Indian J Orthop. The minimum follow-up was 3 years. Knee Surg Sports Traumatol Arthrosc. 1. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. This makes it difficult to relate the improvement of symptoms to ACL debridement. Ligaments are very tough, fibrous tissue structures. 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. Mucoid degeneration of ACL - Osteoporosis - inspire.com Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a well-recognized pathology characterized by the degradation of collagen fibers and infiltration of a mucoidlike substance, [1,2 . 2022 Apr 11;31:67-71. doi: 10.1016/j.jor.2022.04.004. To our knowledge, this is the first systematic review to look into the results of the management of MDACL. NCI CPTC Antibody Characterization Program. Treatment of ACL mucoid degeneration by arthroscopic resection is effective for posterior pain and flexion limitation. Shimasaki K, Yoshioka T, Kanamori A, Yamazaki M. Case Rep Orthop. The success of treatment for MDACL and the subsequent risk of instability is not known. The ACL appears on MRI to be enlarged with cystic changes throughout, however it is intact. Knee Surgery & Related Research Its interstitial nature within the ACL structure contrasts with synovial cyst of the ACL. Data extracted included mean age and gender of the patients, duration of follow up, associated chondral and meniscal lesions, interventions and outcomes. This ligament consists of two fibers, mainly, the anterio-medial and postero-lateral fibers, respectively. 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. Postoperative ACL laxity is a common finding after ACL arthroscopic debridement, however, symptomatic instability is not. It is a chronic degenerative change of a bulky ACL that may lead to notch . Anterior Cruciate Ligament (ACL) MRI: Practice Essentials, Anatomy The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). The pathogenesis remains controversial. Knee Surg Sports Traumatol Arthrosc. Methods: The minimum follow-up was 3 years. National Center for Biotechnology Information ACL tears don't heal as such. Seventeen females (67%) and eight males (33%) were included in the final analysis. Clipboard, Search History, and several other advanced features are temporarily unavailable. First, our literature search revealed a heterogeneous group of studies dominated by case reports and case series, with no randomised controlled trials. Morice et al. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. 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. Disclaimer. Bergin et al. [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%). -, Fealy S, Kenter K, Dines JS, Warren RF. Mucoid degeneration,: like degenerative arthritis of a joint, generally occurs as a results of aging. official website and that any information you provide is encrypted 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. Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. 5. Online ahead of print. Anterior cruciate ligament mucoid degeneration: Selecting the best Diffuse Intrasubstance Signal Abnormalities Ofthe Posterior Cruciate [3] and in 1% of patients (3 of 106 knees) in the study of Kim et al. . Radiology. However, MDACL is asymptomatic in most patients. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. 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). Post-debridement arthroscopic view showing yellowish lesion of the anterior cruciate ligament which was debrided. Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Knee Surg Relat Res. They reported that a biopsy indicated mucoid degeneration and a relief of symptoms could be obtained through arthroscopic partial resection of the ligament. This is a rare pathological condition, in which, there is increased signal from within the ligament. Discussion: 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. Several critical distinctions allow a confident diagnosis of an ACL ganglion cyst. It can cause pain and to a meniscal tear. A total of 313 knees in 292 patients were included in the nine studies. Does Femoral Intercondylar Notch Volume Differ in Anterior Cruciate Ligament-Injured Adult Patients Compared to the Uninjured? 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). 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. Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. Keywords used for the Search were mucoid degeneration, anterior cruciate ligament and ACL. 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). No treatment is usually required. Methodological quality of the studies was assessed using the Methodological Index for Non-Randomized Studies (MINORS) criteria [11] (Table1). Mucoid degeneration of the anterior cruciate ligament Mucoid degeneration of the anterior cruciate ligament: MRI, clinical, intraoperative, and histological findings. The mean MINORS score was 9.5 (range 412). 2013;15(1). 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. How is mucoid degeneration treated? - Sdnimik.bluejeanblues.net Another theory is the synovial theory whereby a pouch of synovium herniates and is subsequently filled with synovium [2]. Bookshelf Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. Management of mucoid degeneration of the anterior cruciate ligament: a systematic . Copyright 2010 Elsevier Masson SAS. Coronal T2 weighted fat suppressed fast spin echo image showed complex anterior cruciate ligament ganglion cyst arising from superior aspect of ligament. It contrasts with cystic lesions better known as synovial cysts or intercondylar fossa cysts. Would you like email updates of new search results? Five studies demonstrated improved postoperative functional outcome scores compared to preoperative scores [6, 14, 16, 18, 19]. 2018 Apr;34(4):1054-1059. doi: 10.1016/j.arthro.2017.10.039. {"url":"/signup-modal-props.json?lang=us"}, Gaillard F, Roberts D, Saber M, et al. Privacy Clinical outcome was reported using a variety of scores (the Lysholm and International Knee Documentation Committee (IKDC) score, the Knee Injury and Osteoarthritis Outcome Score (KOOS) and the visual analogue scale (VAS) score) in the different studies; these are summarized in Table 4. What Is Mucoid Degeneration of the ACL? -, Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK. Google Scholar, Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P (2010) Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. (48.2% (14/29 patients) with symptomatic instability), which may be due to the large number of patients with total resection of the ACL (58.6% (17 out of 29 patients)) (Table 4). Risk factors Predisposing factors include the following 1: aging Both anterior cruciate ligament ganglion cysts and mucoid degeneration have a high association with intraosseous cysts [3] (figures 1 and 2). Mucoid degeneration of the ACL is suspected when an apparently thickened and ill-defined ligament with increased signal intensity on all sequences in MRI is identified in a patient with physically intact ligament and no obvious trauma history. Google Scholar, Salvati F, Rossi F, Limbucci N, Pistoia ML, Barile A, Masciocchi C (2008) Mucoid metaplastic-degeneration of anterior cruciate ligament. Indian J Orthop 48(2):197202. official website and that any information you provide is encrypted PubMed Keywords: Sep 2017 - Feb 20186 months. What causes myxoid degeneration? - Shabupc.com At last follow-up, the mean visual analogue scale score, International Knee Documentation Committee score, and Tegner Lysholm Knee score improved (p < 0.01). Hypothesis: proposed reduction plasty, which is reduction of the ACL to normal volume without excision of all mucoid tissue. The origin of MDACL may be degenerative or traumatic. 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. Arthroscopic management of mucoid degeneration of anterior cru 2009. 2007;90(3):1923. 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 ). J Clin Epidemiol 62(10):10061012. Clin Orthop Surg. 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. 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.

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