Ventura et al. as very low (04 points), low (58 points), good (912 points) or excellent (1316 points) [12]. Loss to follow up was not mentioned in the other five studies [3, 6, 15, 17, 19]. 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). Accessibility The https:// ensures that you are connecting to the
JCM | Free Full-Text | Clinical Outcomes of Arthroscopic - MDPI Mucoid degeneration of the anterior cruciate ligament (ACL) of the knee can cause knee pain and other symptoms. The prevalence of mucoid degeneration of the ACL has been reported to be 0.43% [ 5 ]. Fourteen knees (48%) had limited flexion, on average 97 degrees. Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. 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). Before 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). (100%). Bookshelf The site is secure. 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. J Clin Epidemiol 62(10):10061012. Conclusions 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 . Mucoid degeneration of acl (anterior cruciate ligament) is not a common problem and mostly it is found in female patients. statement and The main MRI finding of ACL mucoid degeneration is a celery stalk appearance [26, 27]. All nine studies were case series; six were retrospective and three were prospective studies. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. HHS Vulnerability Disclosure, Help ACL mucoid degeneration is an uncommon pathological condition; the pathogenesis, prevalence, and association with other intra-articular knee structural damage are still poorly understood. Orthop Traumatol Surg Res 99(6):693697, Khanna G, Sharma R, Bhardwaj A, Gurdutta HS, Agrawal DK, Rathore AS (2016) Mucoid degeneration of the anterior cruciate ligament: partial arthroscopic debridement and outcomes. J Arthrosc Joint Surg 3(1):2833. This did not appear to affect the postoperative rate of clinically detectable laxity, which was comparable to that in other studies. Therefore, indications for ACL resection must be carefully selected. Sixty-one patients underwent T2*WI and PDWI at 3, 6, and 12 months postoperatively. Anterior Cruciate Ligament, is an important structure of the knee joint. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. (B) Partial resection, MeSH We report a case of mucoid degeneration of the ACL in a 50-year-old female with knee pain of 18 months duration. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2009 checklist [9]. Both anterior cruciate ligament ganglion cysts and mucoid degeneration have a high association with intraosseous cysts [3] (figures 1 and 2). Introduction Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. These appearances must be differentiated from mucoid degeneration of the intact ACL. California Privacy Statement, What Is Mucoid Degeneration of the ACL? Chudasama et al. Its prevalence in magnetic resonance imaging (MRI) is 1.8 to 5.3%, but not all lesions are symptomatic.
Ayurvedic treatment for complete acl tear - Practo Indian J Orthop. Mucoid degeneration is characterized by an increase in the mucoid ground substance in the connective tissue containing glycoprotein and mucoprotein [ 4 ]. Along with that, it also controls the internal rotation. Preoperative assessment included a questionnaire, clinical examination (Lachman and pivot shift tests), MRI and standard radiography. https://doi.org/10.1007/s002560100336, Narvekar A, Gajjar S (2004) Mucoid degeneration of the anterior cruciate ligament. https://doi.org/10.1186/s43019-021-00110-6, DOI: https://doi.org/10.1186/s43019-021-00110-6. Physical therapy typically begins 7-10 days after the procedure. 2011. official website and that any information you provide is encrypted 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. JBR-BTR. They reported that a biopsy indicated mucoid degeneration and a relief of symptoms could be obtained through arthroscopic partial resection of the ligament. Anterior cruciate ligament ganglia and mucoid degeneration: Coexistence and clinical correlation. 287 (3): 912-921. 2013;15(1). Effects of pre-operative knee laxity on clinical outcomes after partial anterior cruciate ligament reconstruction. [17] do not mention whether any patients underwent biopsy (Table 3). 2010 Jun;96(4):400-6. doi: 10.1016/j.otsr.2010.02.008. Mucoid degeneration of the anterior cruciate ligament. 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. J Orthop. If arthroscopy is performed, the ligament may appear entirely normal, especially using the standard anterior portal approach. All patients (100%, n=11) reported a good to very good surgery satisfaction. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Besides, the patient may also have trouble in moving. -. Postoperative follow-up included standard radiography and dynamic examination, measuring laxity with a Telos device. There was strong association between MDACL and chondral lesions (82%) and between MDACL and meniscal tears (69%). Epub 2008 Dec 17. Online ahead of print. 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. Mucinous material within the substance of ACL produces pain and limited motion in the knee.
What causes myxoid degeneration? - Shabupc.com . Arthroscopy. 2 ). Would you like email updates of new search results? 2011. Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. The mean age of patients ranged from 31 to 78years. Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases.
National Center for Biotechnology Information Arthroscopic debridement of the ACL results in satisfactory pain relief and improvement in knee outcome scores. Arch Orthop Trauma Surg. The patient presented with extension block of the knee. AJR Am J Roentgenol. government site.
Mucoid Degeneration Of Acl Treatment? The 140 Top Answers We herein describe a case of PCL mucoid degeneration presented with secondary ACL . It results in postoperative laxity, but rarely in frank instability.
CIOS :: Clinics in Orthopedic Surgery 2010 Jun;96(4):400-6. doi: 10.1016/j.otsr.2010.02.008. Unauthorized use of these marks is strictly prohibited. Nowadays, orthobiologics such as platelet-rich plasma (PRP) are increasingly used in ligament surgeries to improve healing. 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). Accessed 1 Mar 2021. 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. See this image and copyright information in PMC. You can read more if you want. 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. . Coronal T2 weighted fat suppressed fast spin echo image showed complex anterior cruciate ligament ganglion cyst arising from superior aspect of ligament. Download Citation | On Feb 1, 2023, O.R. 2018;4(4):875-80. Arthroscopic management of mucoid degeneration of anterior cruciate ligament. Bethesda, MD 20894, Web Policies However, symptomatic instability was not common. Meniscectomy was undertaken in 11 cases (41%). 1992;159(2):35760. On MRI, the ligament is thickened and ill-defined with a "celery stalk" appearance. 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/. On clinical examination, the active range of motion showed a flexion deficit. If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. Patients and methods: Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament.
Mucoid degeneration of the anterior cruciate ligament 2012;4 (2): 167-70. 8600 Rockville Pike Postoperative pain relief ranged from 53.8 to 95%. did not report on this. Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. reported on the co-existence of mucoid degeneration and ganglia of the ACL. 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. The https:// ensures that you are connecting to the
Does mucoid degeneration of ACL require surgery? - TimesMojo MUCOID DEGENERATION OF ACL - ARTHROSCOPIC TREATMENT - YouTube 1173185. Discussion: Federal government websites often end in .gov or .mil. A total of 313 knees in 292 patients were included. Cite this article. All nine included studies utilized MRI of the knee to establish a radiological diagnosis as an inclusion criterion. (61years), which was the largest study and represented more than one third of the total patients included in this review. 2011 Aug 1;19(8):1326-33. 2019 Jun;32(6):577-583. doi: 10.1055/s-0038-1660514. The site is secure. to 44% in the study of Cha et al. 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. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. Morice et al. IV (retrospective cohort study). Four studies reported only postoperative scores, which were comparable to those in other studies. Noninfiltrating synovial cysts of the ACL were excluded. Manage cookies/Do not sell my data we use in the preference centre. However, the authors did not report whether there were any other patients with symptomatic instability. Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. There is strong association between MDACL and chondral and meniscal lesions, which may support the theory that MDACL is a degenerative process. AJR Am J Roentgenol.
Degeneration in ACL Injured Knees with and without - PLOS This is a rare pathological condition, in which, there is increased signal from within the ligament. Only three studies mentioned failed conservative treatment as an inclusion criterion [14, 15, 18]. Patients with symptomatic MDACL commonly present with posterior knee pain and limitation of knee flexion or extension [2, 6]. Sep 2017 - Feb 20186 months. Orthop Traumatol Surg Res.
The clinical presentation is one of posterior pain with limited flexion. CAS
Case report: intra-tendinous ganglion of the anterior cruciate ligament It can cause pain and to a meniscal tear. [3] and in 1% of patients (3 of 106 knees) in the study of Kim et al. PMC
Mucoid degeneration of anterior cruciate ligament (ACL) In the Lintz study, total resection of the ACL was performed in 17 out of 29 knees, while in the Ventura study total resection was performed in 17 out of 25 patients. Mucoid degeneration of the anterior cruciate ligament. Rajani AM, Shah UA, Mittal ARS, Gupta S, Garg R, Punamiya M. Knee Surg Relat Res. 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 anterior cruciate ligament (ACL ). The retrospective study by Kim et al. Introduction Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known pathology. Later studies reported that changes consist of mucoid Results degeneration, neovascularisation, and tendon sheath hyper- Nineteen patients met the inclusion criteria and were inclu- trophy. in 1999 [1]. Eight studies reported postoperative instability. https://doi.org/10.1007/s00167-011-1433-0, Article Epub 2008 Apr 18. Arthroscopic debridement may help relieve the anterior knee pain. -, Hensen JJ, Coerkamp EG, Bloem JL, De Schepper AM. Shimasaki K, Yoshioka T, Kanamori A, Yamazaki M. Case Rep Orthop. 2022 Mar;50(3):3000605221084865. doi: 10.1177/03000605221084865.
PDF Mucoid degenerated anterior cruciate ligament managed by arthroscopic Mucoid degeneration, is the irreversible degeneration of the tissue with the infiltration of mucin(glycosaminoglycans) within the fibers[1][2].