GG and AM interpreted the results and reviewed the manuscript. 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. 2010 Jun 1;96(4):400-6. Two patients uderwent secondary ligamentoplasty. Tissue biopsy was performed in 85% of patients (58 of 68) in the study of Cha et al. -, McIntyre J, Moelleken S, Tirman P. Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears. On clinical examination, the active range of motion showed a flexion deficit. 2013 Oct;99(6):693-7. doi: 10.1016/j.otsr.2013.04.010. Twenty knees (69%) had associated cartilaginous lesions and 19 (66%) had meniscal lesions. Before The prevalence of mucoid degeneration of the ACL has been reported to be 0.43% [ 5 ]. https://doi.org/10.1016/j.arthro.2008.02.004, Morice A, Coupry A, Lintz F, Robert H (2013) Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. Mucoid degeneration of the anterior cruciate ligament. https://doi.org/10.1007/s00167-011-1433-0, Article 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. Check for errors and try again. Clipboard, Search History, and several other advanced features are temporarily unavailable. 2006 Sep;69(9):449-52. doi: 10.1016/S1726-4901(09)70290-4. (2018) Radiology. Functional Outcome of Arthroscopic Debridement of Mucoid Degeneration of the Anterior Cruciate Ligament. With cruciate ligament ganglia, intact ACL fibers can often be visualized coursing through or around the cyst. A total of 313 knees in 292 patients were included in the nine studies. Arch Orthop Trauma Surg. 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. Diet therapy and various other treatments (general aspects) Discipline Radiotherapy. 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. All nine included studies utilized MRI of the knee to establish a radiological diagnosis as an inclusion criterion. 2007;245 (3): 916-7. 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. Noninfiltrating synovial cysts of the ACL were excluded. 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. Due to the heterogeneity of data, a meta-analysis was not possible, and a narrative review was deemed most appropriate. Indian J Orthop. It has recently been postulated that mucoid degeneration of the ACL is related to the medial knee compartment joint space loss in patients with osteoarthritis or in the OA risk group 6. 2004;182(5):12831287. Bookshelf An official website of the United States government. 2013;15(1). Reference article, Radiopaedia.org (Accessed on 04 Mar 2023) https://doi.org/10.53347/rID-3615, Case 11: with Hoffa fat pad ganglion cyst, Case 12: tibial nerve schwannoma and ACL mucoid degeneration, Case 1: Complete ACL tear and meniscal tears, Case 2: Anomalous insertion of the medial meniscus, View Frank Gaillard's current disclosures, see full revision history and disclosures, anterior cruciate ligament ganglion cysts, anterior cruciate ligament avulsion fracture, posterior cruciate ligament avulsion fracture, Ahlback classification system in assessing osteoarthritis of the knee joint, Kellgren and Lawrence system for classification of osteoarthritis, anterior cruciate ligament mucoid degeneration, MRI grading system for meniscal signal intensity, Mucoid degeneration of the anterior cruciate ligament, congenital or acquired synovial tissue entrapment between ACL fibers. Bookshelf This systematic review has some limitations. Postoperative ACL laxity is a common finding after ACL arthroscopic debridement, however, symptomatic instability is not. Pain was posterior in 23 knees (80%). Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. 2018 Jun;25(3):445-452. doi: 10.1016/j.knee.2018.02.012. Several authors have identified this condition, described their experiences, and suggested their own guidelines for management. (100%). California Privacy Statement, In this review, the mean age of patients ranged from 31 to 78years; mean age was highest in the study of Kim et al. Five studies demonstrated improved postoperative functional outcome scores compared to preoperative scores [6, 14, 16, 18, 19]. Unable to load your collection due to an error, Unable to load your delegates due to an error. Epub 2018 Jan 2. HHS Vulnerability Disclosure, Help Would you like email updates of new search results? Online ahead of print. {"url":"/signup-modal-props.json?lang=us"}, Gaillard F, Roberts D, Saber M, et al. Arthroscopy. Epub 2013 Aug 27. In the Lintz study, total resection of the ACL was performed in 17 out of 29 knees, while in the Ventura study total resection was performed in 17 out of 25 patients. Bilateral Symptomatic Mucoid Degeneration of the Anterior Cruciate Ligament with Anterior Knee Pain but No Limited Knee Flexion. https://www.physio-pedia.com/index.php?title=Anterior_Cruciate_Ligament_(ACL)_Mucoid_Degeneration&oldid=253974, Difficulty in climbing stairs, cross-leg sitting, squatting, Primary condition- Osteoarthritis, degenerative menisci, meniscal tear, Impingement of the soft tissue in the vicinity. Skelet Radiol 30(6):312315. Arthroscopy 20(2):141146. It is a chronic degenerative change of a bulky ACL that may lead to notch . and Ventura et al. JBR-BTR. Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. -, Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK. -Provided skilled hands on in post-op rehabilitation to various population including Head and neck cancers, Lymph edema management, Bone cancers. The lesion may manifest as an elongated cyst along the long axis of the ACL, or as an enlarged ACL. Accessibility Ever since mucoid degeneration of the anterior cruciate ligament (MD-ACL) was named by Kumar et al. Preoperative magnetic resonance imaging (MRI), Fig. Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. This study concerns complete ACL resec Orthopaedics & Traumatology: Surgery & Research. 2009 Jul;17(7):737-40. doi: 10.1007/s00167-008-0690-z. The site is secure. 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 . [17] do not mention whether any patients underwent biopsy (Table 3). It can cause pain and to a meniscal tear. All patients with a preoperative limited ROM (100%, n=9) reported a return to a normal (subjective) ROM. Before 8600 Rockville Pike in 1999 [1]. National Library of Medicine Four studies reported only postoperative scores, which were comparable to those in other studies. Eight studies showed postoperative improvement in range of motion, whereas Khanna 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. Later studies reported that changes consist of mucoid Results degeneration, neovascularisation, and tendon sheath hyper- Nineteen patients met the inclusion criteria and were inclu- trophy. Bookshelf ADVERTISEMENT: Supporters see fewer/no ads. Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. Introduction Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. Epub 2011 Feb 18. 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. The anterior cruciate ligament (ACL) is the most commonly injured of the major knee ligaments. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. Hamal B, Karmacharya M, Mangal Joshi K, Gorkhali R. J Nepal Health Res Counc. The pathogenesis remains controversial. The aetiology of MDACL is not clearly understood. J Chin Med Assoc. Some case reports have been published; however, it is difficult to diagnose and is often underdiagnosed or misdiagnosed because of its pathophysiological ambiguity. Knee. Google Scholar, Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P (2010) Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. Bergin et al. Accessibility Knee Surg & Relat Res 33, 26 (2021). Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) flowchart illustrating the selections of trials included in the systematic review. 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. Read More Created for people with ongoing healthcare needs but benefits everyone. 2012 Sep;46(5):561-5. doi: 10.4103/0019-5413.101037. reported total resection of the ACL in 68% of patients: one young patient had disabling instability and subsequent ACL reconstruction. Average postoperative differential laxity on the Telos device was 8.3 mm (5 to 13 mm). Conclusions 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 . 2013 Jun 20;15:59. doi: 10.11604/pamj.2013.15.59.2534. Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of knee pain. J Sports Med Phys Fitness 48(4):483487, PubMed Google Scholar, Chudasama CH, Chudasama VC, Prabhakar MM (2012) Arthroscopic management of mucoid degeneration of anterior cruciate ligament. Possible etiologies include: It is postulated that mucoid degeneration may be a predisposing factor in the formation of ACL ganglion cysts. Epub 2021 Mar 8. Keywords: Shimasaki K, Yoshioka T, Kanamori A, Yamazaki M. Case Rep Orthop. Indian J Orthop 46(5):561565. CAS A total of nine studies were eligible for review. Bethesda, MD 20894, Web Policies Arthroscopic examination analyzed the ACL aspect and its associated lesions (meniscus, cartilage). ACL mucoid degeneration is an uncommon pathological condition; the pathogenesis, prevalence, and association with other intra-articular knee structural damage are still poorly understood. 1 Its prevalence in magnetic resonance imaging (MRI) is 1.8-5.3%, but not all lesions are symptomatic.2, 3 It is characterized by infiltration of mucoid-like substance (glycosaminoglycans) interspersed within the This is a characteristic appearance of ACL mucoid degeneration where the ACL is expanded and hyperintense but is still continuous with normal alignment. This site needs JavaScript to work properly. Average patient age was 49 (22 to 68) years. Conclusions: Mucoid degeneration of the ACL is a clinical condition afflicting active middle-aged people without a single significant traumatic episode with a specific MRI picture. Score: 4.7/5 (45 votes) . Terms and Conditions, Reeducation. The ligament is mainly responsible for restraining anterior translation of knee. 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. Second, methodological quality assessment showed that three studies had low methodological quality. 2018 Sep;10(3):307-314. doi: 10.4055/cios.2018.10.3.307. Keywords used for the Search were mucoid degeneration, anterior cruciate ligament and ACL. The knee is a complex synovial joint that can be affected by a range of pathologies: Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Ventura D, Nuez JH, Joshi-Jubert N, Castellet E, Minguell J. Clin Orthop Surg. Thirteen patients were treated with complete ACL resection for symptomatic MD of the ACL from 2006-2016. Unauthorized use of these marks is strictly prohibited. Before This was lowest in the study of Cha et al. Clin Orthop Surg. Signal intensity of the anteromedial bundle (AMB) or posterolateral bundle (PLB) graft standardized to the intensity of the PCL was defined as signal intensity ratio (SIR). 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. The review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines and registered in the PROSPERO database (CRD42018087782). What is myxoid degeneration treatment? Seven of the nine studies reported using the Lachman test to check postoperative ACL laxity. See this image and copyright information in PMC. Three reviewers (an experienced librarian and two of the authors) independently searched these databases. We report a case of mucoid degeneration of the anterior cruciate ligament (ACL). Data extracted included mean age and gender of the patients, duration of follow up, associated chondral and meniscal lesions, interventions and outcomes. 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. official website and that any information you provide is encrypted 2022 Oct 23;34(1):40. doi: 10.1186/s43019-022-00169-9. For non-comparative studies, this consists of eight questions. 2010 Jun;96(4):400-6. doi: 10.1016/j.otsr.2010.02.008. Treatment of ACL mucoid degeneration by arthroscopic resection is effective for posterior pain and flexion limitation. Sagittal proton density-weighted magnetic resonance image shows ill-defined anterior cruciate ligament with increased signal intensity and a celery stalk appearance of intact fibers. Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK (1999) Mucoid cystic degeneration of the cruciate ligament. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. All studies focused on the outcome of arthroscopic debridement of MDACL, with no studies on conservative treatment. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. Knee Surg Sports Traumatol Arthrosc. Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. CONFLICT OF INTEREST: No potential conflict of interest relevant to this article was reported. J Orthop. This study was registered on PROSPERO [10], an international prospective register of systematic reviews (CRD42018087782). See this image and copyright information in PMC. Arthroscopy. Postoperative recovery was four weeks on average. Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. Post-debridement arthroscopic view showing yellowish, Post-debridement arthroscopic view showing yellowish lesion of the anterior cruciate ligament which was, MeSH 2018 Apr;34(4):1054-1059. doi: 10.1016/j.arthro.2017.10.039. Skeletal Radiol. J Knee Surg. Arthroscopy. Only nine studies met our inclusion criteria and they were all case series. HHS Vulnerability Disclosure, Help The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. -. The mean age at the time of surgery was 57 years (range, 31 to 78 years). 2022 Mar;50(3):3000605221084865. doi: 10.1177/03000605221084865. ACL debridement was partial in all studies except for those by Lintz et al. 1173185. Google Scholar, Cha JR, Lee CC, Cho SD, Youm YS, Jung KH (2013) Symptomatic mucoid degeneration of the anterior cruciate ligament. Mucoid degeneration of acl (anterior cruciate ligament) is not a common problem and mostly it is found in female patients. Anterior cruciate ligament ganglia and mucoid degeneration: Coexistence and clinical correlation. Unable to process the form. 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. However, in the case of mucoid degeneration secondary signs of an ACL injury are usually absent. 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. Its prevalence in magnetic resonance imaging (MRI) is 1.8 to 5.3%, but not all lesions are symptomatic. Treatment modalities for ACL ganglion cyst include arthroscopic excision or puncture, CT scan, and ultrasound-guided aspiration [25-26]. Individuals with mucoid degeneration of the ACL were excluded. 1. 2021 Aug 21;33(1):26. doi: 10.1186/s43019-021-00110-6. Rehabilitation, speech therapy, crenotherapy. In these studies, the total number of patients with a postoperative positive Lachman test was 40% (77 of 194 patients). MUCOID DEGENERATION OF ACL - ARTHROSCOPIC TREATMENT 2,375 views Sep 15, 2019 23 Dislike Dr. Prateek Joshi- Ortho 1.02K subscribers Notice Age-restricted video (based on Community Guidelines). 2019 Jun;32(6):577-583. doi: 10.1055/s-0038-1660514. 2008 Jun;24(6):642-9. doi: 10.1016/j.arthro.2008.02.004. 2004 Feb;20(2):141-6. doi: 10.1016/j.arthro.2003.11.030. Treatment for MDACL usually starts non-surgically with anti-inflammatory drugs and physiotherapy. Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. "Traumatic theory - post injury, ACL fibroblasts secrete glycosaminoglycans, the mucin substance within the ACL. This infiltrating lesion is included in the mucoid pathology of the intercondylar fossa. There is strong association between MDACL and chondral and meniscal lesions, which may support the theory that MDACL is a degenerative process. Seventeen females (67%) and eight males (33%) were included in the final analysis. Rehabilitation, orthophony, crenotherapy. 2010 Jun;96(4):400-6. doi: 10.1016/j.otsr.2010.02.008. A 48-year-old-male patient presented with knee pain and limitation of motion. Mucoid Degeneration of the Anterior Cruciate Ligament: Characterization of Natural History, Femoral Notch Width Index, and Patient Reported Outcome Measures. Finally, partial meniscectomy was commonly performed simultaneously with ACL debridement in all studies, which arguably could be the reason for the postoperative improvement. 4. 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. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 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. 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 franklin journal farmington maine obituaries,

Preston Elementary School Lunch Menu, Amazing Saturday Treasure Eng Sub, How To Level Up In Csgo Without Prime, Wordle Archive 1 Answer, Articles M