2019 Jun;32(6):577-583. doi: 10.1055/s-0038-1660514. Anterior cruciate ligament mucoid degeneration: MR findings Five studies demonstrated improved postoperative functional outcome scores compared to preoperative scores [6, 14, 16, 18, 19]. Secondary signs include bone bruising, meniscal tears, anterior subluxation of the tibia and other ligamentous injuries. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. However, in the case of mucoid degeneration secondary signs of an ACL injury are usually absent. -, Hsu CJ, Wang SC, Fong YC, Huang CY, Chiang IP, Hsu HC. Mucoid degeneration (MD) is a rare pathological affection of the anterior cruciate ligament (ACL). Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. Unable to load your collection due to an error, Unable to load your delegates due to an error. Individuals with mucoid degeneration of the ACL were excluded. Not really known: Mucoid degeneration of the ACL is seen most commonly in adults (35-55 years of age). Epub 2011 Feb 18. Epub 2021 Mar 8. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. Association between magnetic resonance imaging characteristics and pathological findings in entire posterior cruciate ligament with mucoid degeneration. 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. Federal government websites often end in .gov or .mil. Papadopoulou P. The celery stalk sign. J Chin Med Assoc. The site is secure. Cho SD, Youm YS, Lee CC et-al. What Is Mucoid Degeneration of the ACL? in 1999 [ 1 ]. sharing sensitive information, make sure youre on a federal What does mucoid degeneration of posterior horn of medial - HealthTap Anterior cruciate ligament mucoid degeneration - Radiopaedia All nine studies assessed the outcome of arthroscopic debridement of MDACL. With cruciate ligament ganglia, intact ACL fibers can often be visualized coursing through or around the cyst. This series describes the clinicoradiological presentation of patients with mucoid ACL, partial arthroscopic debridement of ACL and outcomes. 2011. el Kadi KI, Marcaillou F, Blanc S, Salloum B, Dimontagliari C, Boutayeb F. Pan Afr Med J. Arthroscopy. Dietary management and various treatments Scanning and diagnostic . PMC Preoperative magnetic resonance imaging (MRI) scan. Method. https://doi.org/10.2214/ajr.182.5.1821283, Article Histologically, there is a mucoid substance in connective tissue containing glycoproteins and mucoproteins [8]. 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. 2022 Mar;14(1):76-89. doi: 10.4055/cios20163. PMC Epub 2008 Apr 18. On clinical examination, the active range of motion showed a flexion deficit. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. Truncation means that the . MDACL is diagnosed by MRI, showing a celery stalk sign, and is confirmed by tissue biopsy and histological examination [7]. J Chin Med Assoc. The aetiology of MDACL is not fully understood, hence, there are multiple theories on this. Conclusions. The origin of MDACL may be degenerative or traumatic. Generally, we know little about this condition. Eight studies reported postoperative instability. 2022 Oct 23;34(1):40. doi: 10.1186/s43019-022-00169-9. The .gov means its official. Resnick D, Kransdorf MJ. This ligament consists of two fibers, mainly, the anterio-medial and postero-lateral fibers, respectively. Its interstitial nature within the ACL structure contrasts with synovial cyst of the ACL. 2022 Mar;50(3):3000605221084865. doi: 10.1177/03000605221084865. Unauthorized use of these marks is strictly prohibited. J Clin Epidemiol 62(10):10061012. Reference article, Radiopaedia.org (Accessed on 04 Mar 2023) https://doi.org/10.53347/rID-3615, Case 11: with Hoffa fat pad ganglion cyst, Case 12: tibial nerve schwannoma and ACL mucoid degeneration, Case 1: Complete ACL tear and meniscal tears, Case 2: Anomalous insertion of the medial meniscus, View Frank Gaillard's current disclosures, see full revision history and disclosures, anterior cruciate ligament ganglion cysts, anterior cruciate ligament avulsion fracture, posterior cruciate ligament avulsion fracture, Ahlback classification system in assessing osteoarthritis of the knee joint, Kellgren and Lawrence system for classification of osteoarthritis, anterior cruciate ligament mucoid degeneration, MRI grading system for meniscal signal intensity, Mucoid degeneration of the anterior cruciate ligament, congenital or acquired synovial tissue entrapment between ACL fibers. 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). The success of treatment for MDACL and the subsequent risk of instability is not known. Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. (Table 3). Roberts CC, Towers JD, Spangehl MJ et-al. MRI is better at detecting mucoid degeneration than arthroscopy, as the surface of the ligament is often intact. Nowadays, orthobiologics such as platelet-rich plasma (PRP) are increasingly used in ligament surgeries to improve healing. (A) Bulging of the hypertrophied anterior cruciate ligament. The .gov means its official. in 1999 [1]. 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). Open Grey database was searched for grey literature using the same keywords. Mucoid degeneration of ACL - Osteoporosis - inspire.com 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]. See this image and copyright information in PMC. Initially, partial weightbearing is allowed. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). At the time the article was last revised Dai Roberts had no recorded disclosures. Federal government websites often end in .gov or .mil. Hotchen AJ, Demetriou C, Edwards D, Melton JTK. 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. -, 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. CAS Mucoid degeneration of ACL. https://doi.org/10.1302/0301-620X.81B2.0810304, Article Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. 1. 2004;182(5):12837. Federal government websites often end in .gov or .mil. Arthroscopic management of mucoid degeneration of anterior cru Does mucoid degeneration of ACL require surgery? - TimesMojo Every time when patient flexes the knee, thickened ACL impinges over posterior cruciate ligament (PCL) in the knee, causing knee pain and limited motion. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2009 checklist [9]. Twenty-eight knees (97%) showed soft and/or delayed stops on postoperative Lachman testing. Mucoid degeneration of the anterior cruciate ligament: can platelet 2023 BioMed Central Ltd unless otherwise stated. Unable to process the form. 2. and transmitted securely. Posterior pain disappeared in 27 cases (93%), on average 3.7 weeks after the procedure. Anterior cruciate ligament mucoid degeneration: Selecting the best 8600 Rockville Pike 2010 Jun 1;96(4):400-6. To our knowledge, this is the first systematic review to look into the results of the management of MDACL. official website and that any information you provide is encrypted 2010 Jun;96(4):400-6. doi: 10.1016/j.otsr.2010.02.008. Coronal proton density-weighted magnetic resonance imaging shows a thickening of the anterior cruciate ligament. 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. 2007;15 (1): 73-86. Diffuse Intrasubstance Signal Abnormalities Ofthe Posterior Cruciate Level of Evidence: Level IV. 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. . The total number of patients with symptomatic instability was 18 out of 288 (6%). 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. Arthroscopic debridement of the ACL was the intervention in eight studies, whereas Morice et al. Bookshelf Arthroscopic management of mucoid degeneration of anterior cruciate ligament. The appearance can mimic acute or chronic interstitial partial tears of the ACL. Ventura D, Nuez JH, Joshi-Jubert N, Castellet E, Minguell J. Clin Orthop Surg. A positive Lachman test and a negative pivot shift were noted after surgery in all cases. None of the studies was a randomised controlled trial and none had a control group. What is myxoid degeneration treatment? This did not appear to affect the postoperative rate of clinically detectable laxity, which was comparable to that in other studies. What are the treatment options for anterior cruciate ligament mucoid Ayurvedic treatment for complete acl tear - Practo CONFLICT OF INTEREST: No potential conflict of interest relevant to this article was reported. Only three studies mentioned failed conservative treatment as an inclusion criterion [14, 15, 18]. Postoperative follow-up included standard radiography and dynamic examination, measuring laxity with a Telos device. 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). HHS Vulnerability Disclosure, Help 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. Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. Cureus | Anterior Cruciate Ligament Ganglion Cyst and Mucoid This may support the theory that it is a degenerative process. -, Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. 2007;245 (3): 916-7. 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. Accessibility Mucoid degeneration of the anterior cruciate ligament: a case report. ACL Insufficiency | Anterior Knee Instability | Knee Instability We herein describe a case of PCL mucoid degeneration presented with secondary ACL . IV (retrospective cohort study). The anterior cruciate ligament (ACL) is the most commonly injured of the major knee ligaments. reported total resection of the ACL in 68% of patients: one young patient had disabling instability and subsequent ACL reconstruction. . Pandey, Vivek et al. 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. Mucoid Degeneration of the Anterior Cruciate Ligament: A Case Report Role of ultrasound-guided decompression in management of mucoid degeneration of the anterior cruciate ligament.

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