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. Complete resection of the ACL without ACL reconstruction is a reliable treatment for symptomatic cases of mucoid degenerated ACL. 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. Introduction Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known pathology. https://www.physio-pedia.com/index.php?title=Anterior_Cruciate_Ligament_(ACL)_Mucoid_Degeneration&oldid=253974, Difficulty in climbing stairs, cross-leg sitting, squatting, Primary condition- Osteoarthritis, degenerative menisci, meniscal tear, Impingement of the soft tissue in the vicinity. Disclaimer. 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. 2011 Mar;25(3):262-5. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. 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. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. 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. Springer Nature. A total of nine studies were eligible for review. Am J Roentgenol 182(5):12831287. A positive Lachman test and a negative pivot shift were noted after surgery in all cases. Any discrepancy was resolved by the senior author. Eight patients (72.7%, n=8) reported an improvement of knee instability, while three patients (27.3%, n=3) experienced an unchanged knee stability. https://doi.org/10.1007/s002560100336, Narvekar A, Gajjar S (2004) Mucoid degeneration of the anterior cruciate ligament. ACL mucoid degeneration is an uncommon pathological condition; the pathogenesis, prevalence, and . The anterior cruciate ligament (ACL) is an important ligament in the knee. This study concerns complete ACL resec Mucoid degeneration,: like degenerative arthritis of a joint, generally occurs as a results of aging. FOIA In these studies, the total number of patients with a postoperative positive Lachman test was 40% (77 of 194 patients). Arthroscopic debridement of the anterior cruciate ligament (ACL) results in satisfactory pain relief and improvement in knee outcome scores. IV (retrospective cohort study). Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Orthop Traumatol Surg Res. Results: Bookshelf Bookshelf Arthroscopy. Introduction: Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. Second, methodological quality assessment showed that three studies had low methodological quality. J Knee Surg. 2006;69(9):44952. 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. 2021 Aug 21;33(1):26. doi: 10.1186/s43019-021-00110-6. Four studies reported only postoperative scores, which were comparable to those in other studies. Twelve partial and 17 total resections were performed. 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. Epub 2021 Nov 24. The success of treatment for MDACL and the subsequent risk of instability is not known. 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. Besides, the patient may also have trouble in moving. CAS Rehabilitation, orthophony, crenotherapy. Therefore, indications for ACL resection must be carefully selected. MM and A performed the literature search, and data analysis. sharing sensitive information, make sure youre on a federal All patients (100%, n=11) reported a good to very good surgery satisfaction. Methods: The minimum follow-up was 3 years. eCollection 2022 May-Jun. Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. Unauthorized use of these marks is strictly prohibited. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. The need for delayed ACL reconstruction should be discussed preoperatively, especially if complete resection of the ACL is to be performed. 1. Google Scholar, Salvati F, Rossi F, Limbucci N, Pistoia ML, Barile A, Masciocchi C (2008) Mucoid metaplastic-degeneration of anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc 21(3):658663. Symptomatic ACL mucoid degeneration in middle-age athletes. 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. 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. 1. This may support the theory that it is a degenerative process. sharing sensitive information, make sure youre on a federal ACL debridement was partial in all studies except for those by Lintz et al. An official website of the United States government. Questions just answered: mucoid degeneration of acl physiotherapy. Arthroscopic debridement may help relieve the anterior knee pain. (A) Bulging of, Fig. The prevalence of mucoid degeneration of the ACL has been reported to be 0.43% [ 5 ]. -Evaluated and planned treatment protocol in accordance with physician. https://doi.org/10.1302/0301-620X.81B2.0810304, Article All nine studies were case series; six were retrospective and three were prospective studies. Federal government websites often end in .gov or .mil. Indian J Orthop 48(2):197202. In that case, mucoid degeneration can be extruded from the ligament and will be removed in the saline flow. Exclusion criteria were (1) case reports, literature reviews and conference abstracts and (2) studies written in languages other than English. There was no mention in the other three studies [13, 15, 18] of whether other procedures were performed simultaneously. Epub 2011 Feb 18. The author(s) read and approved the final manuscript. An official website of the United States government. Ever since mucoid degeneration of the anterior cruciate ligament (MD-ACL) was named by Kumar et al. government site. proposed reduction plasty, which is reduction of the ACL to normal volume without excision of all mucoid tissue. https://doi.org/10.2214/ajr.182.5.1821283, Article On MRI, the ligament is thickened and ill-defined with a "celery stalk" appearance. It results in postoperative laxity, but rarely in frank instability. Epub 2018 Apr 21. 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. Sagittal T2-weighted MRI view showing intact anterior, Fig. Arthroscopic debridement of the ACL was the intervention in eight studies, whereas Morice et al. A systematic literature search in the databases MEDLINE, Embase, Google Scholar, Cochrane, ISI web of science and Scopus was performed through July 2020 by three independent reviewers. Effects of pre-operative knee laxity on clinical outcomes after partial anterior cruciate ligament reconstruction. 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). Download Citation | On Feb 1, 2023, O.R. Knee Surg Sports Traumatol Arthrosc. Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. 1). Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. 2011. official website and that any information you provide is encrypted 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. Indian J Orthop 46(5):561565. Pandey, Vivek et al. mucoid degeneration acl symptoms. Twenty knees (69%) had associated cartilaginous lesions and 19 (66%) had meniscal lesions. Knee Surg Sports Traumatol Arthrosc. Please enable it to take advantage of the complete set of features! Several critical distinctions allow a confident diagnosis of an ACL ganglion cyst. This site needs JavaScript to work properly. We report a case of mucoid degeneration of the anterior cruciate ligament (ACL). reported on the co-existence of mucoid degeneration and ganglia of the ACL. Anterior cruciate ligament ganglia and mucoid degeneration: Coexistence and clinical correlation. 8600 Rockville Pike 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. . 2008;24(6):642649. 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. Disclaimer. Postoperative Lachman test was positive in 40% of patients, and 6% of patients had symptomatic instability. Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Presentation Patients usually present with nonspecific posterior knee pain with restriction of flexion. Morice et al. 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. 2004;182(5):12831287. 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). Recent studies have reported that the prevalence of ACL mucoid degeneration is approximately 2-14% [20, 23, 24, 25]. eCollection 2022 May-Jun. Epub 2010 May 8. The .gov means its official. 2022 Mar;14(1):76-89. doi: 10.4055/cios20163. The site is secure. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Histological diagnosis was established by tissue biopsy in all patients in five studies, with a total of 87 knees. Two reviewers independently screened the titles and abstracts of the retrieved records for eligibility. Postoperative ACL laxity is common after arthroscopic ACL debridement, however, symptomatic instability is not. [3] and in 1% of patients (3 of 106 knees) in the study of Kim et al. 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 . The mean MINORS score was 9.5 out of 16 (412). 8600 Rockville Pike The clinical presentation is one of posterior pain with limited flexion. Preoperative magnetic resonance imaging (MRI) scan. PMC 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). Epub 2018 Aug 22. There is strong association between MDACL and chondral and meniscal lesions, which may support the theory that MDACL is a degenerative process. We herein describe a case of PCL mucoid degeneration presented with secondary ACL . Study record managers: refer to the Data Element Definitions if submitting registration or results information.. Search for terms Google Scholar, Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P (2010) Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) flowchart illustrating the selections of trials included in the systematic review.

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