1 Its prevalence in magnetic resonance imaging (MRI) is 1.8-5.3%, but not all lesions are symptomatic.2, 3 It is characterized by infiltration of mucoid-like substance (glycosaminoglycans) interspersed within the 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. 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. Mucoid degeneration of the anterior cruciate ligament - PubMed However, in the case of mucoid degeneration secondary signs of an ACL injury are usually absent. Arthroscopic resection of ACL mucoid degeneration is effective for treating pain and flexion limitation, but at the expense of anterior laxity. 2022 Mar;14(1):76-89. doi: 10.4055/cios20163. Diffuse Intrasubstance Signal Abnormalities Ofthe Posterior Cruciate Knee. Knee Surgery, Sports Traumatology, Arthroscopy. Please enable it to take advantage of the complete set of features! Joshita Poojary - Sports Physical Therapist - Padmanabhan's - Linkedin Epub 2018 Aug 22. Any discrepancy was resolved by the senior author. Radiology. 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). J Orthop. All nine studies included patients with symptomatic MDACL confirmed by MRI (Table3). Postoperative follow-up included standard radiography and dynamic examination, measuring laxity with a Telos device. 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.). 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. 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. 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 . 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. Imaging: Plain radiographs Methods: It results in postoperative laxity, but rarely in frank instability. Average patient age was 49 (22 to 68) years. Its interstitial nature within the ACL structure contrasts with synovial cyst of the ACL. ACL Ganglion Cysts - Radsource government site. Case report: This infiltrating lesion is included in the mucoid pathology of the intercondylar fossa. Complete resection of the ACL without ACL reconstruction is a reliable treatment for symptomatic cases of mucoid degenerated ACL. Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. -, Hensen JJ, Coerkamp EG, Bloem JL, De Schepper AM. Skelet Radiol 30(6):312315. 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 . Arthroscopic debridement of the ACL resulted in good pain relief and improved range of movement in all studies, with postoperative improvement in the knee scores. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. official website and that any information you provide is encrypted Learn.Physio on LinkedIn: Quadriceps and hamstring weakness are common Anterior cruciate ligament reconstruction was required in only one young patient due to disabling instability. and transmitted securely. Advanced MR imaging of the cruciate ligaments. Introduction: Chudasama CH, Chudasama VC, Prabhakar MM. Resnick D, Kransdorf MJ. The anterior cruciate ligament (ACL) is an important ligament in the knee. Anterior cruciate ligament ganglia and mucoid degeneration: Coexistence and clinical correlation. (B) Partial resection, MeSH Skeletal Radiol. Arthroscopic management of mucoid degeneration of anterior cru Diet therapy and various other treatments (general aspects) Discipline Radiotherapy. Cookies policy. All rights reserved. 2004;182(5):12831287. Unable to load your collection due to an error, Unable to load your delegates due to an error. As there was no control group in any of the studies and the natural history of MDACL is not known, the postoperative improvement may have been attributed to the placebo effect, simultaneous arthroscopic procedures or the postoperative rehabilitation, or may be due to the pain having resolved without treatment at all. Mucoid degeneration of the anterior cruciate ligament (ACL) of the knee can cause knee pain and other symptoms. Besides, the patient may also have trouble in moving. 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). Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. Partial Anterior Cruciate Ligament - ACL - Tears - Howard J. Luks, MD proposed reduction plasty, which is reduction of the ACL to normal volume without excision of all mucoid tissue. (A) Bulging of, Fig. Level of evidence: 2008 Jun;24(6):642-9. doi: 10.1016/j.arthro.2008.02.004. Arthroscopy. Reeducation. Careers. Careers. Symptomatic instability was highest in the study of Lintz et al. Mucoid degenerated anterior cruciate ligament (ACL) managed by arthroscopic ACL reconstruction: A case series. Another theory is the synovial theory whereby a pouch of synovium herniates and is subsequently filled with synovium [2]. Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. Fig. We report a case of mucoid degeneration of the ACL in a 50-year-old female with knee pain of 18 months duration. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. Mucoid Degeneration of the Anterior Cruciate Ligament - ResearchGate https://doi.org/10.1007/s002560100336, Narvekar A, Gajjar S (2004) Mucoid degeneration of the anterior cruciate ligament. Mucoid Degeneration of the Anterior Cruciate Ligament: Characterization of Natural History, Femoral Notch Width Index, and Patient Reported Outcome Measures. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. An official website of the United States government. Disclaimer. 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. 1173185. Some case reports have been published; however, it is difficult to diagnose and is often underdiagnosed or misdiagnosed because of its pathophysiological ambiguity. Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a 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. mucoid degeneration of acl mri. Five studies demonstrated improved postoperative functional outcome scores compared to preoperative scores [6, 14, 16, 18, 19]. No reconstruction was performed at the same time. 2008;24(6):642649. The ACL appears on MRI to be enlarged with cystic changes throughout, however it is intact. The mean follow up ranged from 13 to 72months. Unable to process the form. In most cases Physiopedia articles are a secondary source and so should not be used as references. 2022 Jun 2;20(1):225-228. doi: 10.33314/jnhrc.v20i01.4182. MAUDE Adverse Event Report: GENZYME BIOSURGERY (RIDGEFIELD) SYNVISC ONE Categories were determined in accordance with the study of Ekhtiari et al. Cite this article. Unauthorized use of these marks is strictly prohibited. The mean MINORS score was 9.5 out of 16 (412). [17] do not mention whether any patients underwent biopsy (Table 3). 2007;245 (3): 916-7. The anterior cruciate ligament (ACL) is one of the more vital and more easily injured ligaments within our knee. MeSH ACL debridement was partial in all studies except for those by Lintz et al. This site needs JavaScript to work properly. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Copyright 2010 Elsevier Masson SAS. 2011. Before Knee Surg Sports Traumatol Arthrosc. reported on the co-existence of mucoid degeneration and ganglia of the ACL. Federal government websites often end in .gov or .mil. Pain was posterior in 23 knees (80%). Online ahead of print. 2012 Sep;46(5):561-5. doi: 10.4103/0019-5413.101037. Methods: The minimum follow-up was 3 years. Physiotherapy. 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. -, Makino A, Pascual-Garrido C, Rolon A, Isola M, Muscolo DL. CAS Young and active patients should be warned about the risk of requiring secondary ligamentoplasty. Bethesda, MD 20894, Web Policies In that case, mucoid degeneration can be extruded from the ligament and will be removed in the saline flow. J Sports Med Phys Fitness 48(4):483487, PubMed The anterior cruciate ligament (ACL) is the most commonly injured of the major knee ligaments. Here are the search results of the thread mucoid degeneration of acl treatment from Bing. Coronal T2 weighted fat suppressed fast spin echo image showed complex anterior cruciate ligament ganglion cyst arising from superior aspect of ligament. The authors declare that they have no competing interests. PMC in 1999 [ 1 ]. 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. Am J Roentgenol 182(5):12831287. Hide glossary Glossary. Symptomatic ACL mucoid degeneration in middle-age athletes. and transmitted securely. 2004;182(5):12837. Arthroscopic management of mucoid degeneration of anterior cruciate ligament. (PDF) Assessment of imaging, pathoanatomy and - Academia.edu Accessibility An official website of the United States government. Epub 2021 Nov 24. as very low (04 points), low (58 points), good (912 points) or excellent (1316 points) [12]. An official website of the United States government. Mucoid degeneration of the anterior cruciate ligament: Partial Due to the lack of specific symptoms and signs, its diagnosis is often delayed or even misdiagnosed in clinical practice [ [1] , [2] ]. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. Along with that, it also controls the internal rotation. All nine included studies utilized MRI of the knee to establish a radiological diagnosis as an inclusion criterion. Mucoid Degeneration of the Anterior Cruciate Ligament: A Case Report -, Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK. MRI is better at detecting mucoid degeneration than arthroscopy, as the surface of the ligament is often intact. Arthroscopic findings. Physical therapy typically begins 7-10 days after the procedure. 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. A total of 313 knees in 292 patients were included in the nine studies. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. Check for errors and try again. Coronal proton density-weighted magnetic resonance, Coronal proton density-weighted magnetic resonance imaging shows a thickening of the anterior cruciate, Sagittal proton density-weighted magnetic resonance, Sagittal proton density-weighted magnetic resonance image shows ill-defined anterior cruciate ligament with increased, Coronal T2 weighted fat suppressed fast spin echo image showed complex anterior cruciate, Pre-debridement arthroscopic view showing yellowish. Dietary management and various treatments Scanning and diagnostic . -, Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. To our knowledge, this is the first systematic review to look into the results of the management of MDACL. Outcome of Arthroscopic Treatment of Mucoid Degeneration of the Anterior Cruciate Ligament.
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