No treatment is usually required. : A Meta-Analysis. Association between magnetic resonance imaging characteristics and pathological findings in entire posterior cruciate ligament with mucoid degeneration. Besides, the patient may also have trouble in moving. MRI is better at detecting mucoid degeneration than arthroscopy, as the surface of the ligament is often intact. Only three studies mentioned failed conservative treatment as an inclusion criterion [14, 15, 18]. Unauthorized use of these marks is strictly prohibited. A positive Lachman test and a negative pivot shift were noted after surgery in all cases. Sweed, T., Mussa, M., El-Bakoury, A. et al. However, young patients should be forewarned about the risk of instability, and an anterior cruciate ligament reconstruction could be necessary. Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. However, in the case of mucoid degeneration secondary signs of an ACL injury are usually absent. There was strong association between MDACL and chondral lesions (82%) and between MDACL and meniscal tears (69%). [3] and in 1% of patients (3 of 106 knees) in the study of Kim et al. Posterior pain disappeared in 27 cases (93%), on average 3.7 weeks after the procedure. and transmitted securely. The lesion may manifest as an elongated cyst along the long axis of the ACL, or as an enlarged ACL. An official website of the United States government. Postoperative clinical laxity was common, however, symptomatic instability was not. Resnick D, Kransdorf MJ. The total number of patients with symptomatic instability was 18 out of 288 (6%). Anterior cruciate ligament mucoid degeneration. 2021 Oct 21;2021:5879121. doi: 10.1155/2021/5879121. Epub 2018 Aug 22. 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. Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. Online ahead of print. Postoperative follow-up included standard radiography and dynamic examination, measuring laxity with a Telos device. The https:// ensures that you are connecting to the ACL mucoid degeneration is an uncommon pathological condition; the pathogenesis, prevalence, and . #radiologycpd #medicalimaging #imaging #radcme #rheumatology #arthritis #rheumatologist #orthopaedic #painphysician #physiotherapy #sportsmed #orthopaedic #mskmri. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). ACL ganglion cyst at arthroscopy may appear as a cystic mass with . Therefore, Anterior Cruciate Ligament tear is more susceptible during any injury to the knee. -Provided skilled hands on in post-op rehabilitation to various population including Head and neck cancers, Lymph edema management, Bone cancers. Symptomatic instability was highest in the study of Lintz et al. 2. An 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. There is no consensus on treatment and evidence is scarce. Postoperative pain relief ranged from 53.8 to 95%. 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). Online ahead of print. Partial resection of the anterior cruciate ligament was done in seven cases and a complete resection in 18 cases. Signal intensity of the anteromedial bundle (AMB) or posterolateral bundle (PLB) graft standardized to the intensity of the PCL was defined as signal intensity ratio (SIR). (100%). Several authors have identified this condition, described their experiences, and suggested their own guidelines for management. Mucoid degeneration of the ACL is a rare cause of knee pain.1-8) This lesion of the ACL was first reported by Kumar et al.3) in 1999. Orthop Traumatol Surg Res. 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. Bookshelf Manage cookies/Do not sell my data we use in the preference centre. Items are scored as 0 (not reported), 1 (reported but inadequate) or 2 (reported and adequate). Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. Method. 2 ). A September 2018 MRI of the left knee showed anterior cruciate ligament and mucoid degeneration with intra cruciate ganglion . Arthroscopic management of mucoid degeneration of anterior cruciate ligament. GG and AM interpreted the results and reviewed the manuscript. Chudasama et al. https://doi.org/10.1016/j.jclinepi.2009.06.005. 2. IV (retrospective cohort study). -. in 1999 [ 1 ]. reported on the co-existence of mucoid degeneration and ganglia of the ACL. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. J Chin Med Assoc. (B) Partial resection, MeSH Introduction: These appearances must be differentiated from mucoid degeneration of the intact ACL. We report a case of mucoid degeneration of the anterior cruciate ligament (ACL). National Library of Medicine International Journal of Orthopaedics. None of the studies was a randomised controlled trial and none had a control group. This study concerns complete ACL resec 2022 Oct 23;34(1):40. doi: 10.1186/s43019-022-00169-9. Mucoid degeneration of acl (anterior cruciate ligament) is not a common problem and mostly it is found in female patients. . Mucoid degeneration of ACL. official website and that any information you provide is encrypted and transmitted securely. 2018;4(4):875-80. [17] do not mention whether any patients underwent biopsy (Table 3). reported the largest percentage of patients (27.5%) with a positive pivot test. Rehabilitation, speech therapy, crenotherapy. Bethesda, MD 20894, Web Policies 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. It can cause pain and to a meniscal tear. Indian J Orthop. The aetiology of MDACL is not fully understood, hence, there are multiple theories on this. -, McIntyre J, Moelleken S, Tirman P. Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears. They respond well to a judicious arthroscopic release of the ACL with notchplasty. This infiltrating lesion is included in the mucoid pathology of the intercondylar fossa. Skeletal Radiol. 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). Anterior cruciate ligament ganglia and mucoid degeneration: Coexistence and clinical correlation. government site. This site needs JavaScript to work properly. Unable to load your collection due to an error, Unable to load your delegates due to an error. The origin of MDACL may be degenerative or traumatic. Postoperative ACL laxity is common after arthroscopic ACL debridement, however, symptomatic instability is not. Not really known: Mucoid degeneration of the ACL is seen most commonly in adults (35-55 years of age). Nowadays, orthobiologics such as platelet-rich plasma (PRP) are increasingly used in ligament surgeries to improve healing. Four studies reported only postoperative scores, which were comparable to those in other studies. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2009 checklist [9]. The authors declare that they have no competing interests. FOIA This did not appear to affect the postoperative rate of clinically detectable laxity, which was comparable to that in other studies. Sagittal T2-weighted MRI view showing intact anterior, Fig. Questions just answered: mucoid degeneration of acl physiotherapy. This makes it difficult to relate the improvement of symptoms to ACL debridement. ACL debridement was partial in all studies except for those by Lintz et al. https://doi.org/10.1016/j.arthro.2008.02.004, Morice A, Coupry A, Lintz F, Robert H (2013) Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. FOIA Epub 2010 May 8. Careers. The appearance can mimic acute or chronic interstitial partial tears of the ACL. Twelve partial and 17 total resections were performed. Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of anterior knee pain (AKP). Unable to load your collection due to an error, Unable to load your delegates due to an error. With cruciate ligament ganglia, intact ACL fibers can often be visualized coursing through or around the cyst. Role of ultrasound-guided decompression in management of mucoid degeneration of the anterior cruciate ligament. Secondary signs include bone bruising, meniscal tears, anterior subluxation of the tibia and other ligamentous injuries. Unable to load your collection due to an error, Unable to load your delegates due to an error. Every time when patient flexes the knee, thickened ACL impinges over posterior cruciate ligament (PCL) in the knee, causing knee pain and limited motion. Knee Surgery & Related Research Mucoid degeneration,: like degenerative arthritis of a joint, generally occurs as a results of aging. -, Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. The ligament is mainly responsible for restraining anterior translation of knee. 42 Mucoid degeneration of the anterior cruciate ligament with erosion of the lateral femoral condyle P. Melloni, R. Valls, M. Yuguero, A. Saez Medicine Unauthorized use of these marks is strictly prohibited. (Table 3). Bookshelf Unauthorized use of these marks is strictly prohibited. Conclusions. Both anterior cruciate ligament ganglion cysts and mucoid degeneration have a high association with intraosseous cysts [3] (figures 1 and 2). Its interstitial nature within the ACL structure contrasts with synovial cyst of the ACL. Bookshelf Reeducation. Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study. 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. Coronal proton density-weighted magnetic resonance imaging shows a thickening of the anterior cruciate ligament. (A) Bulging of, Fig. A total of 313 knees in 292 patients were included in the nine studies. 8600 Rockville Pike Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. 2012;4 (2): 167-70. Introduction Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known pathology. . Please enable it to take advantage of the complete set of features! Several critical distinctions allow a confident diagnosis of an ACL ganglion cyst. 2001;30(6):312315. Generally, we know little about this condition. Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of knee pain. 1992;159(2):35760. Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. Before https://doi.org/10.1016/j.arthro.2003.11.030, Moher D, Liberati A, Tetzlaff J, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. sharing sensitive information, make sure youre on a federal Ever since mucoid degeneration of the anterior cruciate ligament (MD-ACL) was named by Kumar et al. 1999;81(2):304305. and Ventura et al. Unable to process the form. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. government site. In six of the nine studies [6, 14, 16,17,18], arthroscopic debridement of the ACL was associated with simultaneous partial meniscectomy; this ranged from 13% in the study of Morice et al. National Library of Medicine The clinical presentation is one of posterior pain with limited flexion. The prevalence of mucoid degeneration of the ACL has been reported to be 0.43% [ 5 ]. Two patients uderwent secondary ligamentoplasty. The extracted data were assessed for meta-analysis. Complete resection of the ACL without ACL reconstruction is a reliable treatment for symptomatic cases of mucoid degenerated ACL. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. bling. The https:// ensures that you are connecting to the Open Grey database was searched for grey literature using the same keywords. Glossary of terms for musculoskeletal radiology. MDACL is not uncommon, however, it is rarely symptomatic [4, 5]. eCollection 2022 May-Jun. 2011. All nine studies were case series; six were retrospective and three were prospective studies. 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. https://doi.org/10.4055/cios.2018.10.3.307, University Hospitals of Derby and Burton, Uttoxeter Rd, Derby, DE22 3NE, UK, Trauma and Orthopaedic Speciality Trainee, West Midlands Deanery, Birmingham Rotation, Birmingham, UK, University Hospitals Plymouth NHS Trust, Plymouth, UK, University of Alexandria, Alexandria, Egypt, University Hospital Coventry and Warwickshire, Clifford Bridge Road, Walsgrave, Coventry, CV2 2DX, UK, You can also search for this author in Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). In that case, mucoid degeneration can be extruded from the ligament and will be removed in the saline flow. The ACL appears on MRI to be enlarged with cystic changes throughout, however it is intact. official website and that any information you provide is encrypted 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 . PubMed Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Knee Surg Relat Res. Ligaments are very tough, fibrous tissue structures. Anatomopathology samples were collected in 18 cases. 2023 BioMed Central Ltd unless otherwise stated. Before official website and that any information you provide is encrypted Keywords: See this image and copyright information in PMC. The clinical presentation is one of posterior pain with limited flexion. 2011;19(3):408411. -, 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. Google Scholar, Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P (2010) Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. 2008 Jun;24(6):642-9. doi: 10.1016/j.arthro.2008.02.004. Level of Evidence: Level IV. Disclaimer. -. 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). (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). Pre-debridement arthroscopic view showing yellowish content in the anterior cruciate ligament. Check for errors and try again. Only nine studies met our inclusion criteria and they were all case series. In the nine included studies, four different scores were used for outcome assessment. Google Scholar, Chudasama CH, Chudasama VC, Prabhakar MM (2012) Arthroscopic management of mucoid degeneration of anterior cruciate ligament. "Traumatic theory - post injury, ACL fibroblasts secrete glycosaminoglycans, the mucin substance within the ACL. https://doi.org/10.1186/s43019-021-00110-6, DOI: https://doi.org/10.1186/s43019-021-00110-6. Individuals with mucoid degeneration of the ACL were excluded. https://doi.org/10.4103/0019-5413.128765, Article This site needs JavaScript to work properly. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. Introduction: Arch Orthop Trauma Surg. Treatment of ACL mucoid degeneration by arthroscopic resection is effective for posterior pain and flexion limitation. If arthroscopy is performed, the ligament may appear entirely normal, especially using the standard anterior portal approach. In this review, the mean age of patients ranged from 31 to 78years; mean age was highest in the study of Kim et al. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. 6. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. Arthroscopy. (61years), which was the largest study and represented more than one third of the total patients included in this review. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. At last follow-up, the mean visual analogue scale score, International Knee Documentation Committee score, and Tegner Lysholm Knee score improved (p < 0.01). Google Scholar, Cha JR, Lee CC, Cho SD, Youm YS, Jung KH (2013) Symptomatic mucoid degeneration of the anterior cruciate ligament. Recent studies have reported that the prevalence of ACL mucoid degeneration is approximately 2-14% [20, 23, 24, 25]. It results in postoperative laxity, but rarely in frank instability. Palmer W, Bancroft L, Bonar F, Choi JA, Cotten A, Griffith JF, Robinson P, Pfirrmann CW. A posterior approach will allow for the detection of changes by probing the ligament and mucoid material can be expressed. 2022 Mar;50(3):3000605221084865. doi: 10.1177/03000605221084865. Mucoid degeneration of the anterior cruciate ligament (ACL) is a very rare cause of knee pain. Effects of pre-operative knee laxity on clinical outcomes after partial anterior cruciate ligament reconstruction. 2011. Mucoid degeneration is characterized by an increase in the mucoid ground substance in the connective tissue containing glycoprotein and mucoprotein [ 4 ]. CONFLICT OF INTEREST: No potential conflict of interest relevant to this article was reported. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. 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. reported total resection of the ACL in 68% of patients: one young patient had disabling instability and subsequent ACL reconstruction. [6], in 62% of patients (18 of 29) in the study of Lintz et al. Individuals were included in the study if they had had complete MRIs of the affected knee at baseline and at 4-year follow-up, had thigh MRIs at baseline and had no additional surgery in the meantime. We report a case of a patient with mucoid degeneration of the ACL, presenting with posterior knee pain and no history of a major knee trauma. Does Femoral Intercondylar Notch Volume Differ in Anterior Cruciate Ligament-Injured Adult Patients Compared to the Uninjured? 1173185. Privacy The .gov means its official. 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. 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. Mucinous material within the substance of ACL produces pain and limited motion in the knee. PMC 2022 Jun 2;20(1):225-228. doi: 10.33314/jnhrc.v20i01.4182. However, symptomatic instability was not common. This is basically an MRI diagnosis of expansion and increased signal of an intact ACL in a person with knee pain which is worse on knee flexion/bending. 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. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. statement and 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. Epub 2013 Aug 27. Instrumental treatment. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Histologically, there is a mucoid substance in connective tissue containing glycoproteins and mucoproteins [8]. -, Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK. Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. Physiotherapy. The success of treatment for MDACL and the subsequent risk of instability is not known. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. Epub 2021 Mar 8. 2007;245 (3): 916-7. The patient presented with extension block of the knee. Pain was posterior in 23 knees (80%). At the time the article was created Frank Gaillard had no recorded disclosures. Average patient age was 49 (22 to 68) years. This study hypothesized that arthroscopic debridement of MDACL would provide patients with improvement in pain, range of movement and functional outcome scores. Mucoid degeneration of the anterior cruciate ligament is a rare pathological entity. The site is secure. Preoperative assessment included a questionnaire, clinical examination (Lachman and pivot shift tests), MRI and standard radiography. Association between magnetic resonance imaging characteristics and pathological findings in entire posterior cruciate ligament with mucoid degeneration. . Therefore, indications for ACL resection must be carefully selected. mucoid degeneration of acl mri. proposed a different intervention called reduction plasty, whereby the hypertrophic ACL is reduced to normal size without excision of all mucoid substance [17]. Ahuja A, Parekh C, Salomon A, Lawande M, Daftary A. Skeletal Radiol. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Orthop Traumatol Surg Res. 2009. 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. https://doi.org/10.1007/s002560100336, Narvekar A, Gajjar S (2004) Mucoid degeneration of the anterior cruciate ligament. Download Citation | On Feb 1, 2023, O.R. Seventeen females (67%) and eight males (33%) were included in the final analysis. All rights reserved. By using this website, you agree to our Springer Nature. Mucoid cystic degeneration of the cruciate ligament. Mucoid degeneration of the anterior cruciate ligament (ACL) of the knee can cause knee pain and other symptoms. The pathogenesis remains controversial. This is a characteristic appearance of ACL mucoid degeneration where the ACL is expanded and hyperintense but is still continuous with normal alignment. Tamer Sweed. Federal government websites often end in .gov or .mil. Morice et al. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. Sagittal proton density-weighted magnetic resonance image shows ill-defined anterior cruciate ligament with increased signal intensity and a celery stalk appearance of intact fibers. https://doi.org/10.2214/ajr.182.5.1821283, Article Read More Created for people with ongoing healthcare needs but benefits everyone. Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. The extracted data were heterogeneous in terms of outcome assessment. There was no mention in the other three studies [13, 15, 18] of whether other procedures were performed simultaneously. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Seven of the nine studies reported using the Lachman test to check postoperative ACL laxity. Arthroscopic examination analyzed the ACL aspect and its associated lesions (meniscus, cartilage). Physical Therapy. Mucoid degeneration (MD) is a rare pathological affection of the anterior cruciate ligament (ACL). Methods: The minimum follow-up was 3 years. HHS Vulnerability Disclosure, Help Discussion: The mean follow up ranged from 13 to 72months. 2010 Jun 1;96(4):400-6. Preoperative magnetic resonance imaging (MRI) scan. Score: 4.7/5 (45 votes) . AJR Am J Roentgenol. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. Ventura et al. HHS Vulnerability Disclosure, Help Quadriceps and hamstring weakness are common features of people with symptomatic degenerative meniscal tears Surgery may address the structural injury, but . Therefore, indications for ACL resection must be carefully selected. Preoperative and postoperative KOOS questionnaires were compared and showed improvement in all categories. Knee Surg Sports Traumatol Arthrosc. Ventura D, Nuez JH, Joshi-Jubert N, Castellet E, Minguell J. Clin Orthop Surg. Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. 2004;182(5):12837. However, the authors did not report whether there were any other patients with symptomatic instability. Risk factors Predisposing factors include the following 1: aging The knee is a complex synovial joint that can be affected by a range of pathologies: Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Arch Orthop Trauma Surg. government site. Background: Mucoid degeneration of the anterior cruciate ligament (ACL) is an uncommon non-traumatic cause of knee pain and motion restriction, typically seen in a middle-aged population. Accessibility Each study was scored 02 on each question, with a global ideal score of 16. Rajani AM, Shah UA, Mittal ARS, Gupta S, Garg R, Punamiya M. Knee Surg Relat Res. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). In most cases Physiopedia articles are a secondary source and so should not be used as references. Please enable it to take advantage of the complete set of features! They reported that a biopsy indicated mucoid degeneration and a relief of symptoms could be obtained through arthroscopic partial resection of the ligament. Would you like email updates of new search results? report that one patient had ACL reconstruction simultaneously after the ACL debridement. Hotchen AJ, Demetriou C, Edwards D, Melton JTK. . Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. 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. 1. This study concerns complete ACL resection as a treatment of mucoid degenerated ACL. 2013;15(1). Provided by the Springer Nature SharedIt content-sharing initiative. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. Possible etiologies include: It is postulated that mucoid degeneration may be a predisposing factor in the formation of ACL ganglion cysts. ACL mucoid degeneration is present on ~10% (range 9-12%) of 3 T MRI examinations and 2% of 1.5 T MRI examinations 6. 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. 2004;182 (5): 1283-7. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. 2008;24(6):642649. Mucoid change or mucoid degeneration refers to the irreversible tissue degeneration due to the accumulation of mucin within the fibers of tendons, ligaments, and fibrocartilage. Patient having mucoid degeneration of ACL seeks multiple orthopedic consultation and most of the time treating orthopedican miss its diagnosis either because of lack of experience or rare cause of pain unless doctor sought magnetic resonance imaging (MRI) of knee. Advanced MR imaging of the cruciate ligaments. Anterior Cruciate Ligament (ACL) Mucoid Degeneration Anatomy Anterior Cruciate Ligament, is an important structure of the knee joint.
