All rights reserved. The retrospective study by Kim et al. Please enable it to take advantage of the complete set of features! Methods: The minimum follow-up was 3 years. Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. The ACL appears on MRI to be enlarged with cystic changes throughout, however it is intact. 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. Four studies reported only postoperative scores, which were comparable to those in other studies. 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. Each study was scored 02 on each question, with a global ideal score of 16. https://doi.org/10.1046/j.1445-2197.2003.02748.x, Ekhtiari S, Horner NS, Bedi A, Ayeni OR, Khan M. The learning curve for the Latarjet procedure: a systematic review. Would you like email updates of new search results? Arthroscopy 24(6):642649. volume33, Articlenumber:26 (2021) Twenty knees (69%) had associated cartilaginous lesions and 19 (66%) had meniscal lesions. The patient presented with extension block of the knee. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. A long duration of non-specific knee pain in a patient should be evaluated with MRI. PROSPERO. Association between magnetic resonance imaging characteristics and pathological findings in entire posterior cruciate ligament with mucoid degeneration. https://doi.org/10.1016/j.jclinepi.2009.06.005. Anterior Cruciate Ligament, is an important structure of the knee joint. https://doi.org/10.1007/s002560100336, Narvekar A, Gajjar S (2004) Mucoid degeneration of the anterior cruciate ligament. 2011 Jun;25(6):650-2. . Nowadays, orthobiologics such as platelet-rich plasma (PRP) are increasingly used in ligament surgeries to improve healing. KoreaMed Synapse Level of Evidence: Level IV. Pandey, Vivek et al. Bookshelf Mucoid degeneration of anterior cruciate ligament (ACL) If arthroscopy is performed, the ligament may appear entirely normal, especially using the standard anterior portal approach. (48.2% (14/29 patients) with symptomatic instability), which may be due to the large number of patients with total resection of the ACL (58.6% (17 out of 29 patients)) (Table 4). FOIA PMC Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. what causes mucoid degeneration of acl. This site needs JavaScript to work properly. Epub 2013 Aug 27. Careers. -, Hensen JJ, Coerkamp EG, Bloem JL, De Schepper AM. Before Arthroscopic resection of ACL mucoid degeneration is effective for treating pain and flexion limitation, but at the expense of anterior laxity. Partial/Total ACL resection arthroscopically- There is marked improvement in the range and reduced posterior pain, but at the cost of increased post-operative knee laxity. {"url":"/signup-modal-props.json?lang=us"}, Gaillard F, Roberts D, Saber M, et al. It may lead to knee pain. Mucoid degeneration of ACL - Osteoporosis - inspire.com Arthroscopic debridement of the ACL results in satisfactory pain relief and improvement in knee outcome scores. 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. Items are scored as 0 (not reported), 1 (reported but inadequate) or 2 (reported and adequate). Arthroscopic treatment of mucoid degeneration of the anterior cruciate Finally, partial meniscectomy was commonly performed simultaneously with ACL debridement in all studies, which arguably could be the reason for the postoperative improvement. 1. 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. ACL MUCOID DEGENERATION RADIOLOGY MRI - Radedasia Young and active patients should be warned about the risk of requiring secondary ligamentoplasty. Accessed 1 Mar 2021. 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. 2. 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 total number of patients with symptomatic instability was 18 out of 288 (6%). The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). ACL mucoid degeneration is an uncommon pathological condition; the pathogenesis, prevalence, and . Noninfiltrating synovial cysts of the ACL were excluded. 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). It is characterized by infiltration of mucoid like substance (glycosaminoglycans) interspersed within the substance of ACL causing knee pain and limited motion. Arthroscopy. Role of ultrasound-guided decompression in management of mucoid degeneration of the anterior cruciate ligament. Background: Study record managers: refer to the Data Element Definitions if submitting registration or results information.. Search for terms Eight studies reported postoperative instability. This study concerns complete ACL resection as a treatment of mucoid degenerated ACL. Mucoid degeneration of A C L is more common and literature has also reported many cases, but for PCL only few cases have been reported in English literature. MUCOID DEGENERATION OF ACL - ARTHROSCOPIC TREATMENT 2,375 views Sep 15, 2019 23 Dislike Dr. Prateek Joshi- Ortho 1.02K subscribers Notice Age-restricted video (based on Community Guidelines). 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. Learn.Physio on LinkedIn: Quadriceps and hamstring weakness are common Mucoid Degeneration of the Anterior Cruciate Ligament - ResearchGate 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. Ahuja A, Parekh C, Salomon A, Lawande M, Daftary A. Skeletal Radiol. A positive Lachman test and a negative pivot shift were noted after surgery in all cases. Average patient age was 49 (22 to 68) years. Bethesda, MD 20894, Web Policies 1173185. Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. Association between magnetic resonance imaging characteristics and pathological findings in entire posterior cruciate ligament with mucoid degeneration. The origin of MDACL may be degenerative or traumatic. Magnetic Resonance Imaging is the most useful tool for differentiating mucoid degeneration of the ACL from an intraligamentous ganglion or other lesions in the knee joint and if this disease is considered preoperatively, it can be diagnosed easily based on characteristic findings. Does Femoral Intercondylar Notch Volume Differ in Anterior Cruciate Ligament-Injured Adult Patients Compared to the Uninjured? eCollection 2021. Knee Surg Sports Traumatol Arthrosc. 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. Pain was posterior in 23 knees (80%). TS designed the project, literature search and wrote the manuscript. Outcome of Arthroscopic Treatment of Mucoid Degeneration of the Anterior Cruciate Ligament. Arthroscopy. Symptoms included limited range of motion (ROM) and posterior knee pain. -, 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. Due to the heterogeneity of data, a meta-analysis was not possible, and a narrative review was deemed most appropriate. Fig. -, Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK. The reported restriction of range of movement was flexion deficit in four studies [3, 13, 15, 17], extension deficit in one study [14] and combined flexion and extension deficit in four studies [6, 16, 18, 19] (Table4). Clin Orthop Surg. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). in this condition your acl (anterior cruciate ligament) filled with jelly like material and it thickened so space in intercondylar resion of knee joint is reduced. Loganathan D, Soma Sundar S, Sundar S, Sahanand S, Rajan DV. Mucoid degeneration is characterized by an increase in the mucoid ground substance in the connective tissue containing glycoprotein and mucoprotein [ 4 ]. Skelet Radiol 30(6):312315. Orthop Traumatol Surg Res 96(4):400406, Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR (2004) Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. Cite this article. 2009 Jul;17(7):737-40. doi: 10.1007/s00167-008-0690-z. Introduction to Arthroscopic Debridement 1. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. Le signe de la branche de cleri - ResearchGate 8600 Rockville Pike Mucoid Degeneration of Posterior Cruciate Ligament with Secondary reported on the co-existence of mucoid degeneration and ganglia of the ACL. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. 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 . Sweed, T., Mussa, M., El-Bakoury, A. et al. Arthroscopic examination analyzed the ACL aspect and its associated lesions (meniscus, cartilage). FOIA (A) Bulging of, Fig. Correspondence to . Does mucoid degeneration of ACL require surgery? - TimesMojo bling. Mucoid degeneration of ACL. Keywords used for the Search were mucoid degeneration, anterior cruciate ligament and ACL. Besides, the patient may also have trouble in moving. J Clin Epidemiol 62(10):10061012. 2011 Mar;25(3):262-5. Eight studies showed postoperative improvement in range of motion, whereas Khanna et al. All nine studies were case series; six were retrospective and three were prospective studies. Mucoid degeneration of the anterior cruciate ligament - PubMed Tissue biopsy was performed in 85% of patients (58 of 68) in the study of Cha et al. 2006 Sep;69(9):449-52. doi: 10.1016/S1726-4901(09)70290-4. This appearance can mimic acute or chronic interstitial partial tears of the ligament. Knee Surgery, Sports Traumatology, Arthroscopy. Disclaimer. MDACL is diagnosed by MRI, showing a celery stalk sign, and is confirmed by tissue biopsy and histological examination [7]. reported the largest percentage of patients (27.5%) with a positive pivot test. Before Degeneration in ACL Injured Knees with and without - PLOS Several critical distinctions allow a confident diagnosis of an ACL ganglion cyst. 2022 Apr 11;31:67-71. doi: 10.1016/j.jor.2022.04.004. Disclaimer. Accessibility MDACL is not uncommon, however, it is rarely symptomatic [4, 5]. It is lined by the synovial fluid, which provides the nutrition and plays an integral part in healing. Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study. Arch Orthop Trauma Surg. 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. It can cause pain and to a meniscal tear. 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. 2022 Apr 11;31:67-71. doi: 10.1016/j.jor.2022.04.004. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Characteristic: "celery stalk" appearance. Clipboard, Search History, and several other advanced features are temporarily unavailable. Knee Surg Sports Traumatol Arthrosc. Anterior Cruciate Ligament (ACL) Mucoid Degeneration Anatomy Anterior Cruciate Ligament, is an important structure of the knee joint. (10%) and highest in the study of Ventura et al. 1999;81(2):304305. PubMed Central Anterior cruciate ligament mucoid degeneration: MR findings Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. 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. Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. MRI is better at detecting mucoid degeneration than arthroscopy, as the surface of the ligament is often intact. Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Knee Surg Relat Res. Secondary signs include bone bruising, meniscal tears, anterior subluxation of the tibia and other ligamentous injuries. -, Hsu CJ, Wang SC, Fong YC, Huang CY, Chiang IP, Hsu HC. Symptomatic instability was highest in the study of Lintz et al. Careers. Mucoid Degeneration of the Anterior Cruciate Ligament: A Case Report government site. Only three studies mentioned failed conservative treatment as an inclusion criterion [14, 15, 18]. Am J Roentgenol 182(5):12831287. Third, clinical outcomes were reported using a variety of scores, so a data meta-analysis was not possible. Only nine studies met our inclusion criteria and they were all case series. Correlations between degree of knee instability and SIR were assessed for each bundle, each time point, and each sequence. Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. reported total resection of the ACL in 68% of patients: one young patient had disabling instability and subsequent ACL reconstruction. Keywords: mucoid degeneration, anterior cruciate ligament, acl reconstruction, arthroscopy, knee Preoperative and postoperative KOOS questionnaires were compared and showed improvement in all categories. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. Introduction: The .gov means its official. What does mucoid degeneration of posterior horn of medial - HealthTap 2 ). Provided by the Springer Nature SharedIt content-sharing initiative. Hamal B, Karmacharya M, Mangal Joshi K, Gorkhali R. J Nepal Health Res Counc. Mucoid degeneration of the anterior cruciate ligament National Library of Medicine