Postoperative pain relief ranged from 53.8 to 95%. did not report on this. The extracted data were heterogeneous in terms of outcome assessment. After arthroscopic debridement of the lesion, the patient regained full range of motion of the knee and were pain-free at follow-up. The knee is a complex synovial joint that can be affected by a range of pathologies: Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. It results in postoperative laxity, but rarely in frank instability. sharing sensitive information, make sure youre on a federal J Clin Epidemiol 62(10):10061012. ACL tears don't heal as such. Five studies demonstrated improved postoperative functional outcome scores compared to preoperative scores [6, 14, 16, 18, 19]. The mean age of patients ranged from 31 to 78years. The pathogenesis remains controversial. What causes mucoid degeneration of ACL? 2012;4 (2): 167-70. Exclusion criteria were (1) case reports, literature reviews and conference abstracts and (2) studies written in languages other than English. Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. 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. Introduction: Anterior Cruciate Ligament (ACL) MRI: Practice Essentials, Anatomy Bookshelf Arthroscopic debridement of the ACL was the intervention in eight studies, whereas Morice et al. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. Symptomatic ACL mucoid degeneration in middle-age athletes. Mucoid degeneration of ACL. Would you like email updates of new search results? reported on the co-existence of mucoid degeneration and ganglia of the ACL. ADVERTISEMENT: Supporters see fewer/no ads. Arthroscopic debridement of the anterior cruciate ligament (ACL) results in satisfactory pain relief and improvement in knee outcome scores. report that one patient had ACL reconstruction simultaneously after the ACL debridement. J Arthrosc Joint Surg 3(1):2833. Score: 4.7/5 (45 votes) . Orthopaedics & Traumatology: Surgery & Research. Loreto v. Kijakazi, 1:22-CV-1404-JDG | Casetext Search + Citator The appearance can mimic acute or chronic interstitial partial tears of the ACL. PDF Anterior Cruciate Ligament Ganglion Cyst and Mucoid Degeneration: A Review Arthroscopic examination analyzed the ACL aspect and its associated lesions (meniscus, cartilage). Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s002560100336, Narvekar A, Gajjar S (2004) Mucoid degeneration of the anterior cruciate ligament. Introduction: Glossary of terms for musculoskeletal radiology. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. 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. Skeletal Radiol. 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: Springer Nature. W B Saunders Co. (2005) ISBN:0721602703. Provided by the Springer Nature SharedIt content-sharing initiative. The retrospective study by Kim et al. You can read more if you want. Initially, partial weightbearing is allowed. [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%). -, Hsu CJ, Wang SC, Fong YC, Huang CY, Chiang IP, Hsu HC. A September 2018 MRI of the left knee showed anterior cruciate ligament and mucoid degeneration with intra cruciate ganglion . and transmitted securely. Reeducation. Ventura D, Nuez JH, Joshi-Jubert N, Castellet E, Minguell J. Clin Orthop Surg. 2011. 2011. el Kadi KI, Marcaillou F, Blanc S, Salloum B, Dimontagliari C, Boutayeb F. Pan Afr Med J. Arthroscopy. Besides, the patient may also have trouble in moving. Arthroscopic debridement of the ACL resulted in good pain relief and improved range of movement in all studies, with postoperative improvement in the knee scores. Bethesda, MD 20894, Web Policies At last follow-up, the mean visual analogue scale score, International Knee Documentation Committee score, and Tegner Lysholm Knee score improved (p < 0.01). Some case reports have been published; however, it is difficult to diagnose and is often underdiagnosed or misdiagnosed because of its pathophysiological ambiguity. Possible etiologies include: It is postulated that mucoid degeneration may be a predisposing factor in the formation of ACL ganglion cysts. Bookshelf Individuals with mucoid degeneration of the ACL were excluded. 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 lesion may manifest as an elongated cyst along the long axis of the ACL, or as an enlarged ACL. Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. Patients will . A total of 313 knees in 292 patients were included. Individuals were included in the study if they had had complete MRIs of the affected knee at baseline and at 4-year follow-up, had thigh MRIs at baseline and had no additional surgery in the meantime. proposed a different intervention called reduction plasty, whereby the hypertrophic ACL is reduced to normal size without excision of all mucoid substance [17]. AJR Am J Roentgenol. 2006;69(9):44952. Mucoid degeneration of the anterior cruciate ligament Anterior Cruciate Ligament (ACL) Mucoid Degeneration - Physiopedia Mumbai, Maharashtra, India. Dietary management and various treatments Scanning and diagnostic . The rate of association between meniscal tears and MDACL ranged from 9 to 96%. Not really known: Mucoid degeneration of the ACL is seen most commonly in adults (35-55 years of age). . Mucoid change | Radiology Reference Article | Radiopaedia.org Items are scored as 0 (not reported), 1 (reported but inadequate) or 2 (reported and adequate). 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. Eight patients (72.7%, n=8) reported an improvement of knee instability, while three patients (27.3%, n=3) experienced an unchanged knee stability. Anterior knee pain is the more common complaint. Does Femoral Intercondylar Notch Volume Differ in Anterior Cruciate Ligament-Injured Adult Patients Compared to the Uninjured? Epub 2010 May 8. For non-comparative studies, this consists of eight questions. The cause is not really known, but patients usually do not complain of instability. In this review, the mean age of patients ranged from 31 to 78years; mean age was highest in the study of Kim et al. 2007;245 (3): 916-7. . Method. 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. Sagittal T2-weighted MRI view showing intact anterior, Fig. eCollection 2022 May-Jun. sharing sensitive information, make sure youre on a federal Mucoid degeneration of ACL - Osteoporosis - inspire.com Unable to load your collection due to an error, Unable to load your delegates due to an error. Please enable it to take advantage of the complete set of features! Patients in all studies presented with central or posterior knee pain, mainly with terminal extension in three studies [14, 16, 17]. Disclaimer. [16]. mucoid degeneration acl symptoms. Accessed 1 Mar 2021. Bergin D, Morrison WB, Carrino JA et-al. All nine studies included patients with symptomatic MDACL confirmed by MRI (Table3). Only three studies mentioned failed conservative treatment as an inclusion criterion [14, 15, 18]. What are the treatment options for anterior cruciate ligament mucoid 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. TS designed the project, literature search and wrote the manuscript. 2023 BioMed Central Ltd unless otherwise stated. Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. ACL (anterior cruciate ligament) mucoid degeneration means the lesion of the ACL. 2021 Aug 21;33(1):26. doi: 10.1186/s43019-021-00110-6. Papadopoulou P. The celery stalk sign. MeSH ACL ganglion cyst at arthroscopy may appear as a cystic mass with . Mucoid degeneration (MD) is a rare pathological affection of the anterior cruciate ligament (ACL). The authors declare that they have no competing interests. 42 Mucoid degeneration of the anterior cruciate ligament with erosion of the lateral femoral condyle P. Melloni, R. Valls, M. Yuguero, A. Saez Medicine Open Grey database was searched for grey literature using the same keywords. Bookshelf 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 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]. ACL Mucoid Degeneration in Knee - Diagnosis & Treatment | Dr. Hemendra The .gov means its official. Unable to process the form. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. eCollection 2022 May-Jun. This site needs JavaScript to work properly. 2022 Mar;14(1):76-89. doi: 10.4055/cios20163. California Privacy Statement, {"url":"/signup-modal-props.json?lang=us"}, Gaillard F, Roberts D, Saber M, et al. Instrumental treatment. 2013 Jun 20;15:59. doi: 10.11604/pamj.2013.15.59.2534. Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. Learn how we can help 704 views Reviewed >2 years ago Thank Read More Created for people with ongoing healthcare needs but benefits everyone. Degeneration in ACL Injured Knees with and without - PLOS Correspondence to Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. 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. Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Knee Surg Relat Res. Finally, partial meniscectomy was commonly performed simultaneously with ACL debridement in all studies, which arguably could be the reason for the postoperative improvement. 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. These appearances must be differentiated from mucoid degeneration of the intact ACL. Deep Seated Pain at Back of Knee with Bending | Dr HC Chang Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines.