Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). Clin Orthop Surg. An official website of the United States government. Symptomatic instability was highest in the study of Lintz et al. Knee Surg Sports Traumatol Arthrosc. The clinical presentation is one of posterior pain with limited flexion. KoreaMed Synapse What is myxoid degeneration treatment? . Mucoid degeneration of acl (anterior cruciate ligament) is not a common problem and mostly it is found in female patients. Careers. Disclaimer. Fig. 2006 Sep;69(9):449-52. doi: 10.1016/S1726-4901(09)70290-4. Method. Arthroscopic management of mucoid degeneration of anterior cru reported total resection of the ACL in 68% of patients: one young patient had disabling instability and subsequent ACL reconstruction. 2013 Jun 20;15:59. doi: 10.11604/pamj.2013.15.59.2534. There was a high rate of association between degenerative lesions and MDACL, ranging from 39 to 96%. The rate of simultaneous meniscectomy ranged from 13 to 44%. Sep 2017 - Feb 20186 months. Seven of the nine studies reported using the Lachman test to check postoperative ACL laxity. After arthroscopic debridement of the lesion, the patient regained full range of motion of the knee and were pain-free at follow-up. TS designed the project, literature search and wrote the manuscript. volume33, Articlenumber:26 (2021) Bookshelf 2011 Aug 1;19(8):1326-33. Preoperative assessment included a questionnaire, clinical examination (Lachman and pivot shift tests), MRI and standard radiography. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. 2006;69(9):44952. [17] do not mention whether any patients underwent biopsy (Table 3). . Not really known: Mucoid degeneration of the ACL is seen most commonly in adults (35-55 years of age). Seventeen females (67%) and eight males (33%) were included in the final analysis. 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. Loss to follow up was not mentioned in the other five studies [3, 6, 15, 17, 19]. 2018 Sep;10(3):307-314. doi: 10.4055/cios.2018.10.3.307. Radiofrequency Ablation for Mucoid Degeneration of the Anterior 2021 Sep;50(9):1837-1843. doi: 10.1007/s00256-021-03750-7. This ligament consists of two fibers, mainly, the anterio-medial and postero-lateral fibers, respectively. 1992;159(2):35760. MDACL is diagnosed by MRI, showing a celery stalk sign, and is confirmed by tissue biopsy and histological examination [7]. Knee Surg Sports Traumatol Arthrosc. Multiple theories have been put forth that explains the pathological disorganization in the collagen fibers of the Anterior Cruciate Ligament, such as synovial, traumatic, and degenerative, "Synovial theory- states that there is accumulation of synovial fluid inside the substance of ACL in a herniated pouch of synovium. Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Knee Surg Relat Res. I have multiple issues - spondylolisthesis in L4/L5 and L5/S1, osteopenia and osteoarthritis. 2022 Apr 11;31:67-71. doi: 10.1016/j.jor.2022.04.004. Anterior cruciate ligament mucoid degeneration. 8600 Rockville Pike California Privacy Statement, sharing sensitive information, make sure youre on a federal 2004;182 (5): 1283-7. This site needs JavaScript to work properly. Arthroscopic diagnostic criteria [7] are (1) continuous ACL fibres, (2) increased ACL volume, (3) yellowish-coloured material expressed on palpation and (4) loss of ACL synovial lining. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. Mucoid degeneration of the anterior cruciate ligament. Young and active patients should be warned about the risk of requiring secondary ligamentoplasty. Mumbai, Maharashtra, India. Ever since mucoid degeneration of the anterior cruciate ligament (MD-ACL) was named by Kumar et al. The main MRI finding of ACL mucoid degeneration is a celery stalk appearance [26, 27]. Would you like email updates of new search results? Bookshelf Case report: intra-tendinous ganglion of the anterior cruciate ligament Nowadays, orthobiologics such as platelet-rich plasma (PRP) are increasingly used in ligament surgeries to improve healing. Due to the heterogeneity of data, a meta-analysis was not possible, and a narrative review was deemed most appropriate. Check for errors and try again. Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. Methods: Four studies reported only postoperative scores, which were comparable to those in other studies. Individuals with mucoid degeneration of the ACL were excluded. All patients (100%, n=11) reported an improvement in pain. Partial resection of the anterior cruciate ligament was done in seven cases and a complete resection in 18 cases. Mucoid Degeneration of Posterior Cruciate Ligament with Secondary Anatomopathology samples were collected in 18 cases. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. Association between magnetic resonance imaging characteristics and pathological findings in entire posterior cruciate ligament with mucoid degeneration. In contrast to the tear, mucoid degeneration of the ACL characteristically does not cause knee instability [20, 21, 22]. Risk factors Predisposing factors include the following 1: aging Knee Surgery & Related Research This series describes the clinicoradiological presentation of patients with mucoid ACL, partial arthroscopic debridement of ACL and outcomes. W B Saunders Co. (2005) ISBN:0721602703. 2010 Jun;96(4):400-6. doi: 10.1016/j.otsr.2010.02.008. National Library of Medicine 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. official website and that any information you provide is encrypted https://doi.org/10.1302/0301-620X.81B2.0810304, Article Tamer Sweed. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Radiology. Two patients uderwent secondary ligamentoplasty. It is a chronic degenerative change of a bulky ACL that may lead to notch impingement syndrome in the absence of instability symptoms and significant trauma history [ 1, 2, 3, 4 ]. Mucoid Degeneration of the Anterior Cruciate Ligament: Characterization of Natural History, Femoral Notch Width Index, and Patient Reported Outcome Measures. Another theory is the synovial theory whereby a pouch of synovium herniates and is subsequently filled with synovium [2]. The aetiology of MDACL is not clearly understood. Arthroscopy. Sagittal T2-weighted MRI view showing intact anterior, Fig. Due to the lack of specific symptoms and signs, its diagnosis is often delayed or even misdiagnosed in clinical practice [ [1] , [2] ]. You can read more if you want. Epub 2010 May 8. Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. 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. Conclusions: Mucoid degeneration of the ACL is a clinical condition afflicting active middle-aged people without a single significant traumatic episode with a specific MRI picture. Case report: Symptomatic ACL mucoid degeneration in middle-age athletes 2022 Apr 11;31:67-71. doi: 10.1016/j.jor.2022.04.004. Five studies demonstrated improved postoperative functional outcome scores compared to preoperative scores [6, 14, 16, 18, 19]. 5. 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. Unauthorized use of these marks is strictly prohibited. There was strong association between MDACL and chondral lesions (82%) and between MDACL and meniscal tears (69%). This appearance can mimic acute or chronic interstitial partial tears of the ligament. Instrumental treatment. This site needs JavaScript to work properly. Reeducation. Both anterior cruciate ligament ganglion cysts and mucoid degeneration have a high association with intraosseous cysts [3] (figures 1 and 2). Arthroscopic management of mucoid degeneration of anterior cruciate ligament. FOIA in 1999 [1]. Orthopaedics & Traumatology: Surgery & Research. On MRI, the ligament is thickened and ill-defined with a "celery stalk" appearance. Before https://doi.org/10.1007/s002560100336, Narvekar A, Gajjar S (2004) Mucoid degeneration of the anterior cruciate ligament. International Journal of Orthopaedics. 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. Post-debridement arthroscopic view showing yellowish lesion of the anterior cruciate ligament which was debrided. Coronal T2 weighted fat suppressed fast spin echo image showed complex anterior cruciate ligament ganglion cyst arising from superior aspect of ligament. the degree of laxity, and the patient's age and willingness to pursue vigorous postoperative physical therapy are other major determinants. Management of mucoid degeneration of the anterior cruciate ligament: a systematic . Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. 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. sharing sensitive information, make sure youre on a federal They respond well to a judicious arthroscopic release of the ACL with notchplasty. Physical Therapy. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Orthop Traumatol Surg Res. All patients (100%, n=11) reported a good to very good surgery satisfaction. Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of knee pain. Twelve partial and 17 total resections were performed. Morice et al. Increased posterior slope and coronal inclination of the tibial joint Treatment options include non-operative management, arthroscopic debridement with a biceps tenotomy or tenodesis, complete or partial repair, patch augmentation, superior capsular reconstruction, muscle/tendon transfer and reverse total shoulder arthroplasty. There is strong association between MDACL and chondral and meniscal lesions, which may support the theory that MDACL is a degenerative process. This is a characteristic appearance of ACL mucoid degeneration where the ACL is expanded and hyperintense but is still continuous with normal alignment. What is acl mucoid degeneration? | HealthTap Online Doctor 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 . 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]. Arthroscopic findings. Mucoid degeneration of both ACL and PCL. Knee Surg Sports Traumatol Arthrosc. In most cases Physiopedia articles are a secondary source and so should not be used as references. There was no mention in the other three studies [13, 15, 18] of whether other procedures were performed simultaneously. Coronal proton density-weighted magnetic resonance imaging shows a thickening of the anterior cruciate ligament. 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. Provided by the Springer Nature SharedIt content-sharing initiative. Truncation means that the . Slim K, Nini E, Forestier D, Kwiatkowski F, Panis Y, Chipponi J (2003) Methodological index for non-randomized studies (MINORS): development and validation of a new instrument. Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study. Disclaimer. Does mucoid degeneration of ACL require surgery? - TimesMojo Knee Surg & Relat Res 33, 26 (2021). Mucoid degeneration of ACL. What you feel (symptoms) You feel heaviness in knee joint. Arthroscopic debridement may help relieve the anterior knee pain. 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. How is mucoid degeneration treated? - Sdnimik.bluejeanblues.net 2011 Mar;25(3):262-5. The success of treatment for MDACL and the subsequent risk of instability is not known. An official website of the United States government. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. The anterior cruciate ligament (ACL) is an important ligament in the knee. Glossary of terms for musculoskeletal radiology. The prevalence of mucoid degeneration of the ACL has been reported to be 0.43% [ 5 ]. Treatment modalities for ACL ganglion cyst include arthroscopic excision or puncture, CT scan, and ultrasound-guided aspiration [25-26].

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