However, symptomatic instability was not common. Springer Nature. The mean age at the time of surgery was 57 years (range, 31 to 78 years). Orthop Traumatol Surg Res. The .gov means its official. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. Symptomatic ACL mucoid degeneration in middle-age athletes. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2009 checklist [9]. This may support the theory that it is a degenerative process. Quadriceps and hamstring weakness are common features of people with symptomatic degenerative meniscal tears Surgery may address the structural injury, but . J Knee Surg. maude adverse event report: genzyme biosurgery (ridgefield) synvisc one intra-articular hyaluronic acid Twelve partial and 17 total resections were performed. Its prevalence in magnetic resonance imaging (MRI) is 1.8 to 5.3%, but not all lesions are symptomatic. Introduction Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known pathology. Hotchen AJ, Demetriou C, Edwards D, Melton JTK. Federal government websites often end in .gov or .mil. (A) Bulging of, Fig. Knee Surgery, Sports Traumatology, Arthroscopy. Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. This systematic review has some limitations. This study was registered on PROSPERO [10], an international prospective register of systematic reviews (CRD42018087782). 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. -, Hensen JJ, Coerkamp EG, Bloem JL, De Schepper AM. CAS A positive Lachman test and a negative pivot shift were noted after surgery in all cases. Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. Hamal B, Karmacharya M, Mangal Joshi K, Gorkhali R. J Nepal Health Res Counc. That is usually the journal article where the information was first stated. This series describes the clinicoradiological presentation of patients with mucoid ACL, partial arthroscopic debridement of ACL and outcomes. Ligaments and tendons are accumulated by mucoid change might display a thickened and/or hypertrophied appearance, with an increase in signal intensity. Anterior cruciate ligament ganglia and mucoid degeneration: Coexistence and clinical correlation. and transmitted securely. The site is secure. Arthroscopy. Unable to load your collection due to an error, Unable to load your delegates due to an error. 2018 Sep;10(3):307-314. doi: 10.4055/cios.2018.10.3.307. Knee Surg Sports Traumatol Arthrosc 21(3):658663. Its signal is increased on all sequences. Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. Physiotherapy. Preoperative and postoperative KOOS questionnaires were compared and showed improvement in all categories. Accessibility Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. 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. As there was no control group in any of the studies and the natural history of MDACL is not known, the postoperative improvement may have been attributed to the placebo effect, simultaneous arthroscopic procedures or the postoperative rehabilitation, or may be due to the pain having resolved without treatment at all. FOIA Results: Pain was posterior in 23 knees (80%). Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. [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%). By using this website, you agree to our and transmitted securely. Symptoms included limited range of motion (ROM) and posterior knee pain. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. Unable to load your collection due to an error, Unable to load your delegates due to an error. 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. Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. A total of nine studies were eligible for review. 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). Mucoid degeneration of the anterior cruciate ligament. and Ventura et al. Correspondence to Only nine studies met our inclusion criteria and they were all case series. Rehabilitation, orthophony, crenotherapy. Other theories include Degenerative theory- MD could occur due to ageing.[3]. Mucoid degeneration of the anterior cruciate ligament: MRI, clinical, intraoperative, and histological findings. 4. Orthopaedics & Traumatology: Surgery & Research. Twenty knees (69%) had associated cartilaginous lesions and 19 (66%) had meniscal lesions. On physical exam, the Lachman test for ACL instability is negative with an ACL ganglion. Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. 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. Surgical treatment involves arthroscopic debridement of ACL, with partial or total resection, occasionally combined with ACL reconstruction. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Postoperative recovery was four weeks on average. Federal government websites often end in .gov or .mil. Orthop Traumatol Surg Res. (10%) and highest in the study of Ventura et al. Indian J Orthop 48(2):197202. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Sometimes, it is mislead as ACL tear on MRI findings, hence requires probing and histopathology for definitive diagnosis. Intact fibers are best seen on T2WI. Epub 2018 Aug 22. 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. Please enable it to take advantage of the complete set of features! 2013 Oct;99(6):693-7. doi: 10.1016/j.otsr.2013.04.010. Conclusions. 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. HHS Vulnerability Disclosure, Help (Table 3). 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. https://doi.org/10.1016/j.jclinepi.2009.06.005. Instrumental treatment. The success of treatment for MDACL and the subsequent risk of instability is not known. Dietary management and various treatments Scanning and diagnostic . Anterior cruciate ligament mucoid degeneration. Every time when patient flexes the knee, thickened ACL impinges over posterior cruciate ligament (PCL) in the knee, causing knee pain and limited motion. 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. and transmitted securely. Cite this article. Rajani AM, Shah UA, Mittal ARS, Gupta S, Garg R, Punamiya M. Knee Surg Relat Res. Bookshelf 2011 Aug 1;19(8):1326-33. 2018;4(4):875-80. Two reviewers independently screened the titles and abstracts of the retrieved records for eligibility. The https:// ensures that you are connecting to the All patients with a preoperative limited ROM (100%, n=9) reported a return to a normal (subjective) ROM. ADVERTISEMENT: Supporters see fewer/no ads. Epub 2011 Feb 18. (A) Bulging of the hypertrophied anterior cruciate ligament. Each study was scored 02 on each question, with a global ideal score of 16. Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of anterior knee pain (AKP). Mucoid Degeneration of the Anterior Cruciate Ligament: Characterization of Natural History, Femoral Notch Width Index, and Patient Reported Outcome Measures. Four studies reported only postoperative scores, which were comparable to those in other studies. 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. Postoperative pain relief ranged from 53.8 to 95%. Arthroscopic findings. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review.

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