Therefore, Anterior Cruciate Ligament tear is more susceptible during any injury to the knee. Cho SD, Youm YS, Lee CC et-al. Mucoid degenerated anterior cruciate ligament (ACL) managed by arthroscopic ACL reconstruction: A case series. reported on the co-existence of mucoid degeneration and ganglia of the ACL. Another theory is the synovial theory whereby a pouch of synovium herniates and is subsequently filled with synovium [2]. Anatomopathology samples were collected in 18 cases. Individuals with mucoid degeneration of the ACL were excluded. Typically patients present with knee pain or restricted movement, although often other potential causes for the patient's symptoms are found. statement and Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. Would you like email updates of new search results? 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. 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. AJR Am J Roentgenol. I have persistent pain in the back of that knee that is exacerbated by walking and bending it. PMC A historical cohort of patients who underwent arthroscopic total or partial excision of the anterior cruciate ligament due to mucoid degeneration between 2011 and 2014 were reviewed. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. IV (retrospective cohort study). CAS Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first characterized by Kumar et al. Knee. There was a high rate of association between degenerative lesions and MDACL, ranging from 39 to 96%. The prevalence of MDACL on magnetic resonance imaging (MRI) ranges from 1.8 to 5.3% [4, 5]. 2022 Jun 2;20(1):225-228. doi: 10.33314/jnhrc.v20i01.4182. Loss to follow up was not mentioned in the other five studies [3, 6, 15, 17, 19]. Clin Orthop Surg. See this image and copyright information in PMC. HHS Vulnerability Disclosure, Help 2. official website and that any information you provide is encrypted Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. Here are the search results of the thread mucoid degeneration of acl treatment from Bing. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. . Papadopoulou P. The celery stalk sign. Arthroscopic debridement of the anterior cruciate ligament (ACL) results in satisfactory pain relief and improvement in knee outcome scores. 2021 Aug 21;33(1):26. doi: 10.1186/s43019-021-00110-6. Average improvement in flexion was 21.5 degrees (0 to 60 degrees). Accessibility Federal government websites often end in .gov or .mil. -Evaluated and planned treatment protocol in accordance with physician. The quality of methodology was excellent in one study, good in five studies, low in two studies and very low in one study (Tables 1 and 2). An official website of the United States government. Knee Surg Sports Traumatol Arthrosc. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Keywords: There is no consensus on treatment and evidence is scarce. This was lowest in the study of Cha et al. Hamal B, Karmacharya M, Mangal Joshi K, Gorkhali R. J Nepal Health Res Counc. In contrast to the tear, mucoid degeneration of the ACL characteristically does not cause knee instability [20, 21, 22]. 2007;245 (3): 916-7. Anterior Cruciate Ligament, is an important structure of the knee joint. 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. The prevalence of mucoid degeneration of the ACL has been reported to be 0.43% [ 5 ]. Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. Its interstitial nature within the ACL structure contrasts with synovial cyst of the ACL. -, Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. Epub 2018 Apr 21. Please enable it to take advantage of the complete set of features! 1. Google Scholar, Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D (2011) Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. MDACL is diagnosed by MRI, showing a celery stalk sign, and is confirmed by tissue biopsy and histological examination [7]. All nine studies included patients with symptomatic MDACL confirmed by MRI (Table3). 1992;159(2):35760. This study was registered on PROSPERO [10], an international prospective register of systematic reviews (CRD42018087782). 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. Arthroscopy. Accessibility https://doi.org/10.2214/ajr.182.5.1821283, Article Intact fibers are best seen on T2WI. eCollection 2013. Quality was assessed using the Methodological Index for Non-Randomized Studies (MINORS) criteria. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. Noninfiltrating synovial cysts of the ACL were excluded. Coronal T2 weighted fat suppressed fast spin echo image showed complex anterior cruciate ligament ganglion cyst arising from superior aspect of ligament. A total of 313 knees in 292 patients were included. https://doi.org/10.1302/0301-620X.81B2.0810304, Article It often presents with progressive knee pain, restriction in range of motion without a significant history of trauma, and without knee instability. J Bone Joint Surg Br. CAS 2021 Aug 21;33(1):26. doi: 10.1186/s43019-021-00110-6. Treatment of ACL mucoid degeneration by arthroscopic resection is effective for posterior pain and flexion limitation. Two patients uderwent secondary ligamentoplasty. J Orthop. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. 8600 Rockville Pike Manage cookies/Do not sell my data we use in the preference centre. -. 2011. Physical therapy typically begins 7-10 days after the procedure. Epub 2018 Jan 2. Sometimes, it is mislead as ACL tear on MRI findings, hence requires probing and histopathology for definitive diagnosis. -, McIntyre J, Moelleken S, Tirman P. Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears. Eight studies showed postoperative improvement in range of motion, whereas Khanna et al. GG and AM interpreted the results and reviewed the manuscript. The anterior cruciate ligament (ACL) is an important ligament in the knee. Discussion: In this systematic review we found that arthroscopic debridement resulted in good pain relief and improved range of motion and clinical outcome scores. AJR Am J Roentgenol. 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. It results in postoperative laxity, but rarely in frank instability. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. Association between magnetic resonance imaging characteristics and pathological findings in entire posterior cruciate ligament with mucoid degeneration. in 1999 [1]. 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). and transmitted securely. PubMed Central Case report: Instrumental treatment. Mucoid degeneration of the anterior cruciate ligament: a case report. This may support the theory that it is a degenerative process. 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). 3. 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. The https:// ensures that you are connecting to the This site needs JavaScript to work properly. Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Accessibility Knee Surg & Relat Res 33, 26 (2021). https://doi.org/10.1016/j.jajs.2015.12.001, Ventura D, Nuez JH, Joshi-Jubert N, Castellet E, Minguell J (2018) Outcome of arthroscopic treatment of mucoid degeneration of the anterior cruciate ligament. 2011 Mar;25(3):262-5. Epub 2010 May 8. However, symptomatic instability was not common. 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. Arthroscopic debridement may help relieve the anterior knee pain. 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. A total of 313 knees in 292 patients were included in the nine studies. Please enable it to take advantage of the complete set of features! -, Fealy S, Kenter K, Dines JS, Warren RF. By using this website, you agree to our Postoperative recovery was four weeks on average. Arthroscopic management of mucoid degeneration of anterior cruciate ligament. 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. and transmitted securely. 2001;17(9):E37. 8600 Rockville Pike At the time the article was last revised Dai Roberts had no recorded disclosures. Histological diagnosis was established by tissue biopsy in all patients in five studies, with a total of 87 knees. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 2004;182(5):12831287. Patients with symptomatic MDACL commonly present with posterior knee pain and limitation of knee flexion or extension [2, 6]. 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). Anterior cruciate ligament; Arthroscopy; Knee; Mucoid degeneration. 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 Clipboard, Search History, and several other advanced features are temporarily unavailable. Clipboard, Search History, and several other advanced features are temporarily unavailable. Bethesda, MD 20894, Web Policies Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. 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. Items are scored as 0 (not reported), 1 (reported but inadequate) or 2 (reported and adequate). 2018 Sep;10(3):307-314. doi: 10.4055/cios.2018.10.3.307. 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. The cause is not really known, but patients usually do not complain of instability. . Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study. Pain was posterior in 23 knees (80%). Skelet Radiol 30(6):312315. Questions just answered: mucoid degeneration of acl physiotherapy. Hypothesis: 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. Arthroscopic findings. 2010 Jun;96(4):400-6. doi: 10.1016/j.otsr.2010.02.008. Fourteen knees (48%) had limited flexion, on average 97 degrees. 2010 Jun 1;96(4):400-6. 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. what causes mucoid degeneration of acl. Reeducation. 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 . Correlations between degree of knee instability and SIR were assessed for each bundle, each time point, and each sequence. Clipboard, Search History, and several other advanced features are temporarily unavailable. Bookshelf 1999;81(2):304305. Mucoid degeneration of the anterior cruciate ligament. as very low (04 points), low (58 points), good (912 points) or excellent (1316 points) [12]. 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. [16]. Hamdaoui and others published Le signe de la branche de cleri | Find, read and cite all the research you need on ResearchGate Introduction Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. Postoperative follow-up included standard radiography and dynamic examination, measuring laxity with a Telos device. The site is secure. All nine studies assessed the outcome of arthroscopic debridement of MDACL. Mucoid degeneration of the anterior cruciate ligament. Mucoid degeneration is characterized by an increase in the mucoid ground substance in the connective tissue containing glycoprotein and mucoprotein [ 4 ]. 2021 Sep;50(9):1837-1843. doi: 10.1007/s00256-021-03750-7. The purpose of this study was to investigate the outcomes of management of mucoid degeneration of the anterior cruciate ligament (MDACL) by performing a systematic review of methods of treatment that have been reported. 2018 Jun;25(3):445-452. doi: 10.1016/j.knee.2018.02.012. The https:// ensures that you are connecting to the 4. Diet therapy and various other treatments (general aspects) Discipline Radiotherapy. AJR Am J Roentgenol. Twenty knees (69%) had associated cartilaginous lesions and 19 (66%) had meniscal lesions. 2011 Aug 1;19(8):1326-33. All nine studies were case series; six were retrospective and three were prospective studies. (10%) and highest in the study of Ventura et al. Careers. Mucoid degeneration of both ACL and PCL. Cookies policy. 1). Arch Orthop Trauma Surg. Presentation Patients usually present with nonspecific posterior knee pain with restriction of flexion. Unable to load your collection due to an error, Unable to load your delegates due to an error.