government site. 2011;19(3):408411. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. The need for delayed ACL reconstruction should be discussed preoperatively, especially if complete resection of the ACL is to be performed. We report a case of mucoid degeneration of the ACL in a 50-year-old female with knee pain of 18 months duration. 1999;81(2):304305. Ever since mucoid degeneration of the anterior cruciate ligament (MD-ACL) was named by Kumar et al. It can cause pain and to a meniscal tear. Effects of pre-operative knee laxity on clinical outcomes after partial anterior cruciate ligament reconstruction. The retrospective study by Kim et al. Before The .gov means its official. 2020 Jun 2. el Kadi KI, Marcaillou F, Blanc S, Salloum B, Dimontagliari C, Boutayeb F. Mucoid degeneration of the anterior cruciate ligament: a case report. Arthroscopic debridement of the ACL was the intervention in eight studies, whereas Morice et al. Several critical distinctions allow a confident diagnosis of an ACL ganglion cyst. Terms and Conditions, Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. 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 aetiology of MDACL is not fully understood, hence, there are multiple theories on this. 2018 Jun;25(3):445-452. doi: 10.1016/j.knee.2018.02.012. Epub 2013 Aug 27. Epub 2008 Apr 18. Unable to load your collection due to an error, Unable to load your delegates due to an error. 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. The inclusion criteria for this study were (1) studies including symptomatic patients with mucoid degeneration of the ACL, (2) studies of 10 or more patients, (3) a minimum of 6months follow up and (4) patients treated conservatively or surgically (arthroscopic debridement with or without simultaneous ACL reconstruction). (10%) and highest in the study of Ventura et al. Unauthorized use of these marks is strictly prohibited. 2011. All nine studies included patients with symptomatic MDACL confirmed by MRI (Table3). Posterior pain disappeared in 27 cases (93%), on average 3.7 weeks after the procedure. . The ACL appears on MRI to be enlarged with cystic changes throughout, however it is intact. Clinical Outcomes, Return to Sports, and Patient Satisfaction After Anterior Cruciate Ligament Reconstruction in Young and Middle-Aged Patients in an Asian Population-A 2-Year Follow-up Study. Third, clinical outcomes were reported using a variety of scores, so a data meta-analysis was not possible. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. J Clin Epidemiol 62(10):10061012. A historical cohort of patients who underwent arthroscopic total or partial excision of the anterior cruciate ligament due to mucoid degeneration between 2011 and 2014 were reviewed. 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. Due to the heterogeneity of data, a meta-analysis was not possible, and a narrative review was deemed most appropriate. FOIA First, our literature search revealed a heterogeneous group of studies dominated by case reports and case series, with no randomised controlled trials. Radiology. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Physical therapy typically begins 7-10 days after the procedure. Seven of the nine studies reported using the Lachman test to check postoperative ACL laxity. The mean age at the time of surgery was 57 years (range, 31 to 78 years). Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. What causes mucoid degeneration of ACL? Preoperative assessment included a questionnaire, clinical examination (Lachman and pivot shift tests), MRI and standard radiography. Twenty-eight knees (97%) showed soft and/or delayed stops on postoperative Lachman testing. This site needs JavaScript to work properly. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. report that one patient had ACL reconstruction simultaneously after the ACL debridement. -, Hsu CJ, Wang SC, Fong YC, Huang CY, Chiang IP, Hsu HC. Learn how we can help 704 views Reviewed >2 years ago Thank ACL mucoid degeneration is an uncommon pathological condition; the pathogenesis, prevalence, and association with other intra-articular knee structural damage are still poorly understood. Accessibility Would you like email updates of new search results? Federal government websites often end in .gov or .mil. Knee Surg Sports Traumatol Arthrosc. Privacy 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. Clin Orthop Surg. in 1999 [ 1 ]. PubMedGoogle Scholar. The lesion may manifest as an elongated cyst along the long axis of the ACL, or as an enlarged ACL. 2023 BioMed Central Ltd unless otherwise stated. Meniscectomy was undertaken in 11 cases (41%). and transmitted securely. This study concerns complete ACL resec 2021 Oct 21;2021:5879121. doi: 10.1155/2021/5879121. This was lowest in the study of Cha et al. Mumbai, Maharashtra, India. Unauthorized use of these marks is strictly prohibited. None of the studies was a randomised controlled trial and none had a control group. 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. -, Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK. In this systematic review we found that arthroscopic debridement resulted in good pain relief and improved range of motion and clinical outcome scores. FOIA Items are scored as 0 (not reported), 1 (reported but inadequate) or 2 (reported and adequate). 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 rate of simultaneous meniscectomy ranged from 13 to 44%. Orthop Traumatol Surg Res. On MRI, the ligament is thickened and ill-defined with a "celery stalk" appearance. sharing sensitive information, make sure youre on a federal An official website of the United States government. 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/. 2009. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). "Traumatic theory - post injury, ACL fibroblasts secrete glycosaminoglycans, the mucin substance within the ACL. Preoperative magnetic resonance imaging (MRI), Fig. Knee Surg Sports Traumatol Arthrosc. All nine studies were case series; six were retrospective and three were prospective studies. Conclusions: This site needs JavaScript to work properly. 2011. Coronal proton density-weighted magnetic resonance, Coronal proton density-weighted magnetic resonance imaging shows a thickening of the anterior cruciate, Sagittal proton density-weighted magnetic resonance, Sagittal proton density-weighted magnetic resonance image shows ill-defined anterior cruciate ligament with increased, Coronal T2 weighted fat suppressed fast spin echo image showed complex anterior cruciate, Pre-debridement arthroscopic view showing yellowish. A posterior approach will allow for the detection of changes by probing the ligament and mucoid material can be expressed. Would you like email updates of new search results? 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. Epub 2021 Mar 8. There is no consensus on treatment and evidence is scarce. 2009 Jul;17(7):737-40. doi: 10.1007/s00167-008-0690-z. AJR Am J Roentgenol. Federal government websites often end in .gov or .mil. (A) Bulging of, Fig. Average postoperative differential laxity on the Telos device was 8.3 mm (5 to 13 mm). The need for delayed ACL reconstruction should be discussed preoperatively, especially if complete resection of the ACL is to be performed. 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. . This series describes the clinicoradiological presentation of patients with mucoid ACL, partial arthroscopic debridement of ACL and outcomes. Sep 2017 - Feb 20186 months. Keywords: Arthroscopic debridement may help relieve the anterior knee pain. Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. This site needs JavaScript to work properly. All studies focused on the outcome of arthroscopic debridement of MDACL, with no studies on conservative treatment. Knee Surg Sports Traumatol Arthrosc 21(3):658663. 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. 1. Intact fibers are best seen on T2WI. Anterior Cruciate Ligament (ACL) Mucoid Degeneration Anatomy Anterior Cruciate Ligament, is an important structure of the knee joint. The mean MINORS score was 9.5 (range 412). 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. 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. Risk factors Predisposing factors include the following 1: aging . Hide glossary Glossary. . Here are the search results of the thread mucoid degeneration of acl treatment from Bing. 6. Introduction Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. The clinical presentation is one of posterior pain with limited flexion. The anterior cruciate ligament (ACL) is the most commonly injured of the major knee ligaments. Mucoid degeneration of the anterior cruciate ligament. Mucoid degeneration of the anterior cruciate ligament. Ahuja A, Parekh C, Salomon A, Lawande M, Daftary A. Skeletal Radiol. It is lined by the synovial fluid, which provides the nutrition and plays an integral part in healing. 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. Arthroscopic treatment may include ACL resection, which raises the questions about the harmlessness of this procedure and the risk of anterior instability. Other theories include Degenerative theory- MD could occur due to ageing.[3]. Please enable it to take advantage of the complete set of features! Sagittal T2-weighted MRI view showing intact anterior, Fig. JBR-BTR. volume33, Articlenumber:26 (2021) A total of 313 knees in 292 patients were included in the nine studies. Keywords used for the Search were mucoid degeneration, anterior cruciate ligament and ACL. . and transmitted securely. Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. 2010 Jun 1;96(4):400-6. I have multiple issues - spondylolisthesis in L4/L5 and L5/S1, osteopenia and osteoarthritis. Mucoid degeneration itself is described as a yellow or brown substance which can be either seen through the most anterior fibers of the ACL or found by probing between them [ 19, 35] (Fig. I get PT and acupuncture, have had several epidural injections, and am trying hard to avoid osteoporosis meds (was on bisphosphonates for many years many years ago) as well as spinal fusion. Anterior cruciate ligament reconstruction was required in only one young patient due to disabling instability. Mucoid degeneration of both ACL and PCL. Hamal B, Karmacharya M, Mangal Joshi K, Gorkhali R. J Nepal Health Res Counc. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Loss to follow up was not mentioned in the other five studies [3, 6, 15, 17, 19]. -Delivered Pre-rehab care for breast cancer and thoracic cancer cases. 8600 Rockville Pike Arch Orthop Trauma Surg. The mean MINORS score was 9.5 out of 16 (412). Study record managers: refer to the Data Element Definitions if submitting registration or results information.. Search for terms 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). -, McIntyre J, Moelleken S, Tirman P. Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears. 2008;24(6):642649. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. Exclusion criteria were (1) case reports, literature reviews and conference abstracts and (2) studies written in languages other than English. 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. This systematic review has some limitations. Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. There was strong association between MDACL and chondral lesions (82%) and between MDACL and meniscal tears (69%). MeSH Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. Postoperative Lachman test was positive in 40% of patients, and 6% of patients had symptomatic instability. On physical exam, the Lachman test for ACL instability is negative with an ACL ganglion. Arch Orthop Trauma Surg. The purpose of this study was to investigate the outcomes of management of mucoid degeneration of the anterior cruciate ligament (MDACL) by performing a systematic review of methods of treatment that have been reported. (2018) Radiology. Knee Surg Sports Traumatol Arthrosc. proposed reduction plasty, which is reduction of the ACL to normal volume without excision of all mucoid tissue. PMC Functional Outcome of Arthroscopic Debridement of Mucoid Degeneration of the Anterior Cruciate Ligament. -, Hensen JJ, Coerkamp EG, Bloem JL, De Schepper AM. 2. Dietary management and various treatments Scanning and diagnostic . 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. Eight patients (72.7%, n=8) reported an improvement of knee instability, while three patients (27.3%, n=3) experienced an unchanged knee stability. Twenty knees (69%) had associated cartilaginous lesions and 19 (66%) had meniscal lesions. Mucoid degeneration,: like degenerative arthritis of a joint, generally occurs as a results of aging. Postoperative ACL laxity is common after arthroscopic ACL debridement, however, symptomatic instability is not. MeSH Anterior knee pain is the more common complaint. It may lead to knee pain. Epub 2013 Aug 27. Imaging: Plain radiographs Accessibility Initially, partial weightbearing is allowed. The appearance can mimic acute or chronic interstitial partial tears of the ACL. Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. official website and that any information you provide is encrypted There was strong association with chondral lesions and meniscal tears. It contrasts with cystic lesions better known as synovial cysts or intercondylar fossa cysts. Epub 2018 Apr 21. Epub 2011 Feb 18. MEDLINE, Embase, Google Scholar, Cochrane, ISI web of science and Scopus were comprehensively searched from the earliest year of indexing until 10 July 2020. Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK (1999) Mucoid cystic degeneration of the cruciate ligament. Arthroscopy. Therefore, Anterior Cruciate Ligament tear is more susceptible during any injury to the knee. The mean follow up ranged from 13 to 72months. Mucoid degeneration of the anterior cruciate ligament is a rare pathological entity. Eight studies reported postoperative instability. PROSPERO. An official website of the United States government. Sometimes, it is mislead as ACL tear on MRI findings, hence requires probing and histopathology for definitive diagnosis. GG and AM interpreted the results and reviewed the manuscript. By using this website, you agree to our HHS Vulnerability Disclosure, Help J Orthop. CAS Secondary signs include bone bruising, meniscal tears, anterior subluxation of the tibia and other ligamentous injuries. Categories were determined in accordance with the study of Ekhtiari et al. -Provided skilled hands on in post-op rehabilitation to various population including Head and neck cancers, Lymph edema management, Bone cancers. National Library of Medicine Any discrepancy was resolved by the senior author. 2021 Aug 21;33(1):26. doi: 10.1186/s43019-021-00110-6. 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. official website and that any information you provide is encrypted California Privacy Statement, PubMed [3] and in 1% of patients (3 of 106 knees) in the study of Kim et al. 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. Pre-debridement arthroscopic view showing yellowish content in the anterior cruciate ligament. Cho SD, Youm YS, Lee CC et-al. All rights reserved. -. (Table 3). There was no mention in the other three studies [13, 15, 18] of whether other procedures were performed simultaneously. Careers. Presentation Patients usually present with nonspecific posterior knee pain with restriction of flexion. Finally, partial meniscectomy was commonly performed simultaneously with ACL debridement in all studies, which arguably could be the reason for the postoperative improvement. Besides, the patient may also have trouble in moving. Symptoms included limited range of motion (ROM) and posterior knee pain. Skeletal Radiol. Bone and joint imaging. Ligaments and tendons are accumulated by mucoid change might display a thickened and/or hypertrophied appearance, with an increase in signal intensity. 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. International Journal of Orthopaedics. Coronal T2 weighted fat suppressed fast spin echo image showed complex anterior cruciate ligament ganglion cyst arising from superior aspect of ligament. Postoperative follow-up included standard radiography and dynamic examination, measuring laxity with a Telos device. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. Possible etiologies include: It is postulated that mucoid degeneration may be a predisposing factor in the formation of ACL ganglion cysts. To our knowledge, this is the first systematic review to look into the results of the management of MDACL. Another theory is the synovial theory whereby a pouch of synovium herniates and is subsequently filled with synovium [2]. Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. W B Saunders Co. (2005) ISBN:0721602703. Level of Evidence: Level IV. Accessed 1 Mar 2021. Palmer W, Bancroft L, Bonar F, Choi JA, Cotten A, Griffith JF, Robinson P, Pfirrmann CW. 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. Bergin et al. Bergin et al. Mucoid degeneration of the anterior cruciate ligament (ACL) of the knee can cause knee pain and other symptoms. Mucoid degeneration (MD) is a rare pathological affection of the anterior cruciate ligament (ACL). eCollection 2022 May-Jun. See this image and copyright information in PMC. The ligament is mainly responsible for restraining anterior translation of knee. A total of 313 knees in 292 patients were included. Quadriceps and hamstring weakness are common features of people with symptomatic degenerative meniscal tears Surgery may address the structural injury, but . 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. They respond well to a judicious arthroscopic release of the ACL with notchplasty. At the time the article was last revised Dai Roberts had no recorded disclosures. 2004;182(5):12837. Postoperative symptomatic instability was not common in eight studies, but was observed in 48% of patients in the study of Lintz et al., with two patients having a delayed ACL reconstruction. Online ahead of print. bling. Hypothesis: Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. On clinical examination, the active range of motion showed a flexion deficit. 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. Accessibility Bethesda, MD 20894, Web Policies After arthroscopic debridement of the lesion, the patient regained full range of motion of the knee and were pain-free at follow-up. mucoid degeneration of acl mri. 2011 Jun;25(6):650-2. Arthroscopically ACL is intact but fibrillated, yellowish and hypertrophied,with interspersed yellowish mucinous material along the fibers, lack of synovial linning of the ACL. A 48-year-old-male patient presented with knee pain and limitation of motion. 2007;15 (1): 73-86. Instrumental treatment. No treatment is usually required. This did not appear to affect the postoperative rate of clinically detectable laxity, which was comparable to that in other studies. 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. Mucoid cystic degeneration of the cruciate ligament. Provided by the Springer Nature SharedIt content-sharing initiative. sharing sensitive information, make sure youre on a federal Please enable it to take advantage of the complete set of features! 2001;30(6):312315. 1992;159(2):35760. Rehabilitation, speech therapy, crenotherapy. FOIA Part of Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. Careers. This site needs JavaScript to work properly. The aetiology of MDACL is not fully understood, hence, there are multiple theories on this. Unable to load your collection due to an error, Unable to load your delegates due to an error. Bookshelf Indian J Orthop 48(2):197202. 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). [16]. Google Scholar, Cha JR, Lee CC, Cho SD, Youm YS, Jung KH (2013) Symptomatic mucoid degeneration of the anterior cruciate ligament. Preoperative and postoperative results of eleven patient were compared. What is myxoid degeneration treatment? Chudasama CH, Chudasama VC, Prabhakar MM. Unable to process the form. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2009 checklist [9]. Only three studies mentioned failed conservative treatment as an inclusion criterion [14, 15, 18]. 4. PMC Average patient age was 49 (22 to 68) years. Would you like email updates of new search results? Read More Created for people with ongoing healthcare needs but benefits everyone. With cruciate ligament ganglia, intact ACL fibers can often be visualized coursing through or around the cyst. 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. J Chin Med Assoc. AJR Am J Roentgenol. Methods: Five studies demonstrated improved postoperative functional outcome scores compared to preoperative scores [6, 14, 16, 18, 19]. Pan African Medical Journal. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 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]. did not report on this. Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Knee Surg Relat Res. Open Grey database was searched for grey literature using the same keywords. Ligaments are very tough, fibrous tissue structures. Eight studies showed postoperative improvement in range of motion, whereas Khanna et al. Results: Khanna et al. Physiotherapy. ACL ganglion cyst at arthroscopy may appear as a cystic mass with . Truncation means that the . (A) Bulging of the hypertrophied anterior cruciate ligament. https://doi.org/10.2214/ajr.182.5.1821283, Article National Library of Medicine The origin of MDACL may be degenerative or traumatic. Mucoid degeneration of the anterior cruciate ligament: a case report. Knee Surg Sports Traumatol Arthrosc. Knee Surgery & Related Research 42 Mucoid degeneration of the anterior cruciate ligament with erosion of the lateral femoral condyle P. Melloni, R. Valls, M. Yuguero, A. Saez Medicine Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first described in the literature in 1999.1 Since then, MD-ACL has been recognized as a pathology present on between 0.7% and 5.3% of magnetic resonance images performed for knee pain.2 MD-ACL is thought to be part of a spectrum of ACL disease that can range from ganglion cysts to MD.3 MD-ACL can either be primary (idiopathic . Cite this article. 2022 Jun 2;20(1):225-228. doi: 10.33314/jnhrc.v20i01.4182. In the nine included studies, four different scores were used for outcome assessment. 2004;182(5):12831287. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) flowchart illustrating the selections of trials included in the systematic review. 2012;4 (2): 167-70. This infiltrating lesion is included in the mucoid pathology of the intercondylar fossa. 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. ACL mucoid degeneration is present on ~10% (range 9-12%) of 3 T MRI examinations and 2% of 1.5 T MRI examinations 6. Clipboard, Search History, and several other advanced features are temporarily unavailable. Unauthorized use of these marks is strictly prohibited. Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. Postoperative ACL laxity is a common finding after ACL arthroscopic debridement, however, symptomatic instability is not. Mucoid degeneration of ACL. Federal government websites often end in .gov or .mil. Association between magnetic resonance imaging characteristics and pathological findings in entire posterior cruciate ligament with mucoid degeneration. Indian J Orthop. What Is Mucoid Degeneration of the ACL? Please enable it to take advantage of the complete set of features!
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