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The patient presented with extension block of the knee. In this systematic review we found that arthroscopic debridement resulted in good pain relief and improved range of motion and clinical outcome scores. Part of Unauthorized use of these marks is strictly prohibited. . The .gov means its official. Patients and methods: Knee Surg Sports Traumatol Arthrosc. 2021 Aug 21;33(1):26. doi: 10.1186/s43019-021-00110-6. Effects of pre-operative knee laxity on clinical outcomes after partial anterior cruciate ligament reconstruction. ACL tears don't heal as such. I give my consent to Physiopedia to be in touch with me via email using the information I have provided in this form for the purpose of news, updates and marketing. The anterior cruciate ligament (ACL) is one of the more vital and more easily injured ligaments within our knee. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. ADVERTISEMENT: Supporters see fewer/no ads. Check for errors and try again. The appearance can mimic acute or chronic interstitial partial tears of the ACL. The rate of simultaneous meniscectomy ranged from 13 to 44%. The anterior cruciate ligament (ACL) is an important ligament in the knee. Unauthorized use of these marks is strictly prohibited. In these studies, the total number of patients with a postoperative positive Lachman test was 40% (77 of 194 patients). The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 2. 2021 Sep;50(9):1837-1843. doi: 10.1007/s00256-021-03750-7. Method. Knee Surg Sports Traumatol Arthrosc 21(3):658663. A September 2018 MRI of the left knee showed anterior cruciate ligament and mucoid degeneration with intra cruciate ganglion . ACL debridement was partial in all studies except for those by Lintz et al. reported on the co-existence of mucoid degeneration and ganglia of the ACL. Would you like email updates of new search results? 1999;81(2):304305. Correspondence to 2. 2007;245 (3): 916-7. . 6. International Journal of Orthopaedics. 2004 Feb;20(2):141-6. doi: 10.1016/j.arthro.2003.11.030. 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. in 1999 [ 1 ]. Orthop Traumatol Surg Res. Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. When refering to evidence in academic writing, you should always try to reference the primary (original) source. Arthroscopic debridement of the ACL results in satisfactory pain relief and improvement in knee outcome scores. Introduction: This is a rare pathological condition, in which, there is increased signal from within the ligament. It is a chronic degenerative change of a bulky ACL that may lead to notch . 2004;182(5):12831287. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Conclusion: proposed reduction plasty, which is reduction of the ACL to normal volume without excision of all mucoid tissue. 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. MeSH Demographic, radiological, and histological findings, type of surgery, and clinical pre- and postoperative data were analyzed. In this review, the mean age of patients ranged from 31 to 78years; mean age was highest in the study of Kim et al. https://doi.org/10.1016/j.jclinepi.2009.06.005. It results in postoperative laxity, but rarely in frank instability. Mucoid Degeneration of the Anterior Cruciate Ligament: Characterization of Natural History, Femoral Notch Width Index, and Patient Reported Outcome Measures. 2011 Jun;25(6):650-2. This infiltrating lesion is included in the mucoid pathology of the intercondylar fossa. Young and active patients should be warned about the risk of requiring secondary ligamentoplasty. volume33, Articlenumber:26 (2021) 2022 Mar;14(1):76-89. doi: 10.4055/cios20163. Twenty-eight knees (97%) showed soft and/or delayed stops on postoperative Lachman testing. Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. government site. Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. National Library of Medicine Knee Surg Sports Traumatol Arthrosc. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. Every time when patient flexes the knee, thickened ACL impinges over posterior cruciate ligament (PCL) in the knee, causing knee pain and limited motion. The mean MINORS score was 9.5 out of 16 (412). Terms and Conditions, Bookshelf Clipboard, Search History, and several other advanced features are temporarily unavailable. 2011;19(3):408411. and transmitted securely. Physiotherapy. Pre-debridement arthroscopic view showing yellowish content in the anterior cruciate ligament. 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). The anterior cruciate ligament (ACL) is the most commonly injured of the major knee ligaments. 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. https://doi.org/10.1016/j.arthro.2003.11.030, Moher D, Liberati A, Tetzlaff J, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. 2022 Jun 2;20(1):225-228. doi: 10.33314/jnhrc.v20i01.4182. official website and that any information you provide is encrypted Epub 2010 May 8. Epub 2018 Aug 22. Bethesda, MD 20894, Web Policies This study concerns complete ACL resection as a treatment of mucoid degenerated ACL. 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 anterior cruciate ligament (ACL). Pain was posterior in 23 knees (80%). You can read more if you want. Only three studies mentioned failed conservative treatment as an inclusion criterion [14, 15, 18]. The site is secure. Resnick D, Kransdorf MJ. Arch Orthop Trauma Surg. Advanced MR imaging of the cruciate ligaments. National Library of Medicine The mean MINORS score was 9.5 (range 412). Hsu CJ, Wang SC, Fong YC, Huang CY, Chiang IP, Hsu HC. FOIA A positive Lachman test and a negative pivot shift were noted after surgery in all cases. Eight studies reported postoperative instability. Patients with symptomatic MDACL commonly present with posterior knee pain and limitation of knee flexion or extension [2, 6]. Clipboard, Search History, and several other advanced features are temporarily unavailable. J Chin Med Assoc. and transmitted securely. Twelve partial and 17 total resections were performed. The visual analogue scale score, the International Knee Documentation Committee score, and the Tegner Lysholm Knee Score were collected preoperatively, postoperatively, and during the follow-up period. Disclaimer. The retrospective study by Kim et al. What you feel (symptoms) You feel heaviness in knee joint. All patients (100%, n=11) reported an improvement in pain. Epub 2010 May 8. Knee Surg Sports Traumatol Arthrosc. Mucoid degeneration (MD) is a rare pathological affection of the anterior cruciate ligament (ACL). 2013 Oct;99(6):693-7. doi: 10.1016/j.otsr.2013.04.010. The need for delayed ACL reconstruction should be discussed preoperatively, especially if complete resection of the ACL is to be performed. MDACL is differentiated from synovial cysts of the anterior cruciate ligament (ACL) where, in MDACL, mucoid tissue intermingles within ACL fibres and is not contained within a cyst [3]. None of the studies was a randomised controlled trial and none had a control group. Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study. Ventura D, Nuez JH, Joshi-Jubert N, Castellet E, Minguell J. Clin Orthop Surg. eCollection 2013. Keywords: It is a chronic degenerative change of a bulky ACL that may lead to notch impingement syndrome in the absence of instability symptoms and significant trauma history [ 1, 2, 3, 4 ]. Epub 2011 Feb 18. Sweed, T., Mussa, M., El-Bakoury, A. et al. Mucinous material within the substance of ACL produces pain and limited motion in the knee. . PubMedGoogle Scholar. Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Rajani AM, Shah UA, Mittal ARS, Gupta S, Garg R, Punamiya M. Knee Surg Relat Res. Postoperative clinical laxity was common, however, symptomatic instability was not. Clipboard, Search History, and several other advanced features are temporarily unavailable. Results: 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. 8600 Rockville Pike Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. The aetiology of MDACL is not clearly understood. 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. Slim K, Nini E, Forestier D, Kwiatkowski F, Panis Y, Chipponi J (2003) Methodological index for non-randomized studies (MINORS): development and validation of a new instrument. 2011. Instrumental treatment. A long duration of non-specific knee pain in a patient should be evaluated with MRI. Arch Orthop Trauma Surg. Download Citation | On Feb 1, 2023, O.R. Answer (1 of 2): Most of the time mucoid degenrative changes in the ACL does not cause any problemonly if u have sign of ACL instability or the bending of the knee is reduced you may need a arthroscopic evaluation usually u may skip without ACL reconstruction but some of us will need AcL recons. 2011. The minimum follow-up was 3 years. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. Ahuja A, Parekh C, Salomon A, Lawande M, Daftary A. Skeletal Radiol. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. CAS 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. HHS Vulnerability Disclosure, Help https://doi.org/10.1007/s002560100336, Narvekar A, Gajjar S (2004) Mucoid degeneration of the anterior cruciate ligament. What Is Mucoid Degeneration of the ACL? AJR Am J Roentgenol. CONFLICT OF INTEREST: No potential conflict of interest relevant to this article was reported. Recent studies have reported that the prevalence of ACL mucoid degeneration is approximately 2-14% [20, 23, 24, 25]. The review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines and registered in the PROSPERO database (CRD42018087782). Loss to follow up was not mentioned in the other five studies [3, 6, 15, 17, 19]. Treatment of ACL mucoid degeneration by arthroscopic resection is effective for posterior pain and flexion limitation. 8600 Rockville Pike Postoperative pain relief was reported in seven studies. This ligament consists of two fibers, mainly, the anterio-medial and postero-lateral fibers, respectively. Epub 2018 Apr 21. This study concerns complete ACL resec Keywords: Physical therapy typically begins 7-10 days after the procedure. Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. At the time the article was last revised Dai Roberts had no recorded disclosures. Sixty-one patients underwent T2*WI and PDWI at 3, 6, and 12 months postoperatively. 2010 Jun;96(4):400-6. doi: 10.1016/j.otsr.2010.02.008. Initially, partial weightbearing is allowed. 1173185. . Knee Surgery & Related Research AJR Am J Roentgenol. Despite the low rate of complications in all studies, there was a high incidence of postoperative knee laxity, demonstrated by a positive Lachman test, in most studies. The cruciate ligament have mechanoreceptors, which are responsible to detect any change in position of the knee, direction, speed and tension. Clin Orthop Surg. Indian J Orthop 46(5):561565. Ligaments are very tough, fibrous tissue structures. Knee Surg Sports Traumatol Arthrosc. Epub 2013 Aug 27. Careers. The .gov means its official. Sometimes, it is mislead as ACL tear on MRI findings, hence requires probing and histopathology for definitive diagnosis. Due to the lack of specific symptoms and signs, its diagnosis is often delayed or even misdiagnosed in clinical practice [ [1] , [2] ]. Bilateral Symptomatic Mucoid Degeneration of the Anterior Cruciate Ligament with Anterior Knee Pain but No Limited Knee Flexion. Careers. Cookies policy. Treatment for MDACL usually starts non-surgically with anti-inflammatory drugs and physiotherapy. Arthroscopic management of mucoid degeneration of anterior cruciate ligament. Pan African Medical Journal. Hamal B, Karmacharya M, Mangal Joshi K, Gorkhali R. J Nepal Health Res Counc. Radiology. However, the authors did not report whether there were any other patients with symptomatic instability. JBR-BTR. Anatomopathology samples were collected in 18 cases. 2009. Int J Curr Res Aca Rev 4(11):1824 http://www.ijcrar.com/abstractview.php?ID=228&vol=4-11-2016&SNo=3, Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI (2008) Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Only nine studies met our inclusion criteria and they were all case series. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. Case report: Correlations between degree of knee instability and SIR were assessed for each bundle, each time point, and each sequence. https://doi.org/10.1007/s00167-011-1433-0, Article FOIA The presence of intraligamentous mucoid degeneration in the ACL is demonstrated as a source of knee pain without instability and partial ACL debridement did not preclude adequate knee stability. 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]. Learn how we can help 704 views Reviewed >2 years ago Thank Mucoid degeneration of the anterior cruciate ligament (ACL) of the knee can cause knee pain and other symptoms. bling. Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. https://doi.org/10.1302/0301-620X.81B2.0810304, Article Epub 2011 Feb 18. Complete resection of the ACL without ACL reconstruction is a reliable treatment for symptomatic cases of mucoid degenerated ACL. government site. Methods: The minimum follow-up was 3 years. -, Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. Outcome of Arthroscopic Treatment of Mucoid Degeneration of the Anterior Cruciate Ligament. Epidemiology The likelihood of mucoid change within ligaments and tendons increases with age 1. 2007;90(3):1923. J Bone Joint Surg Ser B 81(2):304305. Level of Evidence: Level IV. Rehabilitation, speech therapy, crenotherapy. However, in the case of mucoid degeneration secondary signs of an ACL injury are usually absent. The https:// ensures that you are connecting to the The site is secure. Knee Surg & Relat Res 33, 26 (2021). 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). Hypothesis: HHS Vulnerability Disclosure, Help Other theories include Degenerative theory- MD could occur due to ageing.[3]. ANZ J Surg 73(9):712716. 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. -, 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. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. Knee Surg Sports Traumatol Arthrosc. 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. Study record managers: refer to the Data Element Definitions if submitting registration or results information.. Search for terms Bergin et al. A June 2018 MRI of the cervical spine found multilevel degenerative changes of the cervical spine, most pronounced at 6-7 and small disc herniations at 5-6 and C4-5, with slight interval progression at 5-6. . Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) flowchart illustrating the selections of trials included in the systematic review. Reeducation. Postoperative pain relief ranged from 53.8 to 95%. [16]. However, in most studies a proportion of patients simultaneously underwent other arthroscopic procedures for associated pathological knee conditions (44% meniscectomies in the study of Cha et al.). Average patient age was 49 (22 to 68) years. Finally, partial meniscectomy was commonly performed simultaneously with ACL debridement in all studies, which arguably could be the reason for the postoperative improvement. Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Knee Surg Relat Res. This systematic review has some limitations. The .gov means its official. 2012;4 (2): 167-70. Each study was scored 02 on each question, with a global ideal score of 16. Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). A posterior approach will allow for the detection of changes by probing the ligament and mucoid material can be expressed. Online ahead of print. The prevalence of mucoid degeneration of the ACL has been reported to be 0.43% [ 5 ]. Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK (1999) Mucoid cystic degeneration of the 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). The clinical presentation is one of posterior pain with limited flexion. Postoperative follow-up included standard radiography and dynamic examination, measuring laxity with a Telos device. Post-debridement arthroscopic view showing yellowish, Post-debridement arthroscopic view showing yellowish lesion of the anterior cruciate ligament which was, MeSH 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. Bethesda, MD 20894, Web Policies 2010 Jun;96(4):400-6. doi: 10.1016/j.otsr.2010.02.008. Preoperative magnetic resonance imaging (MRI) scan. What is myxoid degeneration treatment? Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. 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. 2018 Jun;25(3):445-452. doi: 10.1016/j.knee.2018.02.012. Unauthorized use of these marks is strictly prohibited. Exclusion criteria were (1) case reports, literature reviews and conference abstracts and (2) studies written in languages other than English. Management of mucoid degeneration of the anterior cruciate ligament: a systematic . Mucoid degeneration is characterized by an increase in the mucoid ground substance in the connective tissue containing glycoprotein and mucoprotein [ 4 ]. Introduction: This site needs JavaScript to work properly. #radiologycpd #medicalimaging #imaging #radcme #rheumatology #arthritis #rheumatologist #orthopaedic #painphysician #physiotherapy #sportsmed #orthopaedic #mskmri. 2006;69(9):44952. 2001;30(6):312315. Imaging: Plain radiographs 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. With cruciate ligament ganglia, intact ACL fibers can often be visualized coursing through or around the cyst. Unable to load your collection due to an error, Unable to load your delegates due to an error. It can cause pain and to a meniscal tear. Chudasama CH, Chudasama VC, Prabhakar MM. It contrasts with cystic lesions better known as synovial cysts or intercondylar fossa cysts. Seventeen females (67%) and eight males (33%) were included in the final analysis. -, Hsu CJ, Wang SC, Fong YC, Huang CY, Chiang IP, Hsu HC. Average postoperative International Knee Documentation Committee (IKDC) and Knee Injury and Osteoarthritis Outcome Scores (KOOS) were 71.2 (42.5 to 92.0) and 78.2 (26.4 to 99). 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. 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. It is commonly identified on MRI in association with other pathological findings and can be confused with partial ACL tears. Before Risk factors Predisposing factors include the following 1: aging W B Saunders Co. (2005) ISBN:0721602703. (10%) and highest in the study of Ventura et al. J Arthrosc Joint Surg 3(1):2833. By using this website, you agree to our Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Orthop Traumatol Surg Res. Anterior cruciate ligament mucoid degeneration. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. Preoperative assessment included a questionnaire, clinical examination (Lachman and pivot shift tests), MRI and standard radiography. J Orthop. Anterior cruciate ligament ganglia and mucoid degeneration: Coexistence and clinical correlation. 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. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Knee Surg Relat Res. Its function is to stabilize the knee while bending and rotating; the ACL also keeps the knee from shifting out of place or moving anteriorly (toward the front) with pivoting activities. Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of anterior knee pain (AKP). 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 Before Characteristic: "celery stalk" appearance. Postoperative ACL laxity is common after arthroscopic ACL debridement, however, symptomatic instability is not. This site needs JavaScript to work properly. Reeducation. . Mucoid degenerated anterior cruciate ligament (ACL) managed by arthroscopic ACL reconstruction: A case series. We herein describe a case of PCL mucoid degeneration presented with secondary ACL . Arthroscopically ACL is intact but fibrillated, yellowish and hypertrophied,with interspersed yellowish mucinous material along the fibers, lack of synovial linning of the ACL. Arthroscopic findings. Meniscectomy was undertaken in 11 cases (41%). Hotchen AJ, Demetriou C, Edwards D, Melton JTK. Arthroscopy. Individuals with mucoid degeneration of the ACL were excluded. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. NCI CPTC Antibody Characterization Program. Read More Created for people with ongoing healthcare needs but benefits everyone. Unable to load your collection due to an error, Unable to load your delegates due to an error. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. 2012 Sep;46(5):561-5. doi: 10.4103/0019-5413.101037. Conclusions. and Ventura et al. Ligaments hold our bones together and allow us to bend, twist, pivot and rapidly accelerate and decelerate and yet maintain the stability of our joints. 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 . HHS Vulnerability Disclosure, Help The need for delayed ACL reconstruction should be discussed preoperatively, especially if complete resection of the ACL is to be performed. Accessibility what causes mucoid degeneration of acl. Mucoid degeneration of the anterior cruciate ligament (ACL) is a very rare cause of knee pain. Arthroscopy 24(6):642649. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Its interstitial nature within the ACL structure contrasts with synovial cyst of the ACL. Knee Surg Sports Traumatol Arthrosc. Score: 4.7/5 (45 votes) . 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. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. ACL mucoid degeneration is an uncommon pathological condition; the pathogenesis, prevalence, and . 2008 Jun;24(6):642-9. doi: 10.1016/j.arthro.2008.02.004. The main MRI finding of ACL mucoid degeneration is a celery stalk appearance [26, 27]. 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. PMC Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. 5. This was lowest in the study of Cha et al. https://doi.org/10.2214/ajr.182.5.1821283, Article 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. 2011. 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. I have multiple issues - spondylolisthesis in L4/L5 and L5/S1, osteopenia and osteoarthritis. Disclaimer. In six of the nine studies [6, 14, 16,17,18], arthroscopic debridement of the ACL was associated with simultaneous partial meniscectomy; this ranged from 13% in the study of Morice et al. 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).

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