All patients (100%, n=11) reported a good to very good surgery satisfaction. government site. Reference article, Radiopaedia.org (Accessed on 04 Mar 2023) https://doi.org/10.53347/rID-3615, Case 11: with Hoffa fat pad ganglion cyst, Case 12: tibial nerve schwannoma and ACL mucoid degeneration, Case 1: Complete ACL tear and meniscal tears, Case 2: Anomalous insertion of the medial meniscus, View Frank Gaillard's current disclosures, see full revision history and disclosures, anterior cruciate ligament ganglion cysts, anterior cruciate ligament avulsion fracture, posterior cruciate ligament avulsion fracture, Ahlback classification system in assessing osteoarthritis of the knee joint, Kellgren and Lawrence system for classification of osteoarthritis, anterior cruciate ligament mucoid degeneration, MRI grading system for meniscal signal intensity, Mucoid degeneration of the anterior cruciate ligament, congenital or acquired synovial tissue entrapment between ACL fibers. 2009. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. National Library of Medicine . 2007;245 (3): 916-7. PMC Several critical distinctions allow a confident diagnosis of an ACL ganglion cyst. Pan African Medical Journal. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Orthop Traumatol Surg Res. Presentation Patients usually present with nonspecific posterior knee pain with restriction of flexion. It is commonly identified on MRI in association with other pathological findings and can be confused with partial ACL tears. A Retrospective Comparison of ACL Tear and Mucoid Degeneration MRI 8600 Rockville Pike Diet therapy and various other treatments (general aspects) Discipline Radiotherapy. (A) Bulging of, Fig. Magn Reson Imaging Clin N Am. Possible etiologies include: It is postulated that mucoid degeneration may be a predisposing factor in the formation of ACL ganglion cysts. The mean age of patients ranged from 31 to 78years. Histological diagnosis was established by tissue biopsy in all patients in five studies, with a total of 87 knees. Arthroscopically ACL is intact but fibrillated, yellowish and hypertrophied,with interspersed yellowish mucinous material along the fibers, lack of synovial linning of the ACL. Clipboard, Search History, and several other advanced features are temporarily unavailable. Unable to process the form. 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 . It can cause pain and to a meniscal tear. 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. 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. J Sports Med Phys Fitness 48(4):483487, PubMed Arthroscopic debridement of the ACL results in satisfactory pain relief and improvement in knee outcome scores. Epub 2018 Jan 2. If arthroscopy is performed, the ligament may appear entirely normal, especially using the standard anterior portal approach. J Orthop. 2004 Feb;20(2):141-6. doi: 10.1016/j.arthro.2003.11.030. 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. Epub 2021 Mar 8. The anterior cruciate ligament (ACL) is one of the more vital and more easily injured ligaments within our knee. It results in postoperative laxity, but rarely in frank instability. Conclusions: Mucoid degeneration of the ACL is a clinical condition afflicting active middle-aged people without a single significant traumatic episode with a specific MRI picture. The prevalence of mucoid degeneration of the ACL has been reported to be 0.43% [ 5 ]. {"url":"/signup-modal-props.json?lang=us"}, Gaillard F, Roberts D, Saber M, et al. Noninfiltrating synovial cysts of the ACL were excluded. Therefore, indications for ACL resection must be carefully selected. It may lead to knee pain. Introduction to Arthroscopic Debridement Clipboard, Search History, and several other advanced features are temporarily unavailable. Keywords: mucoid degeneration, anterior cruciate ligament, acl reconstruction, arthroscopy, knee Indian J Orthop. Knee Surgery, Sports Traumatology, Arthroscopy. 2022 Mar;50(3):3000605221084865. doi: 10.1177/03000605221084865. The need for delayed ACL reconstruction should be discussed preoperatively, especially if complete resection of the ACL is to be performed. None of the studies was a randomised controlled trial and none had a control group. Clipboard, Search History, and several other advanced features are temporarily unavailable. Knee. Careers. Treatment for MDACL usually starts non-surgically with anti-inflammatory drugs and physiotherapy. PMC Unable to load your collection due to an error, Unable to load your delegates due to an error. 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. Mucoid degeneration of the anterior cruciate ligament Disclaimer. Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. Methods: Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. Arthroscopic examination analyzed the ACL aspect and its associated lesions (meniscus, cartilage). Mucoid Degeneration of Posterior Cruciate Ligament with Secondary https://doi.org/10.1186/s43019-021-00110-6, DOI: https://doi.org/10.1186/s43019-021-00110-6. Arthroscopy. 2019 Jun;32(6):577-583. doi: 10.1055/s-0038-1660514. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. (10%) and highest in the study of Ventura et al. What is myxoid degeneration treatment? 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 . Unable to load your collection due to an error, Unable to load your delegates due to an error. Its prevalence in magnetic resonance imaging (MRI) is 1.8 to 5.3%, but not all lesions are symptomatic. Several authors have identified this condition, described their experiences, and suggested their own guidelines for management. 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. Skelet Radiol 30(6):312315. The clinical presentation is one of posterior pain with limited flexion. Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. AJR Am J Roentgenol. 8600 Rockville Pike Joshita Poojary - Sports Physical Therapist - Padmanabhan's - Linkedin 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. No reconstruction was performed at the same time. Check for errors and try again. International Journal of Orthopaedics. Each study was scored 02 on each question, with a global ideal score of 16. Mucoid degeneration of the anterior cruciate ligament is a rare pathological entity. Anterior Cruciate Ligament (ACL) MRI: Practice Essentials, Anatomy Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of anterior knee pain (AKP). 1. 42 Mucoid degeneration of the anterior cruciate ligament with erosion of the lateral femoral condyle P. Melloni, R. Valls, M. Yuguero, A. Saez Medicine The origin of MDACL may be degenerative or traumatic. 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. The anterior cruciate ligament (ACL) is the most commonly injured of the major knee ligaments. Individuals with mucoid degeneration of the ACL were excluded. Loss to follow up was not mentioned in the other five studies [3, 6, 15, 17, 19]. Recent studies have reported that the prevalence of ACL mucoid degeneration is approximately 2-14% [20, 23, 24, 25]. 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. : A Meta-Analysis. Pain was posterior in 23 knees (80%). 2021 Oct 21;2021:5879121. doi: 10.1155/2021/5879121. 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. Any discrepancy was resolved by the senior author. All patients with a preoperative limited ROM (100%, n=9) reported a return to a normal (subjective) ROM. MEDLINE, Embase, Google Scholar, Cochrane, ISI web of science and Scopus were comprehensively searched from the earliest year of indexing until 10 July 2020. -osis is a suffix denoting a process, condition, or state, the histology of the Achilles tendon and in ACL injuries(24-26). We herein describe a case of PCL mucoid degeneration presented with secondary ACL . 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.