It results in postoperative laxity, but rarely in frank instability. 2011. 1). Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. 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 . report that one patient had ACL reconstruction simultaneously after the ACL debridement. MDACL is differentiated from synovial cysts of the anterior cruciate ligament (ACL) where, in MDACL, mucoid tissue intermingles within ACL fibres and is not contained within a cyst [3]. Quadriceps and hamstring weakness are common features of people with symptomatic degenerative meniscal tears Surgery may address the structural injury, but . Sweed, T., Mussa, M., El-Bakoury, A. et al. Arthroscopic management of mucoid degeneration of anterior cruciate ligament. -, McIntyre J, Moelleken S, Tirman P. Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears. Mucoid Degeneration of the Anterior Cruciate Ligament: Characterization of Natural History, Femoral Notch Width Index, and Patient Reported Outcome Measures. However, MDACL is asymptomatic in most patients. Mucoid degeneration is characterized by an increase in the mucoid ground substance in the connective tissue containing glycoprotein and mucoprotein [ 4 ]. Eight studies showed postoperative improvement in range of motion, whereas Khanna et al. Twenty knees (69%) had associated cartilaginous lesions and 19 (66%) had meniscal lesions. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. Terms and Conditions, Mucoid change | Radiology Reference Article | Radiopaedia.org Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. https://doi.org/10.1007/s00167-011-1433-0, Article PubMed Please enable it to take advantage of the complete set of features! ACL MUCOID DEGENERATION RADIOLOGY MRI - Radedasia Orthopaedics & Traumatology: Surgery & Research. Arthroscopic debridement may help relieve the anterior knee pain. 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 . However, the authors did not report whether there were any other patients with symptomatic instability. Post-debridement arthroscopic view showing yellowish lesion of the anterior cruciate ligament which was debrided. The appearance can mimic acute or chronic interstitial partial tears of the ACL. Methods: The minimum follow-up was 3 years. Mucoid degeneration of both ACL and PCL - PubMed Online ahead of print. Manage cookies/Do not sell my data we use in the preference centre. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Anterior cruciate ligament mucoid degeneration: Selecting the best Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study. Int J Curr Res Aca Rev 4(11):1824 http://www.ijcrar.com/abstractview.php?ID=228&vol=4-11-2016&SNo=3, Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI (2008) Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Anterior cruciate ligament; Arthroscopy; Knee; Mucoid degeneration. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. Hypothesis: Le signe de la branche de cleri - ResearchGate It is commonly identified on MRI in association with other pathological findings and can be confused with partial ACL tears. Orthop Traumatol Surg Res. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Mucoid degeneration of the anterior cruciate ligament - PubMed Glossary of terms for musculoskeletal radiology. FOIA The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Chudasama et al. sharing sensitive information, make sure youre on a federal Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. Mucoid Degeneration of the Anterior Cruciate Ligament - ResearchGate With cruciate ligament ganglia, intact ACL fibers can often be visualized coursing through or around the cyst. -, Makino A, Pascual-Garrido C, Rolon A, Isola M, Muscolo DL. National Center for Biotechnology Information sharing sensitive information, make sure youre on a federal PMC Mucoid degenerated anterior cruciate ligament (ACL) managed by arthroscopic ACL reconstruction: A case series. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. -Delivered Pre-rehab care for breast cancer and thoracic cancer cases. The prevalence of MDACL on magnetic resonance imaging (MRI) ranges from 1.8 to 5.3% [4, 5]. Pain was posterior in 23 knees (80%). Average improvement in flexion was 21.5 degrees (0 to 60 degrees). Keywords: 2013 Oct;99(6):693-7. doi: 10.1016/j.otsr.2013.04.010. Accessibility Disclaimer. Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. Twenty-eight knees (97%) showed soft and/or delayed stops on postoperative Lachman testing. This may support the theory that it is a degenerative process. Federal government websites often end in .gov or .mil. 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. Symptoms included limited range of motion (ROM) and posterior knee pain. They reported that a biopsy indicated mucoid degeneration and a relief of symptoms could be obtained through arthroscopic partial resection of the ligament. (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). 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 mean age at the time of surgery was 57 years (range, 31 to 78 years). There was no mention in the other three studies [13, 15, 18] of whether other procedures were performed simultaneously. Indian J Orthop. 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. Morice et al. Accessibility Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. Ligaments are very tough, fibrous tissue structures. Knee Surg Sports Traumatol Arthrosc. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. AJR Am J Roentgenol. Effects of pre-operative knee laxity on clinical outcomes after partial anterior cruciate ligament reconstruction. 2006 Sep;69(9):449-52. doi: 10.1016/S1726-4901(09)70290-4. J Arthrosc Joint Surg 3(1):2833. Epub 2011 Feb 18. 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. Level of evidence: Other theories include Degenerative theory- MD could occur due to ageing.[3]. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Orthop Traumatol Surg Res. Rehabilitation, speech therapy, crenotherapy. Mucoid degeneration of the anterior cruciate ligament is a rare pathological entity. International Journal of Orthopaedics. Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) flowchart illustrating the selections of trials included in the systematic review. FOIA As there was no control group in any of the studies and the natural history of MDACL is not known, the postoperative improvement may have been attributed to the placebo effect, simultaneous arthroscopic procedures or the postoperative rehabilitation, or may be due to the pain having resolved without treatment at all. Hotchen AJ, Demetriou C, Edwards D, Melton JTK. Arthroscopy. Google Scholar, Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P (2010) Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. https://doi.org/10.1186/s43019-021-00110-6, DOI: https://doi.org/10.1186/s43019-021-00110-6. Please enable it to take advantage of the complete set of features! The https:// ensures that you are connecting to the government site. The cause is not really known, but patients usually do not complain of instability. Does mucoid degeneration of ACL require surgery? - TimesMojo [3] and in 1% of patients (3 of 106 knees) in the study of Kim et al. Epub 2018 Jun 13. 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: A Case Report W B Saunders Co. (2005) ISBN:0721602703. MEDLINE, Embase, Google Scholar, Cochrane, ISI web of science and Scopus were comprehensively searched from the earliest year of indexing until 10 July 2020. ACL ganglion cyst at arthroscopy may appear as a cystic mass with . Bookshelf in 1999 [ 1 ]. It may lead to knee pain. 1. Risk factors Predisposing factors include the following 1: aging However, symptomatic instability was not common. After arthroscopic debridement of the lesion, the patient regained full range of motion of the knee and were pain-free at follow-up. Careers. mucoid degeneration of acl - Best Orthopedic doctor in Jaipur See this image and copyright information in PMC. Young and active patients should be warned about the risk of requiring secondary ligamentoplasty. https://doi.org/10.1007/s00167-012-1991-9, McIntyre J, Moelleken S, Tirman P (2001) Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears. This infiltrating lesion is included in the mucoid pathology of the intercondylar fossa. 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). KoreaMed Synapse 287 (3): 912-921. 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. eCollection 2022 May-Jun. Mucoid degeneration of the anterior cruciate ligament Federal government websites often end in .gov or .mil. By using this website, you agree to our The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). The total number of patients with symptomatic instability was 18 out of 288 (6%). Association between magnetic resonance imaging characteristics and pathological findings in entire posterior cruciate ligament with mucoid degeneration. Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. Background: Unable to load your collection due to an error, Unable to load your delegates due to an error. Accessibility CAS Ever since mucoid degeneration of the anterior cruciate ligament (MD-ACL) was named by Kumar et al. https://doi.org/10.4103/0019-5413.128765, Article 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. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. 2007;15 (1): 73-86. The need for simultaneous or delayed ACL reconstruction should be discussed with patients in case total resection of the ACL is to be performed, particularly in young active patients. Due to the heterogeneity of data, a meta-analysis was not possible, and a narrative review was deemed most appropriate. 2013 Jun 20;15:59. doi: 10.11604/pamj.2013.15.59.2534. Would you like email updates of new search results? Data extracted included mean age and gender of the patients, duration of follow up, associated chondral and meniscal lesions, interventions and outcomes. Mucoid degeneration of the anterior cruciate ligament [Diagnosis and treatment of anterior cruciate ligament cysts]. Rehabilitation, orthophony, crenotherapy. How to Treat ACL Mucoid Degeneration? - HTQ Clin Orthop Surg. Cho SD, Youm YS, Lee CC et-al. Anterior Cruciate Ligament (ACL) Mucoid Degeneration Anatomy Anterior Cruciate Ligament, is an important structure of the knee joint. Part of official website and that any information you provide is encrypted . official website and that any information you provide is encrypted Palmer W, Bancroft L, Bonar F, Choi JA, Cotten A, Griffith JF, Robinson P, Pfirrmann CW. 2004;182 (5): 1283-7. 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). 1173185. Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a 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).
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