Bethesda, MD 20894, Web Policies Average patient age was 49 (22 to 68) years. Two reviewers independently screened the titles and abstracts of the retrieved records for eligibility. Anterior cruciate ligament mucoid degeneration: Selecting the best Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. and transmitted securely. Seven of the nine studies reported using the Lachman test to check postoperative ACL laxity. mucoid degeneration acl symptoms. Histologically, there is a mucoid substance in connective tissue containing glycoproteins and mucoproteins [8]. In most cases Physiopedia articles are a secondary source and so should not be used as references. Postoperative ACL laxity is a common finding after ACL arthroscopic debridement, however, symptomatic instability is not. This site needs JavaScript to work properly. California Privacy Statement, Ligaments are very tough, fibrous tissue structures. Anterior Cruciate Ligament (ACL) Mucoid Degeneration - Physiopedia Quality was assessed using the Methodological Index for Non-Randomized Studies (MINORS) criteria. MDACL is not uncommon, however, it is rarely symptomatic [4, 5]. However, the authors did not report whether there were any other patients with symptomatic instability. 2004;182 (5): 1283-7. CONFLICT OF INTEREST: No potential conflict of interest relevant to this article was reported. Here are the search results of the thread mucoid degeneration of acl treatment from Bing. Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. 8600 Rockville Pike proposed reduction plasty, which is reduction of the ACL to normal volume without excision of all mucoid tissue. Bone and joint imaging. Pre-debridement arthroscopic view showing yellowish content in the anterior cruciate ligament. Eight patients (72.7%, n=8) reported an improvement of knee instability, while three patients (27.3%, n=3) experienced an unchanged knee stability. Symptoms included limited range of motion (ROM) and posterior knee pain. The anterior cruciate ligament (ACL) is an important ligament in the knee. and transmitted securely. Anterior cruciate ligament; Arthroscopy; Knee; Mucoid degeneration. 5. 2022 Apr 11;31:67-71. doi: 10.1016/j.jor.2022.04.004. government site. Careers. 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. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. Careers. MAUDE Adverse Event Report: GENZYME BIOSURGERY (RIDGEFIELD) SYNVISC ONE Clipboard, Search History, and several other advanced features are temporarily unavailable. Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. Score: 4.7/5 (45 votes) . Symptomatic ACL mucoid degeneration in middle-age athletes. 2. have described the following MRI criteria [4]: (1) high signal intensity in the T1 and T2 sequences, (2) increased ACL volume and (3) continuous fibres of ACL shown in the T2 sequence. Epub 2018 Jan 2. Mucoid degeneration of the anterior cruciate ligament. Chudasama et al. The aetiology of MDACL is not clearly understood. 2007;15 (1): 73-86. These appearances must be differentiated from mucoid degeneration of the intact ACL. Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. Careers. CIOS :: Clinics in Orthopedic Surgery All nine studies included patients with symptomatic MDACL confirmed by MRI (Table3). Clin Orthop Surg. Sep 2017 - Feb 20186 months. reported the largest percentage of patients (27.5%) with a positive pivot test. -, Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. Arthroscopically ACL is intact but fibrillated, yellowish and hypertrophied,with interspersed yellowish mucinous material along the fibers, lack of synovial linning of the ACL. The mean MINORS score was 9.5 (range 412). 2008;24(6):642649. mucoid degeneration of acl - Best Orthopedic doctor in Jaipur 2021 Sep;50(9):1837-1843. doi: 10.1007/s00256-021-03750-7. Patients with symptomatic MDACL commonly present with posterior knee pain and limitation of knee flexion or extension [2, 6]. Seventeen females (67%) and eight males (33%) were included in the final analysis. Anterior cruciate ligament mucoid degeneration: Selecting the best 2011. el Kadi KI, Marcaillou F, Blanc S, Salloum B, Dimontagliari C, Boutayeb F. Pan Afr Med J. The primary intervention was arthroscopic ACL debridement in eight studies; this was combined with notchplasty in cases of impingement with the lateral wall of the notch in five studies [6, 14, 16,17,18] (Table 3). Epub 2013 Aug 27. Mucoid degeneration of the patellar ligament in athletes. Cite this article. Pandey, Vivek et al. Possible etiologies include: It is postulated that mucoid degeneration may be a predisposing factor in the formation of ACL ganglion cysts. Anterior cruciate ligament reconstruction was required in only one young patient due to disabling instability. Bookshelf National Library of Medicine National Library of Medicine Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. . -Provided skilled hands on in post-op rehabilitation to various population including Head and neck cancers, Lymph edema management, Bone cancers. Mucoid degeneration of the anterior cruciate ligament. 2021 Oct 21;2021:5879121. doi: 10.1155/2021/5879121. Fig. Any discrepancy was resolved by the senior author. Mucoid degeneration of the anterior cruciate ligament (ACL) is a very rare cause of knee pain. Epub 2010 May 8. Young and active patients should be warned about the risk of requiring secondary ligamentoplasty. The rate of association between meniscal tears and MDACL ranged from 9 to 96%. 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. ACL ganglion cyst at arthroscopy may appear as a cystic mass with . The site is secure. 2011;19(3):408411. statement and A September 2018 MRI of the left knee showed anterior cruciate ligament and mucoid degeneration with intra cruciate ganglion . HHS Vulnerability Disclosure, Help Data extracted included mean age and gender of the patients, duration of follow up, associated chondral and meniscal lesions, interventions and outcomes. 1999;81(2):304305. Le signe de la branche de cleri - ResearchGate Open Grey database was searched for grey literature using the same keywords. https://doi.org/10.1016/j.jclinepi.2009.06.005. in this condition your acl (anterior cruciate ligament) filled with jelly like material and it thickened so space in intercondylar resion of knee joint is reduced. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. 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. What does mucoid degeneration of posterior horn of medial - HealthTap PMC The site is secure. By using this website, you agree to our https://doi.org/10.1007/s00167-012-1991-9, McIntyre J, Moelleken S, Tirman P (2001) Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears. An official website of the United States government. 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. All rights reserved. Truncation means that the . J Bone Joint Surg Ser B 81(2):304305. Post-debridement arthroscopic view showing yellowish lesion of the anterior cruciate ligament which was debrided. Twenty-eight knees (97%) showed soft and/or delayed stops on postoperative Lachman testing. MM and A performed the literature search, and data analysis. Anterior cruciate ligament mucoid degeneration: a review of the HHS Vulnerability Disclosure, Help 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. 2022 Mar;14(1):76-89. doi: 10.4055/cios20163. HHS Vulnerability Disclosure, Help Treatment of ACL mucoid degeneration by arthroscopic resection is effective for posterior pain and flexion limitation. Physical Therapy. Does Femoral Intercondylar Notch Volume Differ in Anterior Cruciate Ligament-Injured Adult Patients Compared to the Uninjured? Pan African Medical Journal. 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]. MUCOID DEGENERATION OF ACL - ARTHROSCOPIC TREATMENT - YouTube 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. Other theories include Degenerative theory- MD could occur due to ageing.[3]. It is commonly identified on MRI in association with other pathological findings and can be confused with partial ACL tears. What are the treatment options for anterior cruciate ligament mucoid official website and that any information you provide is encrypted PubMed When refering to evidence in academic writing, you should always try to reference the primary (original) source. {"url":"/signup-modal-props.json?lang=us"}, Gaillard F, Roberts D, Saber M, et al. The aetiology of MDACL is not fully understood, hence, there are multiple theories on this. National Center for Biotechnology Information Mucoid degeneration of the ACL is a rare cause of knee pain.1-8) This lesion of the ACL was first reported by Kumar et al.3) in 1999. Third, clinical outcomes were reported using a variety of scores, so a data meta-analysis was not possible. Risk factors Predisposing factors include the following 1: aging https://doi.org/10.4055/cios.2018.10.3.307, University Hospitals of Derby and Burton, Uttoxeter Rd, Derby, DE22 3NE, UK, Trauma and Orthopaedic Speciality Trainee, West Midlands Deanery, Birmingham Rotation, Birmingham, UK, University Hospitals Plymouth NHS Trust, Plymouth, UK, University of Alexandria, Alexandria, Egypt, University Hospital Coventry and Warwickshire, Clifford Bridge Road, Walsgrave, Coventry, CV2 2DX, UK, You can also search for this author in Association between magnetic resonance imaging characteristics and pathological findings in entire posterior cruciate ligament with mucoid degeneration. However, young patients should be forewarned about the risk of instability, and an anterior cruciate ligament reconstruction could be necessary. We report a case of mucoid degeneration of the anterior cruciate ligament (ACL). Its interstitial nature within the ACL structure contrasts with synovial cyst of the ACL. Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. Mucoid Degeneration of the Anterior Cruciate Ligament: A Case Report 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. This study concerns complete ACL resection as a treatment of mucoid degenerated ACL. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. Knee Surg & Relat Res 33, 26 (2021). Mucoid degeneration of ACL | Mayo Clinic Connect 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. Bergin D, Morrison WB, Carrino JA et-al. Arch Orthop Trauma Surg. Only nine studies met our inclusion criteria and they were all case series. There was strong association with chondral lesions and meniscal tears. A total of nine studies were eligible for review. At the time the article was created Frank Gaillard had no recorded disclosures. Learn.Physio on LinkedIn: Quadriceps and hamstring weakness are common Postoperative symptomatic instability was not common in eight studies, but was observed in 48% of patients in the study of Lintz et al., with two patients having a delayed ACL reconstruction. An official website of the United States government. Anterior cruciate ligament mucoid degeneration: MR findings Exclusion criteria were (1) case reports, literature reviews and conference abstracts and (2) studies written in languages other than English. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. Clipboard, Search History, and several other advanced features are temporarily unavailable. PMC Surgical treatment involves arthroscopic debridement of ACL, with partial or total resection, occasionally combined with ACL reconstruction. Roberts CC, Towers JD, Spangehl MJ et-al. 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 . 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. Rehabilitation, speech therapy, crenotherapy. (PDF) Anterior Cruciate Ligament Ganglion Cyst and Mucoid Degeneration Only three studies mentioned failed conservative treatment as an inclusion criterion [14, 15, 18].
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