Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. Pandey, Vivek et al. ANZ J Surg 73(9):712716. had the largest number of patients (91) with a mean age of 61 years, which was the oldest study population amongst the nine studies [16]. Method. Anterior Cruciate Ligament, is an important structure of the knee joint. What Is Mucoid Degeneration of the ACL? The .gov means its official. 2013;15(1). JBR-BTR. 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). Rehabilitation, orthophony, crenotherapy. Epub 2011 Feb 18. Knee Surg Sports Traumatol Arthrosc. The ACL appears on MRI to be enlarged with cystic changes throughout, however it is intact. ACL Insufficiency | Anterior Knee Instability | Knee Instability Finally, partial meniscectomy was commonly performed simultaneously with ACL debridement in all studies, which arguably could be the reason for the postoperative improvement. 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. Open Grey database was searched for grey literature using the same keywords. Its prevalence in magnetic resonance imaging (MRI) is 1.8 to 5.3%, but not all lesions are symptomatic. AJR Am J Roentgenol. Bergin et al. PDF Anterior Cruciate Ligament Ganglion Cyst and Mucoid Degeneration: A Review Coronal proton density-weighted magnetic resonance imaging shows a thickening of the anterior cruciate ligament. mucoid degeneration of acl mri. Bilateral Symptomatic Mucoid Degeneration of the Anterior Cruciate Ligament with Anterior Knee Pain but No Limited Knee Flexion. Manage cookies/Do not sell my data we use in the preference centre. CAS statement and Mucoid degeneration of the anterior cruciate 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. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). CAS Mucoid degeneration of the anterior cruciate ligament: MRI, clinical, intraoperative, and histological findings. Epub 2021 Mar 8. Please enable it to take advantage of the complete set of features! We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2009 checklist [9]. 2013 Jun 20;15:59. doi: 10.11604/pamj.2013.15.59.2534. (10%) and highest in the study of Ventura et al. Epub 2011 Feb 18. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. This site needs JavaScript to work properly. Histological diagnosis was established by tissue biopsy in all patients in five studies, with a total of 87 knees. Both anterior cruciate ligament ganglion cysts and mucoid degeneration have a high association with intraosseous cysts [3] (figures 1 and 2). 2 ). Twelve partial and 17 total resections were performed. Symptoms included limited range of motion (ROM) and posterior knee pain. Methods: The minimum follow-up was 3 years. Postoperative clinical laxity was common, however, symptomatic instability was not. and transmitted securely. Clin Orthop Surg 10(3):307314. KoreaMed Synapse Shimasaki K, Yoshioka T, Kanamori A, Yamazaki M. Case Rep Orthop. Mucoid Degeneration of the Anterior Cruciate Ligament - ResearchGate We report a case of mucoid degeneration of the anterior cruciate ligament (ACL). MAUDE Adverse Event Report: GENZYME BIOSURGERY (RIDGEFIELD) SYNVISC ONE (A) Bulging of, Fig. 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. Discussion: Careers. The pathogenesis remains controversial. Average improvement in flexion was 21.5 degrees (0 to 60 degrees). Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a Mucoid degeneration of the patellar ligament in athletes. First, our literature search revealed a heterogeneous group of studies dominated by case reports and case series, with no randomised controlled trials. Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. However, symptomatic instability was not common. Indian J Orthop 48(2):197202. Preoperative magnetic resonance imaging (MRI), Fig. Second, methodological quality assessment showed that three studies had low methodological quality. Bilateral Symptomatic Mucoid Degeneration of the Anterior - Hindawi Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. 2011. -. The aetiology of MDACL is not clearly understood. International Journal of Orthopaedics. Unlike meniscal tears and chondral defects, the mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of knee pain and there have been no case reports of mucoid degeneration of both the ACL and the posterior cruciate ligament (PCL). Knee Surgery, Sports Traumatology, Arthroscopy. Mucoid degeneration of the anterior cruciate ligament is a rare pathological entity. . There was an improvement in postoperative range of motion and outcome scores (Lysholm and International Knee Documentation Committee scores and the Knee Injury and Osteoarthritis Outcome Score). MRI is better at detecting mucoid degeneration than arthroscopy, as the surface of the ligament is often intact. Joshita Poojary - Sports Physical Therapist - Padmanabhan's - Linkedin Unable to load your collection due to an error, Unable to load your delegates due to an error. ACL Ganglion Cysts - Radsource what causes mucoid degeneration of acl. The mean MINORS score was 9.5 (range 412). 2022 Jun 2;20(1):225-228. doi: 10.33314/jnhrc.v20i01.4182. Epidemiology The likelihood of mucoid change within ligaments and tendons increases with age 1. Pain was posterior in 23 knees (80%). They reported that a biopsy indicated mucoid degeneration and a relief of symptoms could be obtained through arthroscopic partial resection of the ligament. 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. proposed reduction plasty, which is reduction of the ACL to normal volume without excision of all mucoid tissue. PMC -osis is a suffix denoting a process, condition, or state, the histology of the Achilles tendon and in ACL injuries(24-26). 2011. el Kadi KI, Marcaillou F, Blanc S, Salloum B, Dimontagliari C, Boutayeb F. Pan Afr Med J. 2006 Sep;69(9):449-52. doi: 10.1016/S1726-4901(09)70290-4. 2004 Feb;20(2):141-6. doi: 10.1016/j.arthro.2003.11.030. Bethesda, MD 20894, Web Policies 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. 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. Learn how we can help 704 views Reviewed >2 years ago Thank Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 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). Mucoid degeneration (MD) is a rare pathological affection of the anterior cruciate ligament (ACL). Mucoid Degeneration of the Anterior Cruciate Ligament: A Case Report eCollection 2022 May-Jun. -, Fealy S, Kenter K, Dines JS, Warren RF. The clinical presentation is one of posterior pain with limited flexion. Clin Orthop Surg. official website and that any information you provide is encrypted Mucoid degeneration of the anterior cruciate ligament. The anterior cruciate ligament (ACL) is the most commonly injured of the major knee ligaments. Case report: 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. 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. See this image and copyright information in PMC. Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. Would you like email updates of new search results? Chudasama et al. Google Scholar, Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P (2010) Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. Epub 2013 Aug 27. 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 ). Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. Association between magnetic resonance imaging characteristics and pathological findings in entire posterior cruciate ligament with mucoid degeneration. ACL debridement was partial in all studies except for those by Lintz et al. Any discrepancy was resolved by the senior author. PROSPERO. Patients and methods: and transmitted securely. 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. . official website and that any information you provide is encrypted 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. 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.). Bergin D, Morrison WB, Carrino JA et-al. Mucoid degeneration of ACL. Kwee RM, Hafezi-Nejad N, Roemer FW, Zikria BA, Hunter DJ, Guermazi A, Demehri S. Association of Mucoid Degeneration of the Anterior Cruciate Ligament at MR Imaging with Medial Tibiofemoral Osteoarthritis Progression at Radiography: Data from the Osteoarthritis Initiative. The cause is not really known, but patients usually do not complain of instability. FOIA official website and that any information you provide is encrypted Epub 2018 Apr 21. 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. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Arthroscopy. The origin of MDACL may be degenerative or traumatic. The lesion may manifest as an elongated cyst along the long axis of the ACL, or as an enlarged ACL. FOIA -, McIntyre J, Moelleken S, Tirman P. Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears. 2011;19(3):408411. Epub 2008 Dec 17. 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). Arthroscopic findings. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. eCollection 2021. Unable to load your collection due to an error, Unable to load your delegates due to an error. Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. Data extracted included mean age and gender of the patients, duration of follow up, associated chondral and meniscal lesions, interventions and outcomes. bling. 42 Mucoid degeneration of the anterior cruciate ligament with erosion of the lateral femoral condyle P. Melloni, R. Valls, M. Yuguero, A. Saez Medicine 2022 Mar;50(3):3000605221084865. doi: 10.1177/03000605221084865. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. J Chin Med Assoc. Download Citation | On Feb 1, 2023, O.R. 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.