mucoid degeneration of acl physiotherapy mucoid degeneration of acl physiotherapy

(B) Partial resection, MeSH 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). Orthop Traumatol Surg Res. When refering to evidence in academic writing, you should always try to reference the primary (original) source. 2023 BioMed Central Ltd unless otherwise stated. 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. 2. There was a high rate of association between degenerative lesions and MDACL, ranging from 39 to 96%. Preoperative assessment included a questionnaire, clinical examination (Lachman and pivot shift tests), MRI and standard radiography. . The https:// ensures that you are connecting to the On MRI, the ligament is thickened and ill-defined with a "celery stalk" appearance. Mucoid Degeneration of the Anterior Cruciate Ligament: Characterization of Natural History, Femoral Notch Width Index, and Patient Reported Outcome Measures. 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. Disclaimer. https://doi.org/10.2214/ajr.182.5.1821283, Article Unable to process the form. Magn Reson Imaging Clin N Am. Ventura D, Nuez JH, Joshi-Jubert N, Castellet E, Minguell J. Clin Orthop Surg. Anterior cruciate ligament mucoid degeneration. sharing sensitive information, make sure youre on a federal An official website of the United States government. Ligaments are very tough, fibrous tissue structures. Patients will . Average improvement in flexion was 21.5 degrees (0 to 60 degrees). Orthopedics; anterior cruciate ligament; arthoscopy. Please enable it to take advantage of the complete set of features! J Bone Joint Surg Ser B 81(2):304305. Papadopoulou P. The celery stalk sign. The ACL appears on MRI to be enlarged with cystic changes throughout, however it is intact. 2011. CAS http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42018087782. The minimum follow-up was 3 years. This is a rare pathological condition, in which, there is increased signal from within the ligament. Four studies reported only postoperative scores, which were comparable to those in other studies. JBR-BTR. I have multiple issues - spondylolisthesis in L4/L5 and L5/S1, osteopenia and osteoarthritis. However, young patients should be forewarned about the risk of instability, and an anterior cruciate ligament reconstruction could be necessary. Patients with symptomatic MDACL commonly present with posterior knee pain and limitation of knee flexion or extension [2, 6]. By using this website, you agree to our 5. 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 . Manage cookies/Do not sell my data we use in the preference centre. 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. official website and that any information you provide is encrypted Preoperative and postoperative KOOS questionnaires were compared and showed improvement in all categories. Provided by the Springer Nature SharedIt content-sharing initiative. Epub 2011 Feb 18. Besides, the patient may also have trouble in moving. Knee. Arthroscopic treatment may include ACL resection, which raises the questions about the harmlessness of this procedure and the risk of anterior instability. Open Grey database was searched for grey literature using the same keywords. This site needs JavaScript to work properly. The authors declare that they have no competing interests. Hamdaoui and others published Le signe de la branche de cleri | Find, read and cite all the research you need on ResearchGate -, Hsu CJ, Wang SC, Fong YC, Huang CY, Chiang IP, Hsu HC. AJR Am J Roentgenol. We herein describe a case of PCL mucoid degeneration presented with secondary ACL . An official website of the United States government. It results in postoperative laxity, but rarely in frank instability. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Orthop Traumatol Surg Res. official website and that any information you provide is encrypted Correspondence to government site. Mucoid degeneration itself is described as a yellow or brown substance which can be either seen through the most anterior fibers of the ACL or found by probing between them [ 19, 35] (Fig. Role of ultrasound-guided decompression in management of mucoid degeneration of the anterior cruciate ligament. MEDLINE, Embase, Google Scholar, Cochrane, ISI web of science and Scopus were comprehensively searched from the earliest year of indexing until 10 July 2020. The need for delayed ACL reconstruction should be discussed preoperatively, especially if complete resection of the ACL is to be performed. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. J Orthop. A September 2018 MRI of the left knee showed anterior cruciate ligament and mucoid degeneration with intra cruciate ganglion . The clinical presentation is one of posterior pain with limited flexion. Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of knee pain. First, our literature search revealed a heterogeneous group of studies dominated by case reports and case series, with no randomised controlled trials. 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. There was no mention in the other three studies [13, 15, 18] of whether other procedures were performed simultaneously. Disclaimer. Treatment of ACL mucoid degeneration by arthroscopic resection is effective for posterior pain and flexion limitation. All nine included studies utilized MRI of the knee to establish a radiological diagnosis as an inclusion criterion. Please enable it to take advantage of the complete set of features! 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. 2009 Jul;17(7):737-40. doi: 10.1007/s00167-008-0690-z. bling. This systematic review has some limitations. Arthroscopic examination analyzed the ACL aspect and its associated lesions (meniscus, cartilage). Arthroscopy. J Arthrosc Joint Surg 3(1):2833. An official website of the United States government. 2018;4(4):875-80. Preoperative magnetic resonance imaging (MRI), Fig. This bicentric, retrospective cohort study with an average follow-up of 6years involved 27 patients (29 knees) presenting with symptomatic ACL mucoid degeneration validated by magnetic resonance imaging (MRI). On clinical examination, the active range of motion showed a flexion deficit. Mucoid degeneration of the anterior cruciate ligament. Along with that, it also controls the internal rotation. 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) of the knee can cause knee pain and other symptoms. Some case reports have been published; however, it is difficult to diagnose and is often underdiagnosed or misdiagnosed because of its pathophysiological ambiguity. [16]. -Evaluated and planned treatment protocol in accordance with physician. Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first characterized by Kumar et al. Epub 2013 Aug 27. Instrumental treatment. Two reviewers independently screened the titles and abstracts of the retrieved records for eligibility. PubMed Central Knee Surg Sports Traumatol Arthrosc. 1. Keywords: ACL mucoid degeneration is an uncommon pathological condition; the pathogenesis, prevalence, and . Google Scholar, Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P (2010) Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. Mucoid degeneration of ACL. Hamal B, Karmacharya M, Mangal Joshi K, Gorkhali R. J Nepal Health Res Counc. Mucinous material within the substance of ACL produces pain and limited motion in the knee. Young and active patients should be warned about the risk of requiring secondary ligamentoplasty. 2011. Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of anterior knee pain (AKP). Conclusions. Results: However, symptomatic instability was not common. Partial/Total ACL resection arthroscopically- There is marked improvement in the range and reduced posterior pain, but at the cost of increased post-operative knee laxity. [Effectiveness of bone-anterior cruciate ligament-bone allograft in reconstruction of anterior cruciate ligament under arthroscope]. Mucoid cystic degeneration of the cruciate ligament. Arthroscopic debridement of the ACL results in satisfactory pain relief and improvement in knee outcome scores. AJR Am J Roentgenol. Management of mucoid degeneration of the anterior cruciate ligament: a systematic . The mean age at the time of surgery was 57 years (range, 31 to 78 years). All nine studies assessed the outcome of arthroscopic debridement of MDACL. Am J Roentgenol 182(5):12831287. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. MDACL is diagnosed by MRI, showing a celery stalk sign, and is confirmed by tissue biopsy and histological examination [7]. Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study. Generally, we know little about this condition. It can cause pain and to a meniscal tear. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. This site needs JavaScript to work properly. They reported that a biopsy indicated mucoid degeneration and a relief of symptoms could be obtained through arthroscopic partial resection of the ligament. 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). The mean MINORS score was 9.5 (range 412). Initially, partial weightbearing is allowed. Rehabilitation, orthophony, crenotherapy. Bookshelf Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. Epub 2011 Feb 18. 2021 Aug 21;33(1):26. doi: 10.1186/s43019-021-00110-6. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. Careers. 2004;182(5):12831287. in 1999 [1]. 2. Skeletal Radiol. Categories were determined in accordance with the study of Ekhtiari et al. All rights reserved. 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. [17] do not mention whether any patients underwent biopsy (Table 3). 8600 Rockville Pike The patient presented with extension block of the knee. Morice et al. Careers. Morice et al. eCollection 2013. maude adverse event report: genzyme biosurgery (ridgefield) synvisc one intra-articular hyaluronic acid All patients with a preoperative limited ROM (100%, n=9) reported a return to a normal (subjective) ROM. Two patients uderwent secondary ligamentoplasty. 8600 Rockville Pike Google Scholar, Chudasama CH, Chudasama VC, Prabhakar MM (2012) Arthroscopic management of mucoid degeneration of anterior cruciate ligament. Postoperative ACL laxity is a common finding after ACL arthroscopic debridement, however, symptomatic instability is not. 2. 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. Cho SD, Youm YS, Lee CC et-al. Symptoms included limited range of motion (ROM) and posterior knee pain. Typically patients present with knee pain or restricted movement, although often other potential causes for the patient's symptoms are found. Introduction Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known pathology. Magnetic Resonance Imaging is the most useful tool for differentiating mucoid degeneration of the ACL from an intraligamentous ganglion or other lesions in the knee joint and if this disease is considered preoperatively, it can be diagnosed easily based on characteristic findings. 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. 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. Possible etiologies include: It is postulated that mucoid degeneration may be a predisposing factor in the formation of ACL ganglion cysts. MeSH 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. . Mucoid degeneration of the anterior cruciate ligament (ACL) is a very rare cause of knee pain. Loss to follow up was not mentioned in the other five studies [3, 6, 15, 17, 19]. They respond well to a judicious arthroscopic release of the ACL with notchplasty. Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. 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. Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Knee Surg Relat Res. In these studies, the total number of patients with a postoperative positive Lachman test was 40% (77 of 194 patients). HHS Vulnerability Disclosure, Help Physical Therapy. Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). Postoperative recovery was four weeks on average. Arthroscopically ACL is intact but fibrillated, yellowish and hypertrophied,with interspersed yellowish mucinous material along the fibers, lack of synovial linning of the ACL. Reeducation. Indian J Orthop 48(2):197202. Unable to load your collection due to an error, Unable to load your delegates due to an error. 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. 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). 2021 Sep;50(9):1837-1843. doi: 10.1007/s00256-021-03750-7. Its interstitial nature within the ACL structure contrasts with synovial cyst of the ACL. Methods: The minimum follow-up was 3 years. PMC (10%) and highest in the study of Ventura et al. Epub 2021 Nov 24. That is usually the journal article where the information was first stated. The anterior cruciate ligament (ACL) is one of the more vital and more easily injured ligaments within our knee. 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. Skeletal Radiology. Unable to load your collection due to an error, Unable to load your delegates due to an error. Mucoid degeneration of ACL Justamom21 Feb 17, 2023 7:27 AM Among other conditions - osteoarthritis, osteopenia, spondylolisthesis- an MRI report showed "severe mucoid degeneration of the ACL" in my left knee. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Orthop Traumatol Surg Res. 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. 2006;69(9):44952. volume33, Articlenumber:26 (2021) 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. Epidemiology The likelihood of mucoid change within ligaments and tendons increases with age 1. 2022 Jun 2;20(1):225-228. doi: 10.33314/jnhrc.v20i01.4182. Arthroscopy 24(6):642649. 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 benign knee pathology, which is often indicated for surgical treatment if symptomatic. -, Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK. PMC Federal government websites often end in .gov or .mil. Disclaimer. Before The retrospective study by Kim et al. Knee Surgery, Sports Traumatology, Arthroscopy. Epub 2008 Dec 17. Treatment for MDACL usually starts non-surgically with anti-inflammatory drugs and physiotherapy. 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. 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. Orthop Traumatol Surg Res 99(6):693697, Khanna G, Sharma R, Bhardwaj A, Gurdutta HS, Agrawal DK, Rathore AS (2016) Mucoid degeneration of the anterior cruciate ligament: partial arthroscopic debridement and outcomes. 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. Unauthorized use of these marks is strictly prohibited. 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. Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. The pathogenesis remains controversial. in 1999 [ 1 ]. 2009. 2004;182(5):12837. This study hypothesized that arthroscopic debridement of MDACL would provide patients with improvement in pain, range of movement and functional outcome scores. "Traumatic theory - post injury, ACL fibroblasts secrete glycosaminoglycans, the mucin substance within the ACL. All patients (100%, n=11) reported an improvement in pain. https://doi.org/10.1016/j.jclinepi.2009.06.005. Clin Orthop Surg. I have persistent pain in the back of that knee that is exacerbated by walking and bending it. Google Scholar, Salvati F, Rossi F, Limbucci N, Pistoia ML, Barile A, Masciocchi C (2008) Mucoid metaplastic-degeneration of anterior cruciate ligament. The mean age of patients ranged from 31 to 78years. Conclusions: 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. This is basically an MRI diagnosis of expansion and increased signal of an intact ACL in a person with knee pain which is worse on knee flexion/bending. Eight studies showed postoperative improvement in range of motion, whereas Khanna et al. 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. Introduction Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. Any discrepancy was resolved by the senior author. 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. Bethesda, MD 20894, Web Policies ADVERTISEMENT: Supporters see fewer/no ads. Clin Orthop Surg. Its prevalence in magnetic resonance imaging (MRI) is 1.8 to 5.3%, but not all lesions are symptomatic. The https:// ensures that you are connecting to the . Only three studies mentioned failed conservative treatment as an inclusion criterion [14, 15, 18]. What causes mucoid degeneration of ACL? The https:// ensures that you are connecting to the MeSH Bookshelf Physical therapy typically begins 7-10 days after the procedure. Unable to load your collection due to an error, Unable to load your delegates due to an error. 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. eCollection 2022 May-Jun. Sep 2017 - Feb 20186 months. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. 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. Arch Orthop Trauma Surg. Does Femoral Intercondylar Notch Volume Differ in Anterior Cruciate Ligament-Injured Adult Patients Compared to the Uninjured? Radiologic findings associated with 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 ]. 2018 Sep;10(3):307-314. doi: 10.4055/cios.2018.10.3.307. Pain was posterior in 23 knees (80%). It is lined by the synovial fluid, which provides the nutrition and plays an integral part in healing. This appearance can mimic acute or chronic interstitial partial tears of the ligament. Six studies reported using the pivot shift test; unsurprisingly, Lintz et al. Ventura et al. Twenty-eight knees (97%) showed soft and/or delayed stops on postoperative Lachman testing. in 1999 [ 1 ]. National Library of Medicine However, MDACL is asymptomatic in most patients. In this systematic review we found that arthroscopic debridement resulted in good pain relief and improved range of motion and clinical outcome scores. 2018 Apr;34(4):1054-1059. doi: 10.1016/j.arthro.2017.10.039. 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. . Coronal T2 weighted fat suppressed fast spin echo image showed complex anterior cruciate ligament ganglion cyst arising from superior aspect of ligament. This study was registered on PROSPERO [10], an international prospective register of systematic reviews (CRD42018087782). There is no consensus on treatment and evidence is scarce. See this image and copyright information in PMC. Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. Ligaments hold our bones together and allow us to bend, twist, pivot and rapidly accelerate and decelerate and yet maintain the stability of our joints. Arthroscopic debridement of the ACL was the intervention in eight studies, whereas Morice et al. An official website of the United States government. [6], in 62% of patients (18 of 29) in the study of Lintz et al. Privacy Anterior cruciate ligament; Arthroscopy; Knee; Mucoid degeneration. 2022 Apr 11;31:67-71. doi: 10.1016/j.jor.2022.04.004. Seven of the nine studies reported using the Lachman test to check postoperative ACL laxity. Glossary of terms for musculoskeletal radiology. What Is Mucoid Degeneration of the ACL? 2008 Jun;24(6):642-9. doi: 10.1016/j.arthro.2008.02.004. 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). 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). J Orthop. 2013 Oct;99(6):693-7. doi: 10.1016/j.otsr.2013.04.010. Meniscectomy was undertaken in 11 cases (41%). Mumbai, Maharashtra, India. 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. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. 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]. Bethesda, MD 20894, Web Policies The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Presentation Patients usually present with nonspecific posterior knee pain with restriction of flexion. Level of Evidence: Level IV. . Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 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. to 44% in the study of Cha et al. Epub 2011 Feb 18. Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. -Provided skilled hands on in post-op rehabilitation to various population including Head and neck cancers, Lymph edema management, Bone cancers. Part of Please enable it to take advantage of the complete set of features! It often presents with progressive knee pain, restriction in range of motion without a significant history of trauma, and without knee instability. Treatment of ACL mucoid degeneration by arthroscopic resection is effective for posterior pain and flexion limitation. FOIA Disclaimer. The success of treatment for MDACL and the subsequent risk of instability is not known. Introduction: 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. Postoperative pain relief ranged from 53.8 to 95%. 2004;182 (5): 1283-7. The .gov means its official. Posterior pain disappeared in 27 cases (93%), on average 3.7 weeks after the procedure. This study concerns complete ACL resection as a treatment of mucoid degenerated ACL. (A) Bulging of, Fig. Postoperative clinical laxity was common, however, symptomatic instability was not. The clinical presentation is one of posterior pain with limited flexion. . Therefore, indications for ACL resection must be carefully selected. Anatomopathology samples were collected in 18 cases. AJR Am J Roentgenol. Knee Surg Sports Traumatol Arthrosc 21(3):658663. 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. Conclusion: Treatment of ACL mucoid degeneration by this modality is effective in preventing recurrence, post-operative laxity and provides better functional outcome compared to the classical partial resection of the degenerated ACL. It is a chronic degenerative change of a bulky ACL that may lead to notch impingement syndrome in the absence of instability symptoms and significant trauma history [ 1, 2, 3, 4 ]. Five studies demonstrated improved postoperative functional outcome scores compared to preoperative scores [6, 14, 16, 18, 19]. 1. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first characterized by Kumar et al. The need for delayed ACL reconstruction should be discussed preoperatively, especially if complete resection of the ACL is to be performed. 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 ).