The mean follow up ranged from 13 to 72months. : A Meta-Analysis. Am J Roentgenol 182(5):12831287. Ventura et al. 2022 Apr 11;31:67-71. doi: 10.1016/j.jor.2022.04.004. This is a rare pathological condition, in which, there is increased signal from within the ligament. Fourteen knees (48%) had limited flexion, on average 97 degrees. Postoperative ACL laxity is a common finding after ACL arthroscopic debridement, however, symptomatic instability is not. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). eCollection 2013. I get PT and acupuncture, have had several epidural injections, and am trying hard to avoid osteoporosis meds (was on bisphosphonates for many years many years ago) as well as spinal fusion. 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. and transmitted securely. Unlike meniscal tears and chondral defects, the mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of knee pain and there have been no case reports of mucoid degeneration of both the ACL and the posterior cruciate ligament (PCL). official website and that any information you provide is encrypted All nine studies included patients with symptomatic MDACL confirmed by MRI (Table3). Provided by the Springer Nature SharedIt content-sharing initiative. This did not appear to affect the postoperative rate of clinically detectable laxity, which was comparable to that in other studies. Epub 2011 Feb 18. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. Histological diagnosis was established by tissue biopsy in all patients in five studies, with a total of 87 knees. Study record managers: refer to the Data Element Definitions if submitting registration or results information.. Search for terms . This site needs JavaScript to work properly. Mucoid degeneration of the anterior cruciate ligament. Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of knee pain. 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. Arthroscopy 20(2):141146. Postoperative pain relief ranged from 53.8 to 95%. J Bone Joint Surg Ser B 81(2):304305. 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). -Delivered Pre-rehab care for breast cancer and thoracic cancer cases. Knee Surg Sports Traumatol Arthrosc. In these studies, the total number of patients with a postoperative positive Lachman test was 40% (77 of 194 patients). At the time the article was last revised Dai Roberts had no recorded disclosures. 2019 Jun;32(6):577-583. doi: 10.1055/s-0038-1660514. Mumbai, Maharashtra, India. ACL mucoid degeneration is an uncommon pathological condition; the pathogenesis, prevalence, and . The extracted data were heterogeneous in terms of outcome assessment. Bilateral Symptomatic Mucoid Degeneration of the Anterior Cruciate Ligament with Anterior Knee Pain but No Limited Knee Flexion. What is Anterior Cruciate Ligament Mucoid Degeneration? Correspondence to [6], in 62% of patients (18 of 29) in the study of Lintz et al. Furthermore, this raises the question as to whether the symptoms (pain and diminished range of movement) were solely due to MDACL and not secondary to other associated pathological conditions. The mean age of patients ranged from 31 to 78years. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). the degree of laxity, and the patient's age and willingness to pursue vigorous postoperative physical therapy are other major determinants. There is strong association between MDACL and chondral and meniscal lesions, which may support the theory that MDACL is a degenerative process. Therefore, indications for ACL resection must be carefully selected. The .gov means its official. After arthroscopic debridement of the lesion, the patient regained full range of motion of the knee and were pain-free at follow-up. The site is secure. The retrospective study by Kim et al. Case report: Only nine studies met our inclusion criteria and they were all case series. 2011. statement and PubMed Hamdaoui and others published Le signe de la branche de cleri | Find, read and cite all the research you need on ResearchGate ANZ J Surg 73(9):712716. 2022 Mar;50(3):3000605221084865. doi: 10.1177/03000605221084865. 2010 Jun;96(4):400-6. doi: 10.1016/j.otsr.2010.02.008. -osis is a suffix denoting a process, condition, or state, the histology of the Achilles tendon and in ACL injuries(24-26). Symptomatic ACL mucoid degeneration in middle-age athletes. J Orthop. . Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. Only three studies mentioned failed conservative treatment as an inclusion criterion [14, 15, 18]. -Provided skilled hands on in post-op rehabilitation to various population including Head and neck cancers, Lymph edema management, Bone cancers. bling. Due to the lack of specific symptoms and signs, its diagnosis is often delayed or even misdiagnosed in clinical practice [ [1] , [2] ]. Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first characterized by Kumar et al. in 1999 [1]. They respond well to a judicious arthroscopic release of the ACL with notchplasty. http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42018087782. Unable to load your collection due to an error, Unable to load your delegates due to an error. If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. Unable to load your collection due to an error, Unable to load your delegates due to an error. 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. The https:// ensures that you are connecting to the The mean MINORS score was 9.5 out of 16 (412). 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). Another theory is the synovial theory whereby a pouch of synovium herniates and is subsequently filled with synovium [2]. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Orthop Traumatol Surg Res. Introduction: PubMed Central to 44% in the study of Cha et al. 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. 1). Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first characterized by Kumar et al. Coronal T2 weighted fat suppressed fast spin echo image showed complex anterior cruciate ligament ganglion cyst arising from superior aspect of ligament. Disclaimer. Recent studies have reported that the prevalence of ACL mucoid degeneration is approximately 2-14% [20, 23, 24, 25]. All rights reserved. Ligaments are very tough, fibrous tissue structures. Effects of pre-operative knee laxity on clinical outcomes after partial anterior cruciate ligament reconstruction. Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Knee Surg Relat Res. Cho SD, Youm YS, Lee CC et-al. PubMedGoogle Scholar. Ligaments hold our bones together and allow us to bend, twist, pivot and rapidly accelerate and decelerate and yet maintain the stability of our joints. Several authors have identified this condition, described their experiences, and suggested their own guidelines for management. Anterior Cruciate Ligament (ACL) Mucoid Degeneration Anatomy Anterior Cruciate Ligament, is an important structure of the knee joint. 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 . Learn how we can help 704 views Reviewed >2 years ago Thank Rehabilitation, speech therapy, crenotherapy. In this systematic review we found that arthroscopic debridement resulted in good pain relief and improved range of motion and clinical outcome scores. Introduction Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. Postoperative recovery was four weeks on average. Epub 2018 Jan 2. as very low (04 points), low (58 points), good (912 points) or excellent (1316 points) [12]. Six studies reported using the pivot shift test; unsurprisingly, Lintz et al. Online ahead of print. Histologically, there is a mucoid substance in connective tissue containing glycoproteins and mucoproteins [8]. Arthroscopically ACL is intact but fibrillated, yellowish and hypertrophied,with interspersed yellowish mucinous material along the fibers, lack of synovial linning of the ACL. (B) Partial resection, MeSH Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. This ranged from 90 to 95% in all studies, except in the report by Kim et al., where only 53.8% of patients (57/106) had complete pain relief after surgery. proposed reduction plasty, which is reduction of the ACL to normal volume without excision of all mucoid tissue. There was more than 20% loss to follow up in the study of Kim et al., while the three prospective studies had no loss to follow up [13, 14, 18]. This is a characteristic appearance of ACL mucoid degeneration where the ACL is expanded and hyperintense but is still continuous with normal alignment. Correlations between degree of knee instability and SIR were assessed for each bundle, each time point, and each sequence. In most cases Physiopedia articles are a secondary source and so should not be used as references. Would you like email updates of new search results? 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. However, in the case of mucoid degeneration secondary signs of an ACL injury are usually absent. Average patient age was 49 (22 to 68) years. Two patients uderwent secondary ligamentoplasty. [Diagnosis and treatment of anterior cruciate ligament cysts]. Check for errors and try again. Knee Surg Sports Traumatol Arthrosc 19(8):13261333. 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. Postoperative follow-up included standard radiography and dynamic examination, measuring laxity with a Telos device. Federal government websites often end in .gov or .mil. Unauthorized use of these marks is strictly prohibited. 2011 Jun;25(6):650-2. 2. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2009 checklist [9]. https://doi.org/10.4103/0019-5413.128765, Article