There was strong association with chondral lesions and meniscal tears. Mucoid degeneration is characterized by an increase in the mucoid ground substance in the connective tissue containing glycoprotein and mucoprotein [ 4 ]. 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. Postoperative pain relief was reported in seven studies. The anterior cruciate ligament (ACL) is an important ligament in the knee. Federal government websites often end in .gov or .mil. HHS Vulnerability Disclosure, Help Cho SD, Youm YS, Lee CC et-al. Introduction: Please enable it to take advantage of the complete set of features! Four studies reported only postoperative scores, which were comparable to those in other studies. None of the studies was a randomised controlled trial and none had a control group. Arthroscopy. A September 2018 MRI of the left knee showed anterior cruciate ligament and mucoid degeneration with intra cruciate ganglion . The .gov means its official. Patients and methods: HHS Vulnerability Disclosure, Help Postoperative clinical laxity was common, however, symptomatic instability was not. We report a case of mucoid degeneration of the ACL in a 50-year-old female with knee pain of 18 months duration. Clinical significance of T2*-weighted gradient-echo MRI to monitor Hamdaoui and others published Le signe de la branche de cleri | Find, read and cite all the research you need on ResearchGate Pan African Medical Journal. CIOS :: Clinics in Orthopedic Surgery By using this website, you agree to our Mucoid degeneration of the anterior cruciate ligament. Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first characterized by Kumar et al. Manage cookies/Do not sell my data we use in the preference centre. All patients (100%, n=11) reported a good to very good surgery satisfaction. 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). First, our literature search revealed a heterogeneous group of studies dominated by case reports and case series, with no randomised controlled trials. 2011. Epub 2011 Feb 18. Fig. Level of evidence: Young and active patients should be warned about the risk of requiring secondary ligamentoplasty. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. and transmitted securely. Google Scholar, Cha JR, Lee CC, Cho SD, Youm YS, Jung KH (2013) Symptomatic mucoid degeneration of the anterior cruciate ligament. 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. Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. 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. 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. government site. Arthroscopic findings. Arthroscopic debridement of the ACL was the intervention in eight studies, whereas Morice et al. 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. Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. FOIA Anterior cruciate ligament mucoid degeneration: Selecting the best 2004;182(5):12831287. https://doi.org/10.4103/0019-5413.101037, Srivastava A, Pateliya S, Singh H, Aggarwal S, Srivastava S (2016) Mucoid degeneration of anterior cruciate ligament management and functional outcome of 18 cases. Introduction Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known pathology. Epub 2013 Aug 27. Eight studies showed postoperative improvement in range of motion, whereas Khanna et al. 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. -. Clipboard, Search History, and several other advanced features are temporarily unavailable. Arthroscopic debridement of the ACL resulted in good pain relief and improved range of movement in all studies, with postoperative improvement in the knee scores. Would you like email updates of new search results? Background: Mucoid degeneration of the patellar ligament in athletes. Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) flowchart illustrating the selections of trials included in the systematic review. 2012 Sep;46(5):561-5. doi: 10.4103/0019-5413.101037. This site needs JavaScript to work properly. It results in postoperative laxity, but rarely in frank instability. In the nine included studies, four different scores were used for outcome assessment. This systematic review has some limitations. Patients will . The total number of patients with symptomatic instability was 18 out of 288 (6%). Therefore, Anterior Cruciate Ligament tear is more susceptible during any injury to the knee. 2011;19(3):408411. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. as very low (04 points), low (58 points), good (912 points) or excellent (1316 points) [12]. Quality was assessed using the Methodological Index for Non-Randomized Studies (MINORS) criteria. 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. A positive Lachman test and a negative pivot shift were noted after surgery in all cases. Mucoid degeneration of ACL | Mayo Clinic Connect 2010 Jun;96(4):400-6. doi: 10.1016/j.otsr.2010.02.008. Am J Roentgenol 182(5):12831287. Mucinous material within the substance of ACL produces pain and limited motion in the knee. . This is a rare pathological condition, in which, there is increased signal from within the ligament. Typically patients present with knee pain or restricted movement, although often other potential causes for the patient's symptoms are found. Hypothesis: Each study was scored 02 on each question, with a global ideal score of 16. Mucoid degeneration of the anterior cruciate ligament. Bergin et al. Radiofrequency Ablation for Mucoid Degeneration of the Anterior Method. Some case reports have been published; however, it is difficult to diagnose and is often underdiagnosed or misdiagnosed because of its pathophysiological ambiguity. Keywords used for the Search were mucoid degeneration, anterior cruciate ligament and ACL. TS designed the project, literature search and wrote the manuscript. Complete resection of the ACL without ACL reconstruction is a reliable treatment for symptomatic cases of mucoid degenerated ACL. The pathogenesis remains controversial. What is acl mucoid degeneration? | HealthTap Online Doctor -Delivered Pre-rehab care for breast cancer and thoracic cancer cases. Questions just answered: mucoid degeneration of acl physiotherapy. Skeletal Radiology. Presentation Patients usually present with nonspecific posterior knee pain with restriction of flexion. What causes mucoid degeneration of ACL? MAUDE Adverse Event Report: GENZYME BIOSURGERY (RIDGEFIELD) SYNVISC ONE 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. . Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Mucoid change | Radiology Reference Article | Radiopaedia.org The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). ACL Ganglion Cysts - Radsource The https:// ensures that you are connecting to the It is commonly identified on MRI in association with other pathological findings and can be confused with partial ACL tears. It results in postoperative laxity, but rarely in frank instability. Coronal proton density-weighted magnetic resonance imaging shows a thickening of the anterior cruciate ligament. 2013;15(1). Instrumental treatment. Characteristic: "celery stalk" appearance. See this image and copyright information in PMC. Methodological quality of the studies was assessed using the Methodological Index for Non-Randomized Studies (MINORS) criteria [11] (Table1). 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 . (B) Partial resection, MeSH Sixty-one patients underwent T2*WI and PDWI at 3, 6, and 12 months postoperatively. Before 8600 Rockville Pike However, symptomatic instability was not common. reported the largest percentage of patients (27.5%) with a positive pivot test. Careers. Google Scholar, Chudasama CH, Chudasama VC, Prabhakar MM (2012) Arthroscopic management of mucoid degeneration of anterior cruciate ligament.
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