2. Background: 8600 Rockville Pike 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. All rights reserved. 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. . 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). 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. 2018;4(4):875-80. Morice et al. Four studies reported only postoperative scores, which were comparable to those in other studies. This study concerns complete ACL resection as a treatment of mucoid degenerated ACL. PMC Young and active patients should be warned about the risk of requiring secondary ligamentoplasty. Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. 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 (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 ). Epub 2018 Jun 13. Its prevalence in magnetic resonance imaging (MRI) is 1.8 to 5.3%, but not all lesions are symptomatic. 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. Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first characterized by Kumar et al. Epub 2008 Apr 18. 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 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. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study. (Table 3). NCI CPTC Antibody Characterization Program. Indian J Orthop 48(2):197202. Therefore, Anterior Cruciate Ligament tear is more susceptible during any injury to the knee. IV (retrospective cohort study). and transmitted securely. Possible etiologies include: It is postulated that mucoid degeneration may be a predisposing factor in the formation of ACL ganglion cysts. 2013 Jun 20;15:59. doi: 10.11604/pamj.2013.15.59.2534. official website and that any information you provide is encrypted Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. Careers. Accessibility Keywords: 2007;15 (1): 73-86. JBR-BTR. Its interstitial nature within the ACL structure contrasts with synovial cyst of the ACL. 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. GG and AM interpreted the results and reviewed the manuscript. Mucoid degeneration (MD) is a rare pathological affection of the anterior cruciate ligament (ACL). Introduction: The origin of MDACL may be degenerative or traumatic. Terms and Conditions, 2022 Mar;50(3):3000605221084865. doi: 10.1177/03000605221084865. 2011;19(3):408411. Clipboard, Search History, and several other advanced features are temporarily unavailable. 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 . Eight patients (72.7%, n=8) reported an improvement of knee instability, while three patients (27.3%, n=3) experienced an unchanged knee stability. Patients will . It is commonly identified on MRI in association with other pathological findings and can be confused with partial ACL tears. There was a high rate of association between degenerative lesions and MDACL, ranging from 39 to 96%. The site is secure. -. Physiotherapy. 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. Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. On clinical examination, the active range of motion showed a flexion deficit. 2008 Jun;24(6):642-9. doi: 10.1016/j.arthro.2008.02.004. Knee Surg Sports Traumatol Arthrosc 21(3):658663. eCollection 2022 May-Jun. Careers. 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. Mucoid degeneration of acl (anterior cruciate ligament) is not a common problem and mostly it is found in female patients. and transmitted securely. https://doi.org/10.2214/ajr.182.5.1821283, Article Knee Surg Sports Traumatol Arthrosc. Resnick D, Kransdorf MJ. 2008;24(6):642649. Preoperative and postoperative KOOS questionnaires were compared and showed improvement in all categories. PubMed Central The rate of simultaneous meniscectomy ranged from 13 to 44%. Bergin et al. To our knowledge, this is the first systematic review to look into the results of the management of MDACL. I have persistent pain in the back of that knee that is exacerbated by walking and bending it. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Knee Surg Relat Res. They respond well to a judicious arthroscopic release of the ACL with notchplasty. Average patient age was 49 (22 to 68) years. Functional Outcome of Arthroscopic Debridement of Mucoid Degeneration of the Anterior Cruciate Ligament. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Mucoid degenerated anterior cruciate ligament (ACL) managed by arthroscopic ACL reconstruction: A case series. did not report on this. On MRI, the ligament is thickened and ill-defined with a "celery stalk" appearance. Questions just answered: mucoid degeneration of acl physiotherapy. Reeducation. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 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. 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. Seven of the nine studies reported using the Lachman test to check postoperative ACL laxity. Mucoid degeneration,: like degenerative arthritis of a joint, generally occurs as a results of aging. Federal government websites often end in .gov or .mil. 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. Online ahead of print. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. The author(s) read and approved the final manuscript. 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. 2001;30(6):312315. 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. An official website of the United States government. This ligament consists of two fibers, mainly, the anterio-medial and postero-lateral fibers, respectively. The anterior cruciate ligament (ACL) is an important ligament in the knee. 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. Preoperative magnetic resonance imaging (MRI), Fig. A total of nine studies were eligible for review. ACL (anterior cruciate ligament) mucoid degeneration means the lesion of the ACL. Twelve partial and 17 total resections were performed. 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. Any discrepancy was resolved by the senior author. 2. 2009 Jul;17(7):737-40. doi: 10.1007/s00167-008-0690-z. Clin Orthop Surg. All nine studies were case series; six were retrospective and three were prospective studies. Anterior knee pain is the more common complaint. Unauthorized use of these marks is strictly prohibited. Accessibility Physical therapy typically begins 7-10 days after the procedure. National Library of Medicine The need for delayed ACL reconstruction should be discussed preoperatively, especially if complete resection of the ACL is to be performed. On physical exam, the Lachman test for ACL instability is negative with an ACL ganglion. Would you like email updates of new search results? Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. Noninfiltrating synovial cysts of the ACL were excluded. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). First, our literature search revealed a heterogeneous group of studies dominated by case reports and case series, with no randomised controlled trials. government site. Management of mucoid degeneration of the anterior cruciate ligament: a systematic . Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. PMC Knee Surgery, Sports Traumatology, Arthroscopy. A systematic literature search in the databases MEDLINE, Embase, Google Scholar, Cochrane, ISI web of science and Scopus was performed through July 2020 by three independent reviewers. Epub 2021 Nov 24. It is characterized by infiltration of mucoid like substance (glycosaminoglycans) interspersed within the substance of ACL causing knee pain and limited motion. 2013;15(1). Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. An official website of the United States government. In this review, the mean age of patients ranged from 31 to 78years; mean age was highest in the study of Kim et al. The review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines and registered in the PROSPERO database (CRD42018087782). AJR Am J Roentgenol. There is strong association between MDACL and chondral and meniscal lesions, which may support the theory that MDACL is a degenerative process. 2004;182(5):12831287. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. The main MRI finding of ACL mucoid degeneration is a celery stalk appearance [26, 27]. Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. Twenty knees (69%) had associated cartilaginous lesions and 19 (66%) had meniscal lesions. Epub 2013 Aug 27. https://doi.org/10.1302/0301-620X.81B2.0810304, Article Federal government websites often end in .gov or .mil. Bergin D, Morrison WB, Carrino JA et-al. ACL mucoid degeneration is an uncommon pathological condition; the pathogenesis, prevalence, and . and transmitted securely. In that case, mucoid degeneration can be extruded from the ligament and will be removed in the saline flow. in 1999 [ 1 ]. What causes mucoid degeneration of ACL? Symptoms included limited range of motion (ROM) and posterior knee pain. Preoperative assessment included a questionnaire, clinical examination (Lachman and pivot shift tests), MRI and standard radiography. The mean age of patients ranged from 31 to 78years. For treatment of this, partial removing of bulky ACL is generally done, which causes weakness of the ACL. Patients and methods: