All nine studies were case series; six were retrospective and three were prospective studies. If arthroscopy is performed, the ligament may appear entirely normal, especially using the standard anterior portal approach. 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. In contrast to the tear, mucoid degeneration of the ACL characteristically does not cause knee instability [20, 21, 22]. To our knowledge, this is the first systematic review to look into the results of the management of MDACL. Anatomopathology samples were collected in 18 cases. Unauthorized use of these marks is strictly prohibited. Federal government websites often end in .gov or .mil. Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. Its prevalence in magnetic resonance imaging (MRI) is 1.8 to 5.3%, but not all lesions are symptomatic. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. At last follow-up, the mean visual analogue scale score, International Knee Documentation Committee score, and Tegner Lysholm Knee score improved (p < 0.01). (A) Bulging of, Fig. 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. 2021 Aug 21;33(1):26. doi: 10.1186/s43019-021-00110-6. Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. The clinical presentation is one of posterior pain with limited flexion. 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). had the largest number of patients (91) with a mean age of 61 years, which was the oldest study population amongst the nine studies [16]. CIOS :: Clinics in Orthopedic Surgery 2001;17(9):E37. statement and Bookshelf 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. 3. Disclaimer. Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. Methods From January 2012 to August 2013, 32 knees (24 females and 8 males with left knee of 14 and 18 of right) were diagnosed with mucoid degeneration of the ACL and underwent arthroscopic treatment, all of whom with a mean age of 58.817.97 years (42-74 years). Pain was posterior in 23 knees (80%). Symptomatic instability was highest in the study of Lintz et al. The minimum follow-up was 3 years. What causes myxoid degeneration? - Shabupc.com Papadopoulou P. The celery stalk sign. 2019 Jun;32(6):577-583. doi: 10.1055/s-0038-1660514. All patients with a preoperative limited ROM (100%, n=9) reported a return to a normal (subjective) ROM. The .gov means its official. Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Knee Surg Relat Res. Online ahead of print. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. Before MeSH eCollection 2022 May-Jun. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. We report a case of mucoid degeneration of the ACL in a 50-year-old female with knee pain of 18 months duration. Clipboard, Search History, and several other advanced features are temporarily unavailable. Federal government websites often end in .gov or .mil. 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. Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. Quadriceps and hamstring weakness are common features of people with symptomatic degenerative meniscal tears Surgery may address the structural injury, but . National Center for Biotechnology Information 2007;245 (3): 916-7. Mucoid change | Radiology Reference Article | Radiopaedia.org 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. The extracted data were heterogeneous in terms of outcome assessment. 1. Management of mucoid degeneration of the anterior cruciate ligament: a 2011 Mar;25(3):262-5. Epub 2008 Apr 18. PDF Mucoid degenerated anterior cruciate ligament managed by arthroscopic and transmitted securely. Study record managers: refer to the Data Element Definitions if submitting registration or results information.. Search for terms 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). Case report: intra-tendinous ganglion of the anterior cruciate ligament in 1999 [1]. Imaging: Plain radiographs Bone and joint imaging. Part of This site needs JavaScript to work properly. J Chin Med Assoc. Assessment of Anterior Cruciate Ligament (ACL) Degeneratio Mucosa Treatment TS designed the project, literature search and wrote the manuscript. Loss to follow up was not mentioned in the other five studies [3, 6, 15, 17, 19]. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Some case reports have been published; however, it is difficult to diagnose and is often underdiagnosed or misdiagnosed because of its pathophysiological ambiguity. 8600 Rockville Pike PMC 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 . Mucoid Degeneration of the Anterior Cruciate Ligament: A Case Report ACL (anterior cruciate ligament) mucoid degeneration means the lesion of the ACL. Unable to load your collection due to an error, Unable to load your delegates due to an error. This site needs JavaScript to work properly. J Arthrosc Joint Surg 3(1):2833. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. Case report: Physical therapy typically begins 7-10 days after the procedure. Epub 2018 Apr 21. in 1999 [ 1 ]. 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 appearance can mimic acute or chronic interstitial partial tears of the ACL. Epidemiology The likelihood of mucoid change within ligaments and tendons increases with age 1. This infiltrating lesion is included in the mucoid pathology of the intercondylar fossa. Mucoid degeneration, is the irreversible degeneration of the tissue with the infiltration of mucin(glycosaminoglycans) within the fibers[1][2]. Arthroscopic debridement of the ACL results in satisfactory pain relief and improvement in knee outcome scores. and transmitted securely. You can read more if you want. 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. Its interstitial nature within the ACL structure contrasts with synovial cyst of the ACL. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. PubMed 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 . 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. The rate of association between meniscal tears and MDACL ranged from 9 to 96%. have described the following MRI criteria [4]: (1) high signal intensity in the T1 and T2 sequences, (2) increased ACL volume and (3) continuous fibres of ACL shown in the T2 sequence. J Orthop. Nowadays, orthobiologics such as platelet-rich plasma (PRP) are increasingly used in ligament surgeries to improve healing. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Does Femoral Intercondylar Notch Volume Differ in Anterior Cruciate Ligament-Injured Adult Patients Compared to the Uninjured? Introduction to Arthroscopic Debridement There was strong association with chondral lesions and meniscal tears. There was strong association between degenerative changes and MDACL (82% having chondral and 69% meniscal lesions), which might suggest that MDACL is a degenerative process. Cite this article. Privacy Preoperative magnetic resonance imaging (MRI), Fig. Functional Outcome of Arthroscopic Debridement of Mucoid Degeneration of the Anterior Cruciate Ligament. The site is secure. -Evaluated and planned treatment protocol in accordance with physician. 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. Instrumental treatment. Federal government websites often end in .gov or .mil. The aetiology of MDACL is not fully understood, hence, there are multiple theories on this. We report a case of mucoid degeneration of the anterior cruciate ligament (ACL). Ligaments are very tough, fibrous tissue structures. Reeducation. Finally, partial meniscectomy was commonly performed simultaneously with ACL debridement in all studies, which arguably could be the reason for the postoperative improvement. 2021 Oct 21;2021:5879121. doi: 10.1155/2021/5879121. For non-comparative studies, this consists of eight questions. FOIA What is myxoid degeneration treatment? CAS All patients (100%, n=11) reported an improvement in pain. Cookies policy. Meniscectomy was undertaken in 11 cases (41%). Am J Roentgenol 182(5):12831287. Arthroscopic treatment may include ACL resection, which raises the questions about the harmlessness of this procedure and the risk of anterior instability. [6], in 62% of patients (18 of 29) in the study of Lintz et al. to 44% in the study of Cha et al. 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. AJR Am J Roentgenol. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. Khanna et al. 2011;19(3):408411. AJR Am J Roentgenol. Patients and methods: (10%) and highest in the study of Ventura et al. Categories were determined in accordance with the study of Ekhtiari et al. See this image and copyright information in PMC. -, 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. KoreaMed Synapse In these studies, the total number of patients with a postoperative positive Lachman test was 40% (77 of 194 patients). In this review, the mean age of patients ranged from 31 to 78years; mean age was highest in the study of Kim et al. Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. 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).