Arthroscopic resection of ACL mucoid degeneration is effective for treating pain and flexion limitation, but at the expense of anterior laxity. official website and that any information you provide is encrypted Average postoperative differential laxity on the Telos device was 8.3 mm (5 to 13 mm). 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.). On MRI, the ligament is thickened and ill-defined with a "celery stalk" appearance. 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. There was strong association with chondral lesions and meniscal tears. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. 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. FOIA -, Hensen JJ, Coerkamp EG, Bloem JL, De Schepper AM. International Journal of Orthopaedics. A positive Lachman test and a negative pivot shift were noted after surgery in all cases. (100%). J Chin Med Assoc. {"url":"/signup-modal-props.json?lang=us"}, Gaillard F, Roberts D, Saber M, et al. Knee Surg Sports Traumatol Arthrosc. 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 . Introduction Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known pathology. Part of At the time the article was created Frank Gaillard had no recorded disclosures. the degree of laxity, and the patient's age and willingness to pursue vigorous postoperative physical therapy are other major determinants. 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. JBR-BTR. sharing sensitive information, make sure youre on a federal Tissue biopsy was performed in 85% of patients (58 of 68) in the study of Cha et al. With cruciate ligament ganglia, intact ACL fibers can often be visualized coursing through or around the cyst. Please enable it to take advantage of the complete set of features! Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. In contrast to the tear, mucoid degeneration of the ACL characteristically does not cause knee instability [20, 21, 22]. 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. (Table 3). This study hypothesized that arthroscopic debridement of MDACL would provide patients with improvement in pain, range of movement and functional outcome scores. 2020 Jun 2. el Kadi KI, Marcaillou F, Blanc S, Salloum B, Dimontagliari C, Boutayeb F. Mucoid degeneration of the anterior cruciate ligament: a case report. Radiology. Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. Knee Surg Sports Traumatol Arthrosc 21(3):658663. Some case reports have been published; however, it is difficult to diagnose and is often underdiagnosed or misdiagnosed because of its pathophysiological ambiguity. 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. Each study was scored 02 on each question, with a global ideal score of 16. No treatment is usually required. Bookshelf Check for errors and try again. Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. 2011. el Kadi KI, Marcaillou F, Blanc S, Salloum B, Dimontagliari C, Boutayeb F. Pan Afr Med J. A long duration of non-specific knee pain in a patient should be evaluated with MRI. MeSH Mucoid degenerated anterior cruciate ligament (ACL) managed by arthroscopic ACL reconstruction: A case series. National Library of Medicine Google Scholar, Salvati F, Rossi F, Limbucci N, Pistoia ML, Barile A, Masciocchi C (2008) Mucoid metaplastic-degeneration of anterior cruciate ligament. Sometimes, it is mislead as ACL tear on MRI findings, hence requires probing and histopathology for definitive diagnosis. The mean age at the time of surgery was 57 years (range, 31 to 78 years). Keywords used for the Search were mucoid degeneration, anterior cruciate ligament and ACL. Hypothesis: 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. Disclaimer. Hamdaoui and others published Le signe de la branche de cleri | Find, read and cite all the research you need on ResearchGate Correspondence to PubMedGoogle Scholar. . Epub 2008 Dec 17. [3] and in 1% of patients (3 of 106 knees) in the study of Kim et al. Association between magnetic resonance imaging characteristics and pathological findings in entire posterior cruciate ligament with mucoid degeneration. 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. The patient presented with extension block of the knee. Fig. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. Knee Surg Sports Traumatol Arthrosc. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. Categories were determined in accordance with the study of Ekhtiari et al. Rehabilitation, speech therapy, crenotherapy. 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. An official website of the United States government. Physical Therapy. Int J Curr Res Aca Rev 4(11):1824 http://www.ijcrar.com/abstractview.php?ID=228&vol=4-11-2016&SNo=3, Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI (2008) Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. The .gov means its official. Instrumental treatment. On clinical examination, the active range of motion showed a flexion deficit. Arthroscopy. Arch Orthop Trauma Surg. At last follow-up, the mean visual analogue scale score, International Knee Documentation Committee score, and Tegner Lysholm Knee score improved (p < 0.01). Mucoid degeneration of A C L is more common and literature has also reported many cases, but for PCL only few cases have been reported in English literature. "Traumatic theory - post injury, ACL fibroblasts secrete glycosaminoglycans, the mucin substance within the ACL. Arthroscopically ACL is intact but fibrillated, yellowish and hypertrophied,with interspersed yellowish mucinous material along the fibers, lack of synovial linning of the ACL. Quadriceps and hamstring weakness are common features of people with symptomatic degenerative meniscal tears Surgery may address the structural injury, but . Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity that has been found in patients with pain and limited range of motion of the knee in association with a bulky ACL shown on magnetic resonance imaging (MRI). What is myxoid degeneration treatment? in 1999 [1]. None of the studies was a randomised controlled trial and none had a control group. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. Federal government websites often end in .gov or .mil. The anterior cruciate ligament (ACL) is the most commonly injured of the major knee ligaments. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Average improvement in flexion was 21.5 degrees (0 to 60 degrees). Preoperative and postoperative results of eleven patient were compared. 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. 2011 Jun;25(6):650-2. 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. Anterior cruciate ligament ganglia and mucoid degeneration: Coexistence and clinical correlation. No reconstruction was performed at the same time. 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. in 1999 [1]. This study concerns complete ACL resec Postoperative clinical laxity was common, however, symptomatic instability was not. It contrasts with cystic lesions better known as synovial cysts or intercondylar fossa cysts. Exclusion criteria were (1) case reports, literature reviews and conference abstracts and (2) studies written in languages other than English. 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. Twenty knees (69%) had associated cartilaginous lesions and 19 (66%) had meniscal lesions. Two patients uderwent secondary ligamentoplasty. Bethesda, MD 20894, Web Policies Pre-debridement arthroscopic view showing yellowish content in the anterior cruciate ligament. 2021 Aug 21;33(1):26. doi: 10.1186/s43019-021-00110-6. However, the authors did not report whether there were any other patients with symptomatic instability. government site. Hsu CJ, Wang SC, Fong YC, Huang CY, Chiang IP, Hsu HC. All rights reserved. Bilateral Symptomatic Mucoid Degeneration of the Anterior Cruciate Ligament with Anterior Knee Pain but No Limited Knee Flexion. Clin Orthop Surg. Score: 4.7/5 (45 votes) . The ACL appears on MRI to be enlarged with cystic changes throughout, however it is intact. and Ventura et al. The appearance can mimic acute or chronic interstitial partial tears of the ACL. Discussion: Clipboard, Search History, and several other advanced features are temporarily unavailable. Before Complete resection of the ACL without ACL reconstruction is a reliable treatment for symptomatic cases of mucoid degenerated ACL. 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. The main MRI finding of ACL mucoid degeneration is a celery stalk appearance [26, 27]. Methodological quality of the studies was assessed using the Methodological Index for Non-Randomized Studies (MINORS) criteria [11] (Table1). (61years), which was the largest study and represented more than one third of the total patients included in this review. Mucoid degeneration of both ACL and PCL. Keywords: mucoid degeneration, anterior cruciate ligament, acl reconstruction, arthroscopy, knee PMC Federal government websites often end in .gov or .mil. PROSPERO. Please enable it to take advantage of the complete set of features! 2021 Aug 21;33(1):26. doi: 10.1186/s43019-021-00110-6. 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). I have multiple issues - spondylolisthesis in L4/L5 and L5/S1, osteopenia and osteoarthritis. Orthop Traumatol Surg Res. Unauthorized use of these marks is strictly prohibited. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 2022 Jun 2;20(1):225-228. doi: 10.33314/jnhrc.v20i01.4182. Mucoid degeneration,: like degenerative arthritis of a joint, generally occurs as a results of aging. Skeletal Radiol. They reported that a biopsy indicated mucoid degeneration and a relief of symptoms could be obtained through arthroscopic partial resection of the ligament. Advanced MR imaging of the cruciate ligaments. That is usually the journal article where the information was first stated. Surgical treatment involves arthroscopic debridement of ACL, with partial or total resection, occasionally combined with ACL reconstruction. Reeducation. government site. Young and active patients should be warned about the risk of requiring secondary ligamentoplasty. 2007;90(3):1923. 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]. 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. Would you like email updates of new search results? https://doi.org/10.2214/ajr.182.5.1821283, Article PMC Bethesda, MD 20894, Web Policies Third, clinical outcomes were reported using a variety of scores, so a data meta-analysis was not possible.
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