Mucoid degeneration of ACL | Mayo Clinic Connect (PDF) Anterior Cruciate Ligament Ganglion Cyst and Mucoid Degeneration Conclusions: No treatment is usually required. Chudasama CH, Chudasama VC, Prabhakar MM. Palmer W, Bancroft L, Bonar F, Choi JA, Cotten A, Griffith JF, Robinson P, Pfirrmann CW. However, the authors did not report whether there were any other patients with symptomatic instability. I have persistent pain in the back of that knee that is exacerbated by walking and bending it. 2011. . Partial resection of the anterior cruciate ligament was done in seven cases and a complete resection in 18 cases. 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. "Traumatic theory - post injury, ACL fibroblasts secrete glycosaminoglycans, the mucin substance within the ACL. [3] and in 1% of patients (3 of 106 knees) in the study of Kim et al. Skeletal Radiology. 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. Ayurvedic treatment for complete acl tear - Practo Treatment options include non-operative management, arthroscopic debridement with a biceps tenotomy or tenodesis, complete or partial repair, patch augmentation, superior capsular reconstruction, muscle/tendon transfer and reverse total shoulder arthroplasty. . Diffuse Intrasubstance Signal Abnormalities Ofthe Posterior Cruciate There was an improvement in postoperative range of motion and outcome scores (Lysholm and International Knee Documentation Committee scores and the Knee Injury and Osteoarthritis Outcome Score). 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. Functional Outcome of Arthroscopic Debridement of Mucoid Degeneration of the Anterior Cruciate Ligament. It often presents with progressive knee pain, restriction in range of motion without a significant history of trauma, and without knee instability. Generally, we know little about this condition. (A) Bulging of, Fig. 2 ). 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. The mean follow up ranged from 13 to 72months. International Journal of Orthopaedics. The need for delayed ACL reconstruction should be discussed preoperatively, especially if complete resection of the ACL is to be performed. 4. official website and that any information you provide is encrypted The main MRI finding of ACL mucoid degeneration is a celery stalk appearance [26, 27]. Clipboard, Search History, and several other advanced features are temporarily unavailable. Anterior Cruciate Ligament, is an important structure of the knee joint. Shimasaki K, Yoshioka T, Kanamori A, Yamazaki M. Case Rep Orthop. Preoperative magnetic resonance imaging (MRI) scan. In this systematic review we found that arthroscopic debridement resulted in good pain relief and improved range of motion and clinical outcome scores. It results in postoperative laxity, but rarely in frank instability. 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. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Knee Surg & Relat Res 33, 26 (2021). Anterior cruciate ligament mucoid degeneration: selecting the best Tamer Sweed. Loganathan D, Soma Sundar S, Sundar S, Sahanand S, Rajan DV. 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]. The site is secure. ACL Mucoid Degeneration in Knee - Diagnosis & Treatment | Dr. Hemendra Ever since mucoid degeneration of the anterior cruciate ligament (MD-ACL) was named by Kumar et al. This site needs JavaScript to work properly. 2013 Oct;99(6):693-7. doi: 10.1016/j.otsr.2013.04.010. MUCOID DEGENERATION OF ACL - ARTHROSCOPIC TREATMENT - YouTube Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a Pre-debridement arthroscopic view showing yellowish content in the anterior cruciate ligament. 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. The site is secure. Methodological quality of the studies was assessed using the Methodological Index for Non-Randomized Studies (MINORS) criteria [11] (Table1). Characteristic: "celery stalk" appearance. Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK (1999) Mucoid cystic degeneration of the cruciate ligament. The lesion may manifest as an elongated cyst along the long axis of the ACL, or as an enlarged ACL. Arthroscopic debridement of the anterior cruciate ligament (ACL) results in satisfactory pain relief and improvement in knee outcome scores. Magn Reson Imaging Clin N Am. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. 5. Complete resection of the ACL without ACL reconstruction is a reliable treatment for symptomatic cases of mucoid degenerated ACL. (61years), which was the largest study and represented more than one third of the total patients included in this review. MM and A performed the literature search, and data analysis. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. Arthroscopic debridement may help relieve the anterior knee pain. Postoperative ACL laxity is a common finding after ACL arthroscopic debridement, however, symptomatic instability is not. However, in the case of mucoid degeneration secondary signs of an ACL injury are usually absent. [Effectiveness of bone-anterior cruciate ligament-bone allograft in reconstruction of anterior cruciate ligament under arthroscope]. Would you like email updates of new search results? Third, clinical outcomes were reported using a variety of scores, so a data meta-analysis was not possible. Disclaimer. 1999;81(2):304305. Anterior Cruciate Ligament (ACL) Mucoid Degeneration - Physiopedia Read More Created for people with ongoing healthcare needs but benefits everyone. Anterior cruciate ligament; Arthroscopy; Knee; Mucoid degeneration. Its interstitial nature within the ACL structure contrasts with synovial cyst of the ACL. When refering to evidence in academic writing, you should always try to reference the primary (original) source. Role of ultrasound-guided decompression in management of mucoid degeneration of the anterior cruciate ligament. 2009. Please enable it to take advantage of the complete set of features! Symptomatic ACL mucoid degeneration in middle-age athletes. [Diagnosis and treatment of anterior cruciate ligament cysts]. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). AJR Am J Roentgenol. GG and AM interpreted the results and reviewed the manuscript. After arthroscopic debridement of the lesion, the patient regained full range of motion of the knee and were pain-free at follow-up. Mucoid degeneration of the anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc 19(8):13261333. 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. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. Roberts CC, Towers JD, Spangehl MJ et-al. Rehabilitation, speech therapy, crenotherapy. #radiologycpd #medicalimaging #imaging #radcme #rheumatology #arthritis #rheumatologist #orthopaedic #painphysician #physiotherapy #sportsmed #orthopaedic #mskmri. The aetiology of MDACL is not fully understood, hence, there are multiple theories on this. It is commonly identified on MRI in association with other pathological findings and can be confused with partial ACL tears. Arthroscopic findings. Reeducation. Arthroscopically ACL is intact but fibrillated, yellowish and hypertrophied,with interspersed yellowish mucinous material along the fibers, lack of synovial linning of the ACL. Preoperative magnetic resonance imaging (MRI), Fig. Preoperative and postoperative results of eleven patient were compared. Open Grey database was searched for grey literature using the same keywords. Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. Data extracted included mean age and gender of the patients, duration of follow up, associated chondral and meniscal lesions, interventions and outcomes. A total of 313 knees in 292 patients were included in the nine studies. J Bone Joint Surg Br. in 1999 [1]. 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]. Along with that, it also controls the internal rotation. Risk factors Predisposing factors include the following 1: aging Knee Surg Sports Traumatol Arthrosc. Would you like email updates of new search results? 8600 Rockville Pike FOIA Federal government websites often end in .gov or .mil. Before Pan African Medical Journal. ACL mucoid degeneration is present on ~10% (range 9-12%) of 3 T MRI examinations and 2% of 1.5 T MRI examinations 6. Twelve partial and 17 total resections were performed. 2012;4 (2): 167-70. All studies focused on the outcome of arthroscopic debridement of MDACL, with no studies on conservative treatment. The rate of association between meniscal tears and MDACL ranged from 9 to 96%. There was a high rate of association between degenerative lesions and MDACL, ranging from 39 to 96%. With cruciate ligament ganglia, intact ACL fibers can often be visualized coursing through or around the cyst. CONFLICT OF INTEREST: No potential conflict of interest relevant to this article was reported. Mucoid degeneration of the patellar ligament in athletes. What are the treatment options for anterior cruciate ligament mucoid
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