2008;24(6):642649. 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. Sep 2017 - Feb 20186 months. Knee Surgery, Sports Traumatology, Arthroscopy. Noninfiltrating synovial cysts of the ACL were excluded. The mean age of patients ranged from 31 to 78years. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. (Table 3). They reported that a biopsy indicated mucoid degeneration and a relief of symptoms could be obtained through arthroscopic partial resection of the ligament. Generally, we know little about this condition. The .gov means its official. J Orthop. 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. Bookshelf [Diagnosis and treatment of anterior cruciate ligament cysts]. Patients will . Terms and Conditions, In the nine included studies, four different scores were used for outcome assessment. It may lead to knee pain. #radiologycpd #medicalimaging #imaging #radcme #rheumatology #arthritis #rheumatologist #orthopaedic #painphysician #physiotherapy #sportsmed #orthopaedic #mskmri. All rights reserved. Epub 2021 Mar 8. -. Bookshelf Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. There was strong association between degenerative changes and MDACL (82% having chondral and 69% meniscal lesions), which might suggest that MDACL is a degenerative process. Orthopedics; anterior cruciate ligament; arthoscopy. Coronal proton density-weighted magnetic resonance imaging shows a thickening of the anterior cruciate ligament. report that one patient had ACL reconstruction simultaneously after the ACL debridement. J Chin Med Assoc. 8600 Rockville Pike After arthroscopic debridement of the lesion, the patient regained full range of motion of the knee and were pain-free at follow-up. Seventeen females (67%) and eight males (33%) were included in the final analysis. A June 2018 MRI of the cervical spine found multilevel degenerative changes of the cervical spine, most pronounced at 6-7 and small disc herniations at 5-6 and C4-5, with slight interval progression at 5-6. . 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. Symptomatic instability was highest in the study of Lintz et al. Physical therapy typically begins 7-10 days after the procedure. Preoperative magnetic resonance imaging (MRI) scan. Quality was assessed using the Methodological Index for Non-Randomized Studies (MINORS) criteria. Keywords: mucoid degeneration, anterior cruciate ligament, acl reconstruction, arthroscopy, knee Postoperative pain relief was reported in seven studies. With cruciate ligament ganglia, intact ACL fibers can often be visualized coursing through or around the cyst. Accessibility 2009. and transmitted securely. -, Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK. This series describes the clinicoradiological presentation of patients with mucoid ACL, partial arthroscopic debridement of ACL and outcomes. 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). It is commonly identified on MRI in association with other pathological findings and can be confused with partial ACL tears. When refering to evidence in academic writing, you should always try to reference the primary (original) source. sharing sensitive information, make sure youre on a federal Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. The lesion may manifest as an elongated cyst along the long axis of the ACL, or as an enlarged ACL. Finally, partial meniscectomy was commonly performed simultaneously with ACL debridement in all studies, which arguably could be the reason for the postoperative improvement. 2007;245 (3): 916-7. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. No reconstruction was performed at the same time. . Anterior cruciate ligament mucoid degeneration. -, McIntyre J, Moelleken S, Tirman P. Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears. Shimasaki K, Yoshioka T, Kanamori A, Yamazaki M. Case Rep Orthop. government site. [16]. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. Loss to follow up was not mentioned in the other five studies [3, 6, 15, 17, 19]. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Unauthorized use of these marks is strictly prohibited. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. reported on the co-existence of mucoid degeneration and ganglia of the ACL. Epub 2011 Feb 18. 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. Patients with symptomatic MDACL commonly present with posterior knee pain and limitation of knee flexion or extension [2, 6]. Unlike meniscal tears and chondral defects, the mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of knee pain and there have been no case reports of mucoid degeneration of both the ACL and the posterior cruciate ligament (PCL). [Effectiveness of bone-anterior cruciate ligament-bone allograft in reconstruction of anterior cruciate ligament under arthroscope]. However, MDACL is asymptomatic in most patients. to 44% in the study of Cha et al. Arthroscopic debridement may help relieve the anterior knee pain. Mucoid degeneration of the anterior cruciate ligament. Due to the heterogeneity of data, a meta-analysis was not possible, and a narrative review was deemed most appropriate. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. 2011. Every time when patient flexes the knee, thickened ACL impinges over posterior cruciate ligament (PCL) in the knee, causing knee pain and limited motion. 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. -, Hensen JJ, Coerkamp EG, Bloem JL, De Schepper AM. Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. proposed reduction plasty, which is reduction of the ACL to normal volume without excision of all mucoid tissue. Truncation means that the . 1). Data extracted included mean age and gender of the patients, duration of follow up, associated chondral and meniscal lesions, interventions and outcomes. Cookies policy. PubMed Resnick D, Kransdorf MJ. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. HHS Vulnerability Disclosure, Help Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. Cho SD, Youm YS, Lee CC et-al. Mucoid degeneration,: like degenerative arthritis of a joint, generally occurs as a results of aging. Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first characterized by Kumar et al. Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Knee Surg Relat Res. If arthroscopy is performed, the ligament may appear entirely normal, especially using the standard anterior portal approach. In contrast to the tear, mucoid degeneration of the ACL characteristically does not cause knee instability [20, 21, 22]. The anterior cruciate ligament (ACL) is one of the more vital and more easily injured ligaments within our knee. The appearance can mimic acute or chronic interstitial partial tears of the ACL. Arthroscopic findings. This study concerns complete ACL resec 287 (3): 912-921. PubMed Unable to load your collection due to an error, Unable to load your delegates due to an error. 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/. MDACL is diagnosed by MRI, showing a celery stalk sign, and is confirmed by tissue biopsy and histological examination [7]. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. 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. National Library of Medicine The mean follow up ranged from 13 to 72months. NCI CPTC Antibody Characterization Program. ACL mucoid degeneration is present on ~10% (range 9-12%) of 3 T MRI examinations and 2% of 1.5 T MRI examinations 6. The rate of association between meniscal tears and MDACL ranged from 9 to 96%. This study concerns complete ACL resection as a treatment of mucoid degenerated ACL. Case report: This infiltrating lesion is included in the mucoid pathology of the intercondylar fossa. Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Knee Surg Relat Res. Third, clinical outcomes were reported using a variety of scores, so a data meta-analysis was not possible. in 1999 [ 1 ]. https://doi.org/10.1007/s002560100336, Narvekar A, Gajjar S (2004) Mucoid degeneration of the anterior cruciate ligament. Arthroscopic resection of ACL mucoid degeneration is effective for treating pain and flexion limitation, but at the expense of anterior laxity. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. Would you like email updates of new search results? Indian J Orthop. Clin Orthop Surg. FOIA Bergin et al. Orthopaedics & Traumatology: Surgery & Research. . After the literature search and exclusion of duplicates, 54 papers were retrieved: 12 articles were assessed for eligibility, and of these, 9 papers met the inclusion criteria and were included in the systematic review [3, 6, 13,14,15,16,17,18,19] (Fig. 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. The https:// ensures that you are connecting to the Management of mucoid degeneration of the anterior cruciate ligament: a systematic . 2019 Jun;32(6):577-583. doi: 10.1055/s-0038-1660514. sharing sensitive information, make sure youre on a federal 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 ). Ventura D, Nuez JH, Joshi-Jubert N, Castellet E, Minguell J. Clin Orthop Surg. Characteristic: "celery stalk" appearance. However, in most studies a proportion of patients simultaneously underwent other arthroscopic procedures for associated pathological knee conditions (44% meniscectomies in the study of Cha et al.). The prevalence of MDACL on magnetic resonance imaging (MRI) ranges from 1.8 to 5.3% [4, 5]. The total number of patients with symptomatic instability was 18 out of 288 (6%). Demographic, radiological, and histological findings, type of surgery, and clinical pre- and postoperative data were analyzed. AJR Am J Roentgenol. 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. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. Federal government websites often end in .gov or .mil. National Library of Medicine Correlations between degree of knee instability and SIR were assessed for each bundle, each time point, and each sequence. https://doi.org/10.1302/0301-620X.81B2.0810304, Article 8600 Rockville Pike [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%). Federal government websites often end in .gov or .mil. Along with that, it also controls the internal rotation. . Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first characterized by Kumar et al. volume33, Articlenumber:26 (2021) 2013 Jun 20;15:59. doi: 10.11604/pamj.2013.15.59.2534. Arthroscopic management of mucoid degeneration of anterior cruciate ligament. Chudasama CH, Chudasama VC, Prabhakar MM. Online ahead of print. https://doi.org/10.1016/j.jclinepi.2009.06.005. J Clin Epidemiol 62(10):10061012. 2011 Jun;25(6):650-2. Mucoid degeneration is characterized by an increase in the mucoid ground substance in the connective tissue containing glycoprotein and mucoprotein [ 4 ]. Would you like email updates of new search results? ANZ J Surg 73(9):712716. 8600 Rockville Pike There is no consensus on treatment and evidence is scarce. Bethesda, MD 20894, Web Policies Clin Orthop Surg. Coronal proton density-weighted magnetic resonance, Coronal proton density-weighted magnetic resonance imaging shows a thickening of the anterior cruciate, Sagittal proton density-weighted magnetic resonance, Sagittal proton density-weighted magnetic resonance image shows ill-defined anterior cruciate ligament with increased, Coronal T2 weighted fat suppressed fast spin echo image showed complex anterior cruciate, Pre-debridement arthroscopic view showing yellowish. 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. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Mucoid degeneration of the anterior cruciate ligament. 2011 Aug 1;19(8):1326-33. J Orthop. 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. A 48-year-old-male patient presented with knee pain and limitation of motion. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. government site. Cite this article. The .gov means its official. The success of treatment for MDACL and the subsequent risk of instability is not known. Presentation Patients usually present with nonspecific posterior knee pain with restriction of flexion. FOIA Hotchen AJ, Demetriou C, Edwards D, Melton JTK. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. Epub 2011 Feb 18. 2. Treatment of ACL mucoid degeneration by arthroscopic resection is effective for posterior pain and flexion limitation. Its interstitial nature within the ACL structure contrasts with synovial cyst of the ACL. 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. Instrumental treatment. and transmitted securely. They respond well to a judicious arthroscopic release of the ACL with notchplasty. The extracted data were heterogeneous in terms of outcome assessment. Introduction Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known pathology. The cruciate ligament have mechanoreceptors, which are responsible to detect any change in position of the knee, direction, speed and tension. official website and that any information you provide is encrypted Unable to load your collection due to an error, Unable to load your delegates due to an error. 2022 Jun 2;20(1):225-228. doi: 10.33314/jnhrc.v20i01.4182. Both anterior cruciate ligament ganglion cysts and mucoid degeneration have a high association with intraosseous cysts [3] (figures 1 and 2). Introduction Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. A total of 313 knees in 292 patients were included in the nine studies. Epub 2008 Apr 18. The pathogenesis remains controversial. http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42018087782. MeSH 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. We report a case of a patient with mucoid degeneration of the ACL, presenting with posterior knee pain and no history of a major knee trauma. 2010 Jun;96(4):400-6. doi: 10.1016/j.otsr.2010.02.008. -, Fealy S, Kenter K, Dines JS, Warren RF. This site needs JavaScript to work properly. Introduction: Am J Roentgenol 182(5):12831287. Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. AJR Am J Roentgenol. It often presents with progressive knee pain, restriction in range of motion without a significant history of trauma, and without knee instability. (61years), which was the largest study and represented more than one third of the total patients included in this review. PROSPERO. Conclusions. What is myxoid degeneration treatment? Mucoid degenerated anterior cruciate ligament (ACL) managed by arthroscopic ACL reconstruction: A case series. Hamal B, Karmacharya M, Mangal Joshi K, Gorkhali R. J Nepal Health Res Counc. -, Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. Clipboard, Search History, and several other advanced features are temporarily unavailable. Keywords: 4. 2022 Oct 23;34(1):40. doi: 10.1186/s43019-022-00169-9. 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). 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. Bethesda, MD 20894, Web Policies Three reviewers (an experienced librarian and two of the authors) independently searched these databases. 2011 Mar;25(3):262-5. 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. 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). Accessibility 1992;159(2):35760. Patients in all studies presented with central or posterior knee pain, mainly with terminal extension in three studies [14, 16, 17]. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 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. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Ever since mucoid degeneration of the anterior cruciate ligament (MD-ACL) was named by Kumar et al. official website and that any information you provide is encrypted Items are scored as 0 (not reported), 1 (reported but inadequate) or 2 (reported and adequate). Careers. Epidemiology The likelihood of mucoid change within ligaments and tendons increases with age 1. official website and that any information you provide is encrypted Pain was posterior in 23 knees (80%). This systematic review has some limitations. Read More Created for people with ongoing healthcare needs but benefits everyone. Risk factors Predisposing factors include the following 1: aging 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. GG and AM interpreted the results and reviewed the manuscript. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 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. Epub 2011 Feb 18. 2022 Mar;50(3):3000605221084865. doi: 10.1177/03000605221084865. This is a characteristic appearance of ACL mucoid degeneration where the ACL is expanded and hyperintense but is still continuous with normal alignment. Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. 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. Two patients uderwent secondary ligamentoplasty. Mucoid degeneration of both ACL and PCL. in 1999 [1]. 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. PMC sharing sensitive information, make sure youre on a federal : A Meta-Analysis. https://doi.org/10.4103/0019-5413.128765, Article Any discrepancy was resolved by the senior author. . . A positive Lachman test and a negative pivot shift were noted after surgery in all cases. 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. 2001;30(6):312315. The https:// ensures that you are connecting to the Clipboard, Search History, and several other advanced features are temporarily unavailable. Pandey, Vivek et al. Skeletal Radiology. However, young patients should be forewarned about the risk of instability, and an anterior cruciate ligament reconstruction could be necessary. Mucoid cystic degeneration of the cruciate ligament. This site needs JavaScript to work properly. On MRI, the ligament is thickened and ill-defined with a "celery stalk" appearance. The origin of MDACL may be degenerative or traumatic. The anterior cruciate ligament (ACL) is an important ligament in the knee. Postoperative Lachman test was positive in 40% of patients, and 6% of patients had symptomatic instability. statement and HHS Vulnerability Disclosure, Help [6], in 62% of patients (18 of 29) in the study of Lintz et al. Sometimes, it is mislead as ACL tear on MRI findings, hence requires probing and histopathology for definitive diagnosis. This ligament consists of two fibers, mainly, the anterio-medial and postero-lateral fibers, respectively. Mucoid degeneration of the anterior cruciate ligament. Would you like email updates of new search results? The visual analogue scale score, the International Knee Documentation Committee score, and the Tegner Lysholm Knee Score were collected preoperatively, postoperatively, and during the follow-up period. (100%). Federal government websites often end in .gov or .mil. mucoid degeneration acl symptoms. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Skeletal Radiol. just over two decades ago [], the interest in this condition has quickly gathered pace in the orthopaedic community.Little is known about this condition that affects 1.8-5.3% of the population as per magnetic resonance imaging (MRI) diagnosis [2, 3]. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Orthop Traumatol Surg Res. Rajani AM, Shah UA, Mittal ARS, Gupta S, Garg R, Punamiya M. Knee Surg Relat Res. Ligaments and tendons are accumulated by mucoid change might display a thickened and/or hypertrophied appearance, with an increase in signal intensity. Average postoperative differential laxity on the Telos device was 8.3 mm (5 to 13 mm). Arthroscopic examination analyzed the ACL aspect and its associated lesions (meniscus, cartilage). Federal government websites often end in .gov or .mil. 2018. http://journals.sagepub.com/doi/10.1177/2325967118786930, Pandey V, Suman C, Sharma S, Rao SP, Kiran Acharya K, Sambaji C (2014) Mucoid degeneration of the anterior cruciate ligament: management and outcome. Association between magnetic resonance imaging characteristics and pathological findings in entire posterior cruciate ligament with mucoid degeneration. This is a rare pathological condition, in which, there is increased signal from within the ligament. 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]. -Evaluated and planned treatment protocol in accordance with physician. Arthroscopic diagnostic criteria [7] are (1) continuous ACL fibres, (2) increased ACL volume, (3) yellowish-coloured material expressed on palpation and (4) loss of ACL synovial lining. What you feel (symptoms) You feel heaviness in knee joint. Arthroscopy 20(2):141146. Therefore, Anterior Cruciate Ligament tear is more susceptible during any injury to the knee. Epub 2013 Aug 27. Keywords: 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 reported restriction of range of movement was flexion deficit in four studies [3, 13, 15, 17], extension deficit in one study [14] and combined flexion and extension deficit in four studies [6, 16, 18, 19] (Table4). 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. in 1999 [1]. This site needs JavaScript to work properly. Level of Evidence: Level IV. Postoperative clinical laxity was common, however, symptomatic instability was not. Treatment of ACL mucoid degeneration by arthroscopic resection is effective for posterior pain and flexion limitation. HHS Vulnerability Disclosure, Help sharing sensitive information, make sure youre on a federal 1999;81(2):304305. Bilateral Symptomatic Mucoid Degeneration of the Anterior Cruciate Ligament with Anterior Knee Pain but No Limited Knee Flexion. Correspondence to Mucoid degeneration of acl (anterior cruciate ligament) is not a common problem and mostly it is found in female patients. Physiotherapy. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0.
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