://doi.org/10.1007/s00167-012-1991-9, https://doi.org/10.1016/j.arthro.2003.11.030, https://doi.org/10.1016/j.jclinepi.2009.06.005, http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42018087782, https://doi.org/10.1046/j.1445-2197.2003.02748.x, http://journals.sagepub.com/doi/10.1177/2325967118786930, http://www.ijcrar.com/abstractview.php?ID=228&vol=4-11-2016&SNo=3, https://doi.org/10.1016/j.arthro.2008.02.004, https://doi.org/10.1016/j.jajs.2015.12.001, https://doi.org/10.4055/cios.2018.10.3.307, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/. proposed reduction plasty, which is reduction of the ACL to normal volume without excision of all mucoid tissue. official website and that any information you provide is encrypted mucoid degeneration of acl mri. Ventura et al. The patient presented with extension block of the knee. https://doi.org/10.4055/cios.2018.10.3.307, University Hospitals of Derby and Burton, Uttoxeter Rd, Derby, DE22 3NE, UK, Trauma and Orthopaedic Speciality Trainee, West Midlands Deanery, Birmingham Rotation, Birmingham, UK, University Hospitals Plymouth NHS Trust, Plymouth, UK, University of Alexandria, Alexandria, Egypt, University Hospital Coventry and Warwickshire, Clifford Bridge Road, Walsgrave, Coventry, CV2 2DX, UK, You can also search for this author in Instrumental treatment. 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. Magnetic Resonance Imaging is the most useful tool for differentiating mucoid degeneration of the ACL from an intraligamentous ganglion or other lesions in the knee joint and if this disease is considered preoperatively, it can be diagnosed easily based on characteristic findings. Rehabilitation, speech therapy, crenotherapy. Complete resection of the ACL without ACL reconstruction is a reliable treatment for symptomatic cases of mucoid degenerated ACL. Google Scholar, Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P (2010) Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. 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). 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. Outcome of Arthroscopic Treatment of Mucoid Degeneration of the Anterior Cruciate Ligament. Chudasama et al. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. Arthroscopic findings. Unauthorized use of these marks is strictly prohibited. Epub 2018 Apr 21. The need for simultaneous or delayed ACL reconstruction should be discussed with patients in case total resection of the ACL is to be performed, particularly in young active patients. The cause is not really known, but patients usually do not complain of instability. Arthroscopic debridement may help relieve the anterior knee pain. Anterior cruciate ligament reconstruction was required in only one young patient due to disabling instability. Google Scholar, Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D (2011) Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. 2013 Oct;99(6):693-7. doi: 10.1016/j.otsr.2013.04.010. A September 2018 MRI of the left knee showed anterior cruciate ligament and mucoid degeneration with intra cruciate ganglion . 2018 Apr;34(4):1054-1059. doi: 10.1016/j.arthro.2017.10.039. They reported that a biopsy indicated mucoid degeneration and a relief of symptoms could be obtained through arthroscopic partial resection of the ligament. MeSH Epub 2011 Feb 18. Finally, partial meniscectomy was commonly performed simultaneously with ACL debridement in all studies, which arguably could be the reason for the postoperative improvement. Anterior cruciate ligament mucoid degeneration. Four studies reported only postoperative scores, which were comparable to those in other studies. Twelve partial and 17 total resections were performed. Hypothesis: Preoperative and postoperative results of eleven patient were compared. This site needs JavaScript to work properly. Risk factors Predisposing factors include the following 1: aging The minimum follow-up was 3 years. 2011. PubMedGoogle Scholar. Rehabilitation, orthophony, crenotherapy. The mean MINORS score was 9.5 out of 16 (412). Clipboard, Search History, and several other advanced features are temporarily unavailable. Indian J Orthop 48(2):197202. Individuals with mucoid degeneration of the ACL were excluded. report that one patient had ACL reconstruction simultaneously after the ACL debridement. The mean follow up ranged from 13 to 72months. Mucoid degeneration of the anterior cruciate ligament. in 1999 [ 1 ]. Clin Orthop Surg. ACL ganglion cyst at arthroscopy may appear as a cystic mass with . reported on the co-existence of mucoid degeneration and ganglia of the ACL. Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK (1999) Mucoid cystic degeneration of the cruciate ligament. Mucoid degeneration of the anterior cruciate ligament. 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. Typically patients present with knee pain or restricted movement, although often other potential causes for the patient's symptoms are found. Arthroscopic diagnostic criteria [7] are (1) continuous ACL fibres, (2) increased ACL volume, (3) yellowish-coloured material expressed on palpation and (4) loss of ACL synovial lining. Besides, the patient may also have trouble in moving. Indian J Orthop 46(5):561565. What causes mucoid degeneration of ACL? MDACL is not uncommon, however, it is rarely symptomatic [4, 5]. 2011. Knee Surg Sports Traumatol Arthrosc. Advanced MR imaging of the cruciate ligaments. 2021 Oct 21;2021:5879121. doi: 10.1155/2021/5879121. A posterior approach will allow for the detection of changes by probing the ligament and mucoid material can be expressed. Anatomopathology samples were collected in 18 cases. Learn how we can help 704 views Reviewed >2 years ago Thank 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. Demographic, radiological, and histological findings, type of surgery, and clinical pre- and postoperative data were analyzed. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a well-recognized pathology characterized by the degradation of collagen fibers and infiltration of a mucoidlike substance, [1,2 . 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. The rate of association between meniscal tears and MDACL ranged from 9 to 96%. Sagittal proton density-weighted magnetic resonance image shows ill-defined anterior cruciate ligament with increased signal intensity and a celery stalk appearance of intact fibers. Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. This bicentric, retrospective cohort study with an average follow-up of 6years involved 27 patients (29 knees) presenting with symptomatic ACL mucoid degeneration validated by magnetic resonance imaging (MRI). Post-debridement arthroscopic view showing yellowish lesion of the anterior cruciate ligament which was debrided. Unlike meniscal tears and chondral defects, the mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of knee pain and there have been no case reports of mucoid degeneration of both the ACL and the posterior cruciate ligament (PCL). -, Fealy S, Kenter K, Dines JS, Warren RF. Two patients uderwent secondary ligamentoplasty. 2006 Sep;69(9):449-52. doi: 10.1016/S1726-4901(09)70290-4. There is no consensus on treatment and evidence is scarce. government site. Mucoid degenerated anterior cruciate ligament (ACL) managed by arthroscopic ACL reconstruction: A case series. Open Grey database was searched for grey literature using the same keywords. . Arthroscopic treatment may include ACL resection, which raises the questions about the harmlessness of this procedure and the risk of anterior instability. Orthop Traumatol Surg Res. 2. We report a case of mucoid degeneration of the anterior cruciate ligament (ACL). 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 . Mucinous material within the substance of ACL produces pain and limited motion in the knee. Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of knee pain. The https:// ensures that you are connecting to the 2011. el Kadi KI, Marcaillou F, Blanc S, Salloum B, Dimontagliari C, Boutayeb F. Pan Afr Med J. Indian J Orthop. Conclusion: In these studies, the total number of patients with a postoperative positive Lachman test was 40% (77 of 194 patients). That is usually the journal article where the information was first stated. Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Arthroscopic findings. Pain was posterior in 23 knees (80%). Its prevalence in magnetic resonance imaging (MRI) is 1.8 to 5.3%, but not all lesions are symptomatic. All nine studies were case series; six were retrospective and three were prospective studies. Five studies demonstrated improved postoperative functional outcome scores compared to preoperative scores [6, 14, 16, 18, 19]. However, young patients should be forewarned about the risk of instability, and an anterior cruciate ligament reconstruction could be necessary. Each study was scored 02 on each question, with a global ideal score of 16. This is a rare pathological condition, in which, there is increased signal from within the ligament. At last follow-up, the mean visual analogue scale score, International Knee Documentation Committee score, and Tegner Lysholm Knee score improved (p < 0.01). Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. Unauthorized use of these marks is strictly prohibited. Epub 2018 Jan 2. The mean follow up ranged from 13 to 72months. 2011 Aug 1;19(8):1326-33. FOIA sharing sensitive information, make sure youre on a federal The origin of MDACL may be degenerative or traumatic. MeSH To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The aetiology of MDACL is not fully understood, hence, there are multiple theories on this. Preoperative and postoperative KOOS questionnaires were compared and showed improvement in all categories. {"url":"/signup-modal-props.json?lang=us"}, Gaillard F, Roberts D, Saber M, et al. Springer Nature. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2009 checklist [9]. Another theory is the synovial theory whereby a pouch of synovium herniates and is subsequently filled with synovium [2]. Histologically, there is a mucoid substance in connective tissue containing glycoproteins and mucoproteins [8]. Meniscectomy was undertaken in 11 cases (41%). https://doi.org/10.1186/s43019-021-00110-6, DOI: https://doi.org/10.1186/s43019-021-00110-6. 2013 Jun 20;15:59. doi: 10.11604/pamj.2013.15.59.2534. The extracted data were heterogeneous in terms of outcome assessment. Sometimes, it is mislead as ACL tear on MRI findings, hence requires probing and histopathology for definitive diagnosis. Treatment modalities for ACL ganglion cyst include arthroscopic excision or puncture, CT scan, and ultrasound-guided aspiration [25-26]. Cookies policy. JBR-BTR. Every time when patient flexes the knee, thickened ACL impinges over posterior cruciate ligament (PCL) in the knee, causing knee pain and limited motion. 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. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. Ligaments and tendons are accumulated by mucoid change might display a thickened and/or hypertrophied appearance, with an increase in signal intensity. volume33, Articlenumber:26 (2021) On MRI, the ligament is thickened and ill-defined with a "celery stalk" appearance. Average patient age was 49 (22 to 68) years. and transmitted securely. 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. Epub 2011 Feb 18. Roberts CC, Towers JD, Spangehl MJ et-al. It has recently been postulated that mucoid degeneration of the ACL is related to the medial knee compartment joint space loss in patients with osteoarthritis or in the OA risk group 6. Physical therapy typically begins 7-10 days after the procedure. Disclaimer. Clin Orthop Surg. Mucoid degeneration of the anterior cruciate ligament (ACL) is regarded as a degenerative change in the ligament, which is clinically presented with pain on full extension or flexion in the middle-aged population. Copyright 2010 Elsevier Masson SAS. https://doi.org/10.1007/s002560100336, Narvekar A, Gajjar S (2004) Mucoid degeneration of the anterior cruciate ligament. National Library of Medicine Its interstitial nature within the ACL structure contrasts with synovial cyst of the ACL. However, in the case of mucoid degeneration secondary signs of an ACL injury are usually absent. 1 Its prevalence in magnetic resonance imaging (MRI) is 1.8-5.3%, but not all lesions are symptomatic.2, 3 It is characterized by infiltration of mucoid-like substance (glycosaminoglycans) interspersed within the An official website of the United States government. . Anterior Cruciate Ligament (ACL) Mucoid Degeneration Anatomy Anterior Cruciate Ligament, is an important structure of the knee joint. A long duration of non-specific knee pain in a patient should be evaluated with MRI. The extracted data were assessed for meta-analysis. 1). Conclusions. 2022 Mar;14(1):76-89. doi: 10.4055/cios20163. The https:// ensures that you are connecting to the There was no mention in the other three studies [13, 15, 18] of whether other procedures were performed simultaneously. https://doi.org/10.1016/j.jclinepi.2009.06.005. Federal government websites often end in .gov or .mil. [Diagnosis and treatment of anterior cruciate ligament cysts]. PubMed Central AJR Am J Roentgenol. FOIA The appearance can mimic acute or chronic interstitial partial tears of the ACL. 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. At the time the article was last revised Dai Roberts had no recorded disclosures. Physiotherapy. Secondary signs include bone bruising, meniscal tears, anterior subluxation of the tibia and other ligamentous injuries. Only nine studies met our inclusion criteria and they were all case series. 2009 Jul;17(7):737-40. doi: 10.1007/s00167-008-0690-z. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. It can cause pain and to a meniscal tear. This is a characteristic appearance of ACL mucoid degeneration where the ACL is expanded and hyperintense but is still continuous with normal alignment. The anterior cruciate ligament (ACL) is one of the more vital and more easily injured ligaments within our knee. MEDLINE, Embase, Google Scholar, Cochrane, ISI web of science and Scopus were comprehensively searched from the earliest year of indexing until 10 July 2020. 8600 Rockville Pike However, symptomatic instability was not common. Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. 8600 Rockville Pike 2022 Oct 23;34(1):40. doi: 10.1186/s43019-022-00169-9. 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. 2018 Sep;10(3):307-314. doi: 10.4055/cios.2018.10.3.307. J Sports Med Phys Fitness 48(4):483487, PubMed Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. These appearances must be differentiated from mucoid degeneration of the intact ACL. -, 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. Role of ultrasound-guided decompression in management of mucoid degeneration of the anterior cruciate ligament. Due to the heterogeneity of data, a meta-analysis was not possible, and a narrative review was deemed most appropriate. The quality of methodology was excellent in one study, good in five studies, low in two studies and very low in one study (Tables 1 and 2). This infiltrating lesion is included in the mucoid pathology of the intercondylar fossa. Chudasama CH, Chudasama VC, Prabhakar MM. Sixty-one patients underwent T2*WI and PDWI at 3, 6, and 12 months postoperatively. Posterior pain disappeared in 27 cases (93%), on average 3.7 weeks after the procedure. official website and that any information you provide is encrypted The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. The site is secure. Correspondence to An anterior cruciate ligament (ACL) mucoid degeneration, along with tears and anterior cruciate ligament ganglion cysts, is a relatively common cause of increased signal within the. Second, methodological quality assessment showed that three studies had low methodological quality. The .gov means its official. -Evaluated and planned treatment protocol in accordance with physician. Pre-debridement arthroscopic view showing yellowish content in the anterior cruciate ligament. (48.2% (14/29 patients) with symptomatic instability), which may be due to the large number of patients with total resection of the ACL (58.6% (17 out of 29 patients)) (Table 4). Physiotherapy. Before J Orthop. Mucoid degeneration of acl (anterior cruciate ligament) is not a common problem and mostly it is found in female patients. The aetiology of MDACL is not fully understood, hence, there are multiple theories on this. AJR Am J Roentgenol. It contrasts with cystic lesions better known as synovial cysts or intercondylar fossa cysts. HHS Vulnerability Disclosure, Help Unable to load your collection due to an error, Unable to load your delegates due to an error. Epub 2013 Aug 27. 2021 Aug 21;33(1):26. doi: 10.1186/s43019-021-00110-6. CAS Eight patients (72.7%, n=8) reported an improvement of knee instability, while three patients (27.3%, n=3) experienced an unchanged knee stability. This site needs JavaScript to work properly. An official website of the United States government. did not report on this. Khanna et al. Twenty knees (69%) had associated cartilaginous lesions and 19 (66%) had meniscal lesions. Keywords: Orthop Traumatol Surg Res 96(4):400406, Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR (2004) Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. Arthroscopy. The aetiology of MDACL is not clearly understood. J Arthrosc Joint Surg 3(1):2833. . Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study. proposed a different intervention called reduction plasty, whereby the hypertrophic ACL is reduced to normal size without excision of all mucoid substance [17]. Terms and Conditions, Level of evidence: ACL tears don't heal as such. Level of Evidence: Level IV. Arthroscopy 24(6):642649. Methods From January 2012 to August 2013, 32 knees (24 females and 8 males with left knee of 14 and 18 of right) were diagnosed with mucoid degeneration of the ACL and underwent arthroscopic treatment, all of whom with a mean age of 58.817.97 years (42-74 years). Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. 2010 Jun;96(4):400-6. doi: 10.1016/j.otsr.2010.02.008. Knee Surg & Relat Res 33, 26 (2021). Treatment of ACL mucoid degeneration by arthroscopic resection is effective for posterior pain and flexion limitation. 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. A total of 313 knees in 292 patients were included. Loss to follow up was not mentioned in the other five studies [3, 6, 15, 17, 19]. Loganathan D, Soma Sundar S, Sundar S, Sahanand S, Rajan DV. Tamer Sweed. Imaging: Plain radiographs Arthroscopic resection of ACL mucoid degeneration is effective for treating pain and flexion limitation, but at the expense of anterior laxity. 2. J Bone Joint Surg Ser B 81(2):304305. Sep 2017 - Feb 20186 months. -. Careers. Keywords: mucoid degeneration, anterior cruciate ligament, acl reconstruction, arthroscopy, knee Conclusions: 2007;90(3):1923. An official website of the United States government. Quality was assessed using the Methodological Index for Non-Randomized Studies (MINORS) criteria. Symptomatic instability was highest in the study of Lintz et al. There was an improvement in postoperative range of motion and outcome scores (Lysholm and International Knee Documentation Committee scores and the Knee Injury and Osteoarthritis Outcome Score). They respond well to a judicious arthroscopic release of the ACL with notchplasty. The main MRI finding of ACL mucoid degeneration is a celery stalk appearance [26, 27]. Background: Epub 2008 Dec 17. This systematic review has some limitations. Postoperative Lachman test was positive in 40% of patients, and 6% of patients had symptomatic instability. 2004;182(5):12837. Its signal is increased on all sequences. You can read more if you want. ACL mucoid degeneration is present on ~10% (range 9-12%) of 3 T MRI examinations and 2% of 1.5 T MRI examinations 6. Arthroscopy. Conclusions 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 .
10th Day Ceremony After Death Brahmin, How To Get Driving License Back After Voluntary Surrender, Terry Mcdonough Cardinals, Articles M