2001;17(9):E37. 2007;245 (3): 916-7. Risk factors Predisposing factors include the following 1: aging Several authors have identified this condition, described their experiences, and suggested their own guidelines for management. (B) Partial resection, MeSH 1992;159(2):35760. It may lead to knee pain. A total of nine studies were eligible for review. Coronal proton density-weighted magnetic resonance imaging shows a thickening of the anterior cruciate ligament. Patient having mucoid degeneration of ACL seeks multiple orthopedic consultation and most of the time treating orthopedican miss its diagnosis either because of lack of experience or rare cause of pain unless doctor sought magnetic resonance imaging (MRI) of knee. J Bone Joint Surg Ser B 81(2):304305. Arthroscopy. Orthop Traumatol Surg Res. and Ventura et al. Every time when patient flexes the knee, thickened ACL impinges over posterior cruciate ligament (PCL) in the knee, causing knee pain and limited motion. Reeducation. 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. eCollection 2022 May-Jun. This was lowest in the study of Cha et al. Treatment of ACL mucoid degeneration by arthroscopic resection is effective for posterior pain and flexion limitation. 2009 Jul;17(7):737-40. doi: 10.1007/s00167-008-0690-z. 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. Bookshelf Results: Diffuse Intrasubstance Signal Abnormalities Ofthe Posterior Cruciate Loss to follow up was not mentioned in the other five studies [3, 6, 15, 17, 19]. Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. Arthroscopic examination analyzed the ACL aspect and its associated lesions (meniscus, cartilage). Mucoid degeneration of the anterior cruciate ligament. Average patient age was 49 (22 to 68) years. The ACL appears on MRI to be enlarged with cystic changes throughout, however it is intact. Mucoid degeneration of the anterior cruciate ligament: a case report. did not report on this. Would you like email updates of new search results? Anterior cruciate ligament reconstruction was required in only one young patient due to disabling instability. Individuals were included in the study if they had had complete MRIs of the affected knee at baseline and at 4-year follow-up, had thigh MRIs at baseline and had no additional surgery in the meantime. However, in the case of mucoid degeneration secondary signs of an ACL injury are usually absent. Hsu CJ, Wang SC, Fong YC, Huang CY, Chiang IP, Hsu HC. Two patients uderwent secondary ligamentoplasty. Le signe de la branche de cleri - ResearchGate Mucoid degeneration of ACL - Osteoporosis - inspire.com Arthroscopic debridement may help relieve the anterior knee pain. 2013 Oct;99(6):693-7. doi: 10.1016/j.otsr.2013.04.010. : A Meta-Analysis. Introduction: MEDLINE, Embase, Google Scholar, Cochrane, ISI web of science and Scopus were comprehensively searched from the earliest year of indexing until 10 July 2020. Therefore, indications for ACL resection must be carefully selected. https://doi.org/10.1186/s43019-021-00110-6, DOI: https://doi.org/10.1186/s43019-021-00110-6. Arthroscopy 20(2):141146. Items are scored as 0 (not reported), 1 (reported but inadequate) or 2 (reported and adequate). Epub 2021 Mar 8. Methods: The minimum follow-up was 3 years. The prevalence of MDACL on magnetic resonance imaging (MRI) ranges from 1.8 to 5.3% [4, 5]. Joshita Poojary - Sports Physical Therapist - Padmanabhan's - Linkedin 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. Terms and Conditions, The .gov means its official. This site needs JavaScript to work properly. Epub 2008 Dec 17. Keywords: mucoid degeneration, anterior cruciate ligament, acl reconstruction, arthroscopy, knee However, MDACL is asymptomatic in most patients. Mucoid degeneration of the anterior cruciate ligament. Case report: 8600 Rockville Pike Methods: Patients and methods: Skelet Radiol 30(6):312315. IV (retrospective cohort study). Treatment of ACL mucoid degeneration by arthroscopic resection is effective for posterior pain and flexion limitation. Advanced MR imaging of the cruciate ligaments. 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. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Therefore, Anterior Cruciate Ligament tear is more susceptible during any injury to the knee. We herein describe a case of PCL mucoid degeneration presented with secondary ACL . Epub 2021 Nov 24. This site needs JavaScript to work properly. I get PT and acupuncture, have had several epidural injections, and am trying hard to avoid osteoporosis meds (was on bisphosphonates for many years many years ago) as well as spinal fusion. ACL tears don't heal as such. 2011. Federal government websites often end in .gov or .mil. ACL debridement was partial in all studies except for those by Lintz et al. 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. Bilateral Symptomatic Mucoid Degeneration of the Anterior Cruciate Ligament with Anterior Knee Pain but No Limited Knee Flexion. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. Accessibility 4. eCollection 2013. Morice et al. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review, https://doi.org/10.1186/s43019-021-00110-6, https://doi.org/10.1302/0301-620X.81B2.0810304, https://doi.org/10.1007/s00167-011-1433-0, https://doi.org/10.2214/ajr.182.5.1821283, https://doi.org/10.1007/s00167-012-1991-9, https://doi.org/10.1016/j.arthro.2003.11.030, https://doi.org/10.1016/j.jclinepi.2009.06.005, http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42018087782, https://doi.org/10.1046/j.1445-2197.2003.02748.x, http://journals.sagepub.com/doi/10.1177/2325967118786930, http://www.ijcrar.com/abstractview.php?ID=228&vol=4-11-2016&SNo=3, https://doi.org/10.1016/j.arthro.2008.02.004, https://doi.org/10.1016/j.jajs.2015.12.001, https://doi.org/10.4055/cios.2018.10.3.307, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/. PubMed Symptomatic instability was highest in the study of Lintz et al. To our knowledge, this is the first systematic review to look into the results of the management of MDACL. Cookies policy. Preoperative magnetic resonance imaging (MRI) scan. 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. Knee. Anterior cruciate ligament mucoid degeneration. Characteristic: "celery stalk" appearance. Thirteen patients were treated with complete ACL resection for symptomatic MD of the ACL from 2006-2016. 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. https://doi.org/10.4103/0019-5413.128765, Article proposed a different intervention called reduction plasty, whereby the hypertrophic ACL is reduced to normal size without excision of all mucoid substance [17]. Deep Seated Pain at Back of Knee with Bending | Dr HC Chang CAS 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. Radiofrequency Ablation for Mucoid Degeneration of the Anterior Radiology. Federal government websites often end in .gov or .mil. MDACL is diagnosed by MRI, showing a celery stalk sign, and is confirmed by tissue biopsy and histological examination [7]. PROSPERO. https://doi.org/10.1046/j.1445-2197.2003.02748.x, Ekhtiari S, Horner NS, Bedi A, Ayeni OR, Khan M. The learning curve for the Latarjet procedure: a systematic review. 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. Morice et al. The anterior cruciate ligament (ACL) is one of the more vital and more easily injured ligaments within our knee. Arthroscopic management of mucoid degeneration of anterior cruciate ligament. The clinical presentation is one of posterior pain with limited flexion. Mucoid degeneration of ACL | Mayo Clinic Connect Chudasama et al. What does mucoid degeneration of posterior horn of medial - HealthTap J Arthrosc Joint Surg 3(1):2833. 8600 Rockville Pike Orthopedics; anterior cruciate ligament; arthoscopy. Role of ultrasound-guided decompression in management of mucoid degeneration of the anterior cruciate ligament. Methods From January 2012 to August 2013, 32 knees (24 females and 8 males with left knee of 14 and 18 of right) were diagnosed with mucoid degeneration of the ACL and underwent arthroscopic treatment, all of whom with a mean age of 58.817.97 years (42-74 years). They respond well to a judicious arthroscopic release of the ACL with notchplasty. Unable to process the form. FOIA Patients will . 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. J Clin Epidemiol 62(10):10061012. . The need for delayed ACL reconstruction should be discussed preoperatively, especially if complete resection of the ACL is to be performed. Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. Mucoid degeneration of the anterior cruciate ligament: MRI, clinical, intraoperative, and histological findings. What is acl mucoid degeneration? | HealthTap Online Doctor The aetiology of MDACL is not fully understood, hence, there are multiple theories on this. Clin Orthop Surg. Diet therapy and various other treatments (general aspects) Discipline Radiotherapy. The lesion may manifest as an elongated cyst along the long axis of the ACL, or as an enlarged ACL. Symptomatic ACL mucoid degeneration in middle-age athletes 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. reported the largest percentage of patients (27.5%) with a positive pivot test. Arch Orthop Trauma Surg. Careers. Sixty-one patients underwent T2*WI and PDWI at 3, 6, and 12 months postoperatively. (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). Here are the search results of the thread mucoid degeneration of acl treatment from Bing. Knee Surgery & Related Research Seven of the nine studies reported using the Lachman test to check postoperative ACL laxity. Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. Mucoid degeneration of the anterior cruciate ligament. 2010 Jun;96(4):400-6. doi: 10.1016/j.otsr.2010.02.008. and transmitted securely. Two reviewers independently screened the titles and abstracts of the retrieved records for eligibility. Mucoid Degeneration of the Anterior Cruciate Ligament: A Case Report Postoperative recovery was four weeks on average. Average postoperative differential laxity on the Telos device was 8.3 mm (5 to 13 mm). How to Treat ACL Mucoid Degeneration? - HTQ https://doi.org/10.2214/ajr.182.5.1821283, Article Mucoid degeneration of ACL. This may support the theory that it is a degenerative process. mucoid degeneration of acl mri. What is myxoid degeneration treatment? Eight patients (72.7%, n=8) reported an improvement of knee instability, while three patients (27.3%, n=3) experienced an unchanged knee stability. 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. ACL Insufficiency | Anterior Knee Instability | Knee Instability [16]. Bethesda, MD 20894, Web Policies -, Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK. Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. Ligaments are very tough, fibrous tissue structures. 2022 Apr 11;31:67-71. doi: 10.1016/j.jor.2022.04.004. The extracted data were heterogeneous in terms of outcome assessment. Unauthorized use of these marks is strictly prohibited. Accessed 1 Mar 2021. Mucoid degeneration of the anterior cruciate ligament: can platelet Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Study record managers: refer to the Data Element Definitions if submitting registration or results information.. Search for terms 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. Would you like email updates of new search results? Mucoid degeneration of the patellar ligament in athletes. Level of Evidence: Level IV. to 44% in the study of Cha et al. The .gov means its official. On MRI, the ligament is thickened and ill-defined with a "celery stalk" appearance. Mucoid degeneration of acl (anterior cruciate ligament) is not a common problem and mostly it is found in female patients. 1. Hide glossary Glossary. Anterior Cruciate Ligament, is an important structure of the knee joint. Careers. It contrasts with cystic lesions better known as synovial cysts or intercondylar fossa cysts. AJR Am J Roentgenol. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. They reported that a biopsy indicated mucoid degeneration and a relief of symptoms could be obtained through arthroscopic partial resection of the ligament.

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