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. in 1999 [ 1 ]. 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. The site is secure. Level of Evidence: Level IV. official website and that any information you provide is encrypted 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 mucoid degeneration: a review of the literature and management guidelines. California Privacy Statement, Results: Twenty-eight knees (97%) showed soft and/or delayed stops on postoperative Lachman testing. 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. and transmitted securely. 2012;4 (2): 167-70. Loganathan D, Soma Sundar S, Sundar S, Sahanand S, Rajan DV. Generally, we know little about this condition. Reeducation. Sixty-one patients underwent T2*WI and PDWI at 3, 6, and 12 months postoperatively. Keywords: CAS Rajani AM, Shah UA, Mittal ARS, Gupta S, Garg R, Punamiya M. Knee Surg Relat Res. Clipboard, Search History, and several other advanced features are temporarily unavailable. -, Makino A, Pascual-Garrido C, Rolon A, Isola M, Muscolo DL. To our knowledge, this is the first systematic review to look into the results of the management of MDACL. "Traumatic theory - post injury, ACL fibroblasts secrete glycosaminoglycans, the mucin substance within the ACL. : A Meta-Analysis. Bethesda, MD 20894, Web Policies Mucoid degeneration of the anterior cruciate ligament. -. Disclaimer. The mean age at the time of surgery was 57 years (range, 31 to 78 years). Instrumental treatment. The origin of MDACL may be degenerative or traumatic. Score: 4.7/5 (45 votes) . -, McIntyre J, Moelleken S, Tirman P. Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears. The ACL appears on MRI to be enlarged with cystic changes throughout, however it is intact. Rehabilitation, orthophony, crenotherapy. Mucoid degeneration (MD) is a rare pathological affection of the anterior cruciate ligament (ACL). as very low (04 points), low (58 points), good (912 points) or excellent (1316 points) [12]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. . statement and . Outcome of Arthroscopic Treatment of Mucoid Degeneration of the Anterior Cruciate Ligament. 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. sharing sensitive information, make sure youre on a federal The total number of patients with symptomatic instability was 18 out of 288 (6%). Histologically, there is a mucoid substance in connective tissue containing glycoproteins and mucoproteins [8]. PROSPERO. Kwee RM, Hafezi-Nejad N, Roemer FW, Zikria BA, Hunter DJ, Guermazi A, Demehri S. Association of Mucoid Degeneration of the Anterior Cruciate Ligament at MR Imaging with Medial Tibiofemoral Osteoarthritis Progression at Radiography: Data from the Osteoarthritis Initiative. All patients (100%, n=11) reported a good to very good surgery satisfaction. Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Postoperative Lachman test was positive in 40% of patients, and 6% of patients had symptomatic instability. All rights reserved. Magn Reson Imaging Clin N Am. There is strong association between MDACL and chondral and meniscal lesions, which may support the theory that MDACL is a degenerative process. Sep 2017 - Feb 20186 months. It has recently been postulated that mucoid degeneration of the ACL is related to the medial knee compartment joint space loss in patients with osteoarthritis or in the OA risk group 6. Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. eCollection 2021. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. MEDLINE, Embase, Google Scholar, Cochrane, ISI web of science and Scopus were comprehensively searched from the earliest year of indexing until 10 July 2020. J Arthrosc Joint Surg 3(1):2833. Mumbai, Maharashtra, India. Keywords used for the Search were mucoid degeneration, anterior cruciate ligament and ACL. HHS Vulnerability Disclosure, Help The mean age of patients ranged from 31 to 78years. Three reviewers (an experienced librarian and two of the authors) independently searched these databases. However, in most studies a proportion of patients simultaneously underwent other arthroscopic procedures for associated pathological knee conditions (44% meniscectomies in the study of Cha et al.). NCI CPTC Antibody Characterization Program. Federal government websites often end in .gov or .mil. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. Association between magnetic resonance imaging characteristics and pathological findings in entire posterior cruciate ligament with mucoid degeneration. Check for errors and try again. Disclaimer. Epub 2010 May 8. Epub 2008 Apr 18. An official website of the United States government. Arthroscopy. Tissue biopsy was performed in 85% of patients (58 of 68) in the study of Cha et al. It is lined by the synovial fluid, which provides the nutrition and plays an integral part in healing. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. Coronal proton density-weighted magnetic resonance imaging shows a thickening of the anterior cruciate ligament. The site is secure. 2022 Oct 23;34(1):40. doi: 10.1186/s43019-022-00169-9. Arthroscopy 20(2):141146. . Quadriceps and hamstring weakness are common features of people with symptomatic degenerative meniscal tears Surgery may address the structural injury, but . 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. 2004;182 (5): 1283-7. Correlations between degree of knee instability and SIR were assessed for each bundle, each time point, and each sequence. Pandey, Vivek et al. Mucoid degeneration of the anterior cruciate ligament. Bone and joint imaging. [18] did not comment on an association between MDACL and chondral or meniscal lesions: after the exclusion of that report, the total number of patients with associated chondral lesions was 226 out of 275 patients (82%) and 190 patients had meniscal lesions (69%). Functional Outcome of Arthroscopic Debridement of Mucoid Degeneration of the Anterior Cruciate Ligament. Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first characterized by Kumar et al. Orthopaedics & Traumatology: Surgery & Research. Mucoid degeneration of ACL is a disease affecting ACL in which mucoid like substance (glycosaminoglycans) gets interspersed within the substance of ACL and as a result ACL gets thickened. Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of knee pain. 2008;24(6):642649. However, in the case of mucoid degeneration secondary signs of an ACL injury are usually absent. FOIA The anterior cruciate ligament (ACL) is one of the more vital and more easily injured ligaments within our knee. ACL mucoid degeneration is an uncommon pathological condition; the pathogenesis, prevalence, and association with other intra-articular knee structural damage are still poorly understood. PMC Postoperative symptomatic instability was not common in eight studies, but was observed in 48% of patients in the study of Lintz et al., with two patients having a delayed ACL reconstruction. Reeducation. Pre-debridement arthroscopic view showing yellowish content in the anterior cruciate ligament. In these studies, the total number of patients with a postoperative positive Lachman test was 40% (77 of 194 patients). ACL debridement was partial in all studies except for those by Lintz et al. did not report on this. Effects of pre-operative knee laxity on clinical outcomes after partial anterior cruciate ligament reconstruction. 2011 Jun;25(6):650-2. 2011. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. 2022 Mar;50(3):3000605221084865. doi: 10.1177/03000605221084865. Four studies reported only postoperative scores, which were comparable to those in other studies. There was a high rate of association between degenerative lesions and MDACL, ranging from 39 to 96%. 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. 2021 Sep;50(9):1837-1843. doi: 10.1007/s00256-021-03750-7. eCollection 2022 May-Jun. Eight studies showed postoperative improvement in range of motion, whereas Khanna et al. Please enable it to take advantage of the complete set of features! Thirteen patients were treated with complete ACL resection for symptomatic MD of the ACL from 2006-2016. 2001;17(9):E37. Initially, partial weightbearing is allowed. In contrast to the tear, mucoid degeneration of the ACL characteristically does not cause knee instability [20, 21, 22]. Accessed 1 Mar 2021. 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. Anterior cruciate ligament reconstruction was required in only one young patient due to disabling instability. Treatment for MDACL usually starts non-surgically with anti-inflammatory drugs and physiotherapy. The ligament is mainly responsible for restraining anterior translation of knee. 2010 Jun;96(4):400-6. doi: 10.1016/j.otsr.2010.02.008. Imaging: Plain radiographs Indian J Orthop 46(5):561565. Study record managers: refer to the Data Element Definitions if submitting registration or results information.. Search for terms 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]. Its function is to stabilize the knee while bending and rotating; the ACL also keeps the knee from shifting out of place or moving anteriorly (toward the front) with pivoting activities. Mucoid degeneration of the anterior cruciate ligament is a rare pathological entity. Please enable it to take advantage of the complete set of features! 287 (3): 912-921. JBR-BTR. ADVERTISEMENT: Supporters see fewer/no ads. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. Post-debridement arthroscopic view showing yellowish, Post-debridement arthroscopic view showing yellowish lesion of the anterior cruciate ligament which was, MeSH . PubMed FOIA Roberts CC, Towers JD, Spangehl MJ et-al. Complete resection of the ACL without ACL reconstruction is a reliable treatment for symptomatic cases of mucoid degenerated ACL. The purpose of this study was to investigate the outcome of management of MDACL by performing a systematic review of methods of treatment that have been reported. Due to the heterogeneity of data, a meta-analysis was not possible, and a narrative review was deemed most appropriate. Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Coronal T2 weighted fat suppressed fast spin echo image showed complex anterior cruciate ligament ganglion cyst arising from superior aspect of ligament. MeSH Epub 2013 Aug 27. had the largest number of patients (91) with a mean age of 61 years, which was the oldest study population amongst the nine studies [16]. Treatment of ACL mucoid degeneration by arthroscopic resection is effective for posterior pain and flexion limitation. It can cause pain and to a meniscal tear. 2. Clipboard, Search History, and several other advanced features are temporarily unavailable. 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. This series describes the clinicoradiological presentation of patients with mucoid ACL, partial arthroscopic debridement of ACL and outcomes. Bookshelf 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. J Clin Epidemiol 62(10):10061012. Young and active patients should be warned about the risk of requiring secondary ligamentoplasty. Advanced MR imaging of the cruciate ligaments. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Orthop Traumatol Surg Res. Google Scholar, Salvati F, Rossi F, Limbucci N, Pistoia ML, Barile A, Masciocchi C (2008) Mucoid metaplastic-degeneration of anterior cruciate ligament. 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. PMC government site. Copyright 2010 Elsevier Masson SAS. Truncation means that the . Anterior cruciate ligament ganglia and mucoid degeneration: Coexistence and clinical correlation. Questions just answered: mucoid degeneration of acl physiotherapy. Postoperative follow-up included standard radiography and dynamic examination, measuring laxity with a Telos device. Answer (1 of 2): Most of the time mucoid degenrative changes in the ACL does not cause any problemonly if u have sign of ACL instability or the bending of the knee is reduced you may need a arthroscopic evaluation usually u may skip without ACL reconstruction but some of us will need AcL recons. 2021 Aug 21;33(1):26. doi: 10.1186/s43019-021-00110-6. Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of anterior knee pain (AKP). Anterior cruciate ligament; Arthroscopy; Knee; Mucoid degeneration. MRI is better at detecting mucoid degeneration than arthroscopy, as the surface of the ligament is often intact. 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). PubMedGoogle Scholar. 2007;90(3):1923. Finally, partial meniscectomy was commonly performed simultaneously with ACL debridement in all studies, which arguably could be the reason for the postoperative improvement. This systematic review has some limitations. MDACL is diagnosed by MRI, showing a celery stalk sign, and is confirmed by tissue biopsy and histological examination [7]. Bergin et al. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. 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). 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. 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. Arthroscopic examination analyzed the ACL aspect and its associated lesions (meniscus, cartilage). Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2022 Mar;14(1):76-89. doi: 10.4055/cios20163. 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. Careers. 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. Hide glossary Glossary. The anterior cruciate ligament (ACL) is an important ligament in the knee. 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. Conclusions: 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. Skeletal Radiology. The authors declare that they have no competing interests. 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. 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 Careers. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. All patients (100%, n=11) reported an improvement in pain. 3. All nine included studies utilized MRI of the knee to establish a radiological diagnosis as an inclusion criterion. Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK (1999) Mucoid cystic degeneration of the cruciate ligament. 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. Google Scholar, Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D (2011) Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Papadopoulou P. The celery stalk sign. 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. https://doi.org/10.4103/0019-5413.128765, Article Pan African Medical Journal. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. Arthroscopy. Hypothesis: Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. An official website of the United States government. HHS Vulnerability Disclosure, Help Clinical Outcomes, Return to Sports, and Patient Satisfaction After Anterior Cruciate Ligament Reconstruction in Young and Middle-Aged Patients in an Asian Population-A 2-Year Follow-up Study. National Library of Medicine {"url":"/signup-modal-props.json?lang=us"}, Gaillard F, Roberts D, Saber M, et al. It is commonly identified on MRI in association with other pathological findings and can be confused with partial ACL tears. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. All nine studies were case series; six were retrospective and three were prospective studies. Mucoid degeneration,: like degenerative arthritis of a joint, generally occurs as a results of aging. Another theory is the synovial theory whereby a pouch of synovium herniates and is subsequently filled with synovium [2]. 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. Clipboard, Search History, and several other advanced features are temporarily unavailable. Epub 2008 Dec 17. Level of evidence: 2020 Jun 2. el Kadi KI, Marcaillou F, Blanc S, Salloum B, Dimontagliari C, Boutayeb F. Mucoid degeneration of the anterior cruciate ligament: a case report. Before ACL mucoid degeneration is an uncommon pathological condition; the pathogenesis, prevalence, and . Part of It is characterized by infiltration of mucoid like substance (glycosaminoglycans) interspersed within the substance of ACL causing knee pain and limited motion. It may lead to knee pain. Mucoid degeneration is characterized by an increase in the mucoid ground substance in the connective tissue containing glycoprotein and mucoprotein [ 4 ]. All patients with a preoperative limited ROM (100%, n=9) reported a return to a normal (subjective) ROM. 2018;4(4):875-80. Shimasaki K, Yoshioka T, Kanamori A, Yamazaki M. Case Rep Orthop. Six studies reported using the pivot shift test; unsurprisingly, Lintz et al. 2018 Sep;10(3):307-314. doi: 10.4055/cios.2018.10.3.307. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. . AJR Am J Roentgenol. 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 . Conclusions. Clin Orthop Surg 10(3):307314. For treatment of this, partial removing of bulky ACL is generally done, which causes weakness of the ACL. This is a characteristic appearance of ACL mucoid degeneration where the ACL is expanded and hyperintense but is still continuous with normal alignment. Association between magnetic resonance imaging characteristics and pathological findings in entire posterior cruciate ligament with mucoid degeneration. Conditions that resembles the clinical findings are: Get Top Tips Tuesday and The Latest Physiopedia updates, The content on or accessible through Physiopedia is for informational purposes only. Ligaments and tendons are accumulated by mucoid change might display a thickened and/or hypertrophied appearance, with an increase in signal intensity. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. The clinical presentation is one of posterior pain with limited flexion. It results in postoperative laxity, but rarely in frank instability. There was no mention in the other three studies [13, 15, 18] of whether other procedures were performed simultaneously. Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. There is no consensus on treatment and evidence is scarce. 42 Mucoid degeneration of the anterior cruciate ligament with erosion of the lateral femoral condyle P. Melloni, R. Valls, M. Yuguero, A. Saez Medicine Epub 2018 Jan 2. Third, clinical outcomes were reported using a variety of scores, so a data meta-analysis was not possible. All nine studies included patients with symptomatic MDACL confirmed by MRI (Table3). Unable to load your collection due to an error, Unable to load your delegates due to an error. and Ventura et al. Physical therapy typically begins 7-10 days after the procedure. In this systematic review we found that arthroscopic debridement resulted in good pain relief and improved range of motion and clinical outcome scores. This infiltrating lesion is included in the mucoid pathology of the intercondylar fossa. 2. Epub 2011 Feb 18. The pathogenesis remains controversial. Patients will . ACL (anterior cruciate ligament) mucoid degeneration means the lesion of the ACL. sharing sensitive information, make sure youre on a federal Sweed, T., Mussa, M., El-Bakoury, A. et al. Two reviewers independently screened the titles and abstracts of the retrieved records for eligibility. A June 2018 MRI of the cervical spine found multilevel degenerative changes of the cervical spine, most pronounced at 6-7 and small disc herniations at 5-6 and C4-5, with slight interval progression at 5-6. . No reconstruction was performed at the same time. They respond well to a judicious arthroscopic release of the ACL with notchplasty. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. This did not appear to affect the postoperative rate of clinically detectable laxity, which was comparable to that in other studies. Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. Springer Nature. I have multiple issues - spondylolisthesis in L4/L5 and L5/S1, osteopenia and osteoarthritis. Unable to load your collection due to an error, Unable to load your delegates due to an error. National Library of Medicine The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Background: Postoperative pain relief was reported in seven studies. Postoperative clinical laxity was common, however, symptomatic instability was not. The retrospective study by Kim et al. MM and A performed the literature search, and data analysis. [Effectiveness of bone-anterior cruciate ligament-bone allograft in reconstruction of anterior cruciate ligament under arthroscope]. It is a chronic degenerative change of a bulky ACL that may lead to notch impingement syndrome in the absence of instability symptoms and significant trauma history [ 1, 2, 3, 4 ]. That is usually the journal article where the information was first stated. The author(s) read and approved the final manuscript. The mean follow up ranged from 13 to 72months. [6], in 62% of patients (18 of 29) in the study of Lintz et al. Mucoid degeneration of the anterior cruciate ligament: a case report. (10%) and highest in the study of Ventura et al. Ventura et al. 2012 Sep;46(5):561-5. doi: 10.4103/0019-5413.101037. This bicentric, retrospective cohort study with an average follow-up of 6years involved 27 patients (29 knees) presenting with symptomatic ACL mucoid degeneration validated by magnetic resonance imaging (MRI). PMC 2004;182(5):12837. AJR Am J Roentgenol. Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. The .gov means its official. Management of mucoid degeneration of the anterior cruciate ligament: a systematic . 8600 Rockville Pike . Eight patients (72.7%, n=8) reported an improvement of knee instability, while three patients (27.3%, n=3) experienced an unchanged knee stability. 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. in 1999 [1]. Knee Surg Sports Traumatol Arthrosc. What is myxoid degeneration treatment? Federal government websites often end in .gov or .mil. https://doi.org/10.1186/s43019-021-00110-6, DOI: https://doi.org/10.1186/s43019-021-00110-6. sharing sensitive information, make sure youre on a federal By using this website, you agree to our The minimum follow-up was 3 years. government site. Patients and methods: Arthroscopically ACL is intact but fibrillated, yellowish and hypertrophied,with interspersed yellowish mucinous material along the fibers, lack of synovial linning of the ACL. Ligaments are very tough, fibrous tissue structures. 2. Five studies demonstrated improved postoperative functional outcome scores compared to preoperative scores [6, 14, 16, 18, 19]. 2018 Jun;25(3):445-452. doi: 10.1016/j.knee.2018.02.012. . 1173185. Epub 2021 Mar 8. Mucoid degeneration, is the irreversible degeneration of the tissue with the infiltration of mucin(glycosaminoglycans) within the fibers[1][2]. Google Scholar, Chudasama CH, Chudasama VC, Prabhakar MM (2012) Arthroscopic management of mucoid degeneration of anterior cruciate ligament. 2011. Ever since mucoid degeneration of the anterior cruciate ligament (MD-ACL) was named by Kumar et al. -, Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK. Indian J Orthop 48(2):197202. proposed a different intervention called reduction plasty, whereby the hypertrophic ACL is reduced to normal size without excision of all mucoid substance [17]. The lesion may manifest as an elongated cyst along the long axis of the ACL, or as an enlarged ACL. Mucoid degeneration of ACL. J Knee Surg. 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. Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. bling. Symptomatic ACL mucoid degeneration in middle-age athletes. 1999;81(2):304305. Arch Orthop Trauma Surg. Terms and Conditions, Physiotherapy. Multiple theories have been put forth that explains the pathological disorganization in the collagen fibers of the Anterior Cruciate Ligament, such as synovial, traumatic, and degenerative, "Synovial theory- states that there is accumulation of synovial fluid inside the substance of ACL in a herniated pouch of synovium.

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