Arthroscopy. -Provided skilled hands on in post-op rehabilitation to various population including Head and neck cancers, Lymph edema management, Bone cancers. On clinical examination, the active range of motion showed a flexion deficit. J Clin Epidemiol 62(10):10061012. Methods: The minimum follow-up was 3 years. 2004;182(5):12831287. 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. 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. 2012;4 (2): 167-70. Correspondence to Outcome of Arthroscopic Treatment of Mucoid Degeneration of the Anterior Cruciate Ligament. 2006 Sep;69(9):449-52. doi: 10.1016/S1726-4901(09)70290-4. The extracted data were assessed for meta-analysis. Rehabilitation, speech therapy, crenotherapy. Orthop Traumatol Surg Res. 2013 Oct;99(6):693-7. doi: 10.1016/j.otsr.2013.04.010. 2004;182 (5): 1283-7. Chudasama CH, Chudasama VC, Prabhakar MM. Magn Reson Imaging Clin N Am. Patients and methods: Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. PubMed Thirteen patients were treated with complete ACL resection for symptomatic MD of the ACL from 2006-2016. The origin of MDACL may be degenerative or traumatic. Postoperative clinical laxity was common, however, symptomatic instability was not. Ventura D, Nuez JH, Joshi-Jubert N, Castellet E, Minguell J. Clin Orthop Surg. Risk factors Predisposing factors include the following 1: aging mucoid degeneration of acl mri. MeSH Quality was assessed using the Methodological Index for Non-Randomized Studies (MINORS) criteria. (2018) Radiology. proposed reduction plasty, which is reduction of the ACL to normal volume without excision of all mucoid tissue. 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. Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. The retrospective study by Kim et al. Fourteen knees (48%) had limited flexion, on average 97 degrees. . No reconstruction was performed at the same time. 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. Please enable it to take advantage of the complete set of features! In that case, mucoid degeneration can be extruded from the ligament and will be removed in the saline flow. National Library of Medicine Orthop Traumatol Surg Res. as very low (04 points), low (58 points), good (912 points) or excellent (1316 points) [12]. It results in postoperative laxity, but rarely in frank instability. Level of Evidence: Level IV. Its prevalence in magnetic resonance imaging (MRI) is 1.8 to 5.3%, but not all lesions are symptomatic. A 48-year-old-male patient presented with knee pain and limitation of motion. Clinical outcome was reported using a variety of scores (the Lysholm and International Knee Documentation Committee (IKDC) score, the Knee Injury and Osteoarthritis Outcome Score (KOOS) and the visual analogue scale (VAS) score) in the different studies; these are summarized in Table 4. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Ever since mucoid degeneration of the anterior cruciate ligament (MD-ACL) was named by Kumar et al. Would you like email updates of new search results? The clinical presentation is one of posterior pain with limited flexion. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Orthop Traumatol Surg Res. Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Knee Surg Relat Res. Mucoid degeneration,: like degenerative arthritis of a joint, generally occurs as a results of aging. Demographic, radiological, and histological findings, type of surgery, and clinical pre- and postoperative data were analyzed. Learn how we can help 704 views Reviewed >2 years ago Thank However, symptomatic instability was not common. Typically patients present with knee pain or restricted movement, although often other potential causes for the patient's symptoms are found. National Library of Medicine 5. Case report: The minimum follow-up was 3 years. In the nine included studies, four different scores were used for outcome assessment. Anterior cruciate ligament ganglia and mucoid degeneration: Coexistence and clinical correlation. Knee Surg Sports Traumatol Arthrosc. Glossary of terms for musculoskeletal radiology. There is strong association between MDACL and chondral and meniscal lesions, which may support the theory that MDACL is a degenerative process. Mucoid degeneration (MD) is a rare pathological affection of the anterior cruciate ligament (ACL). MM and A performed the literature search, and data analysis. 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. 2021 Sep;50(9):1837-1843. doi: 10.1007/s00256-021-03750-7. 42 Mucoid degeneration of the anterior cruciate ligament with erosion of the lateral femoral condyle P. Melloni, R. Valls, M. Yuguero, A. Saez Medicine Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. J Sports Med Phys Fitness 48(4):483487, PubMed Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. . government site. MeSH 2022 Oct 23;34(1):40. doi: 10.1186/s43019-022-00169-9. All rights reserved. Postoperative ACL laxity is common after arthroscopic ACL debridement, however, symptomatic instability is not. Am J Roentgenol 182(5):12831287. Sixty-one patients underwent T2*WI and PDWI at 3, 6, and 12 months postoperatively. The clinical presentation is one of posterior pain with limited flexion. There was a high rate of association between degenerative lesions and MDACL, ranging from 39 to 96%. -Delivered Pre-rehab care for breast cancer and thoracic cancer cases. Postoperative Lachman test was positive in 40% of patients, and 6% of patients had symptomatic instability. MRI is better at detecting mucoid degeneration than arthroscopy, as the surface of the ligament is often intact. Palmer W, Bancroft L, Bonar F, Choi JA, Cotten A, Griffith JF, Robinson P, Pfirrmann CW. There is no consensus on treatment and evidence is scarce. official website and that any information you provide is encrypted Arthroscopy 24(6):642649. government site. Hsu CJ, Wang SC, Fong YC, Huang CY, Chiang IP, Hsu HC. Skelet Radiol 30(6):312315. Eight patients (72.7%, n=8) reported an improvement of knee instability, while three patients (27.3%, n=3) experienced an unchanged knee stability. Ligaments and tendons are accumulated by mucoid change might display a thickened and/or hypertrophied appearance, with an increase in signal intensity. Clipboard, Search History, and several other advanced features are temporarily unavailable. Shimasaki K, Yoshioka T, Kanamori A, Yamazaki M. Case Rep Orthop. The cruciate ligament have mechanoreceptors, which are responsible to detect any change in position of the knee, direction, speed and tension. 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. Read More Created for people with ongoing healthcare needs but benefits everyone. 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. . Ventura et al. 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. Effects of pre-operative knee laxity on clinical outcomes after partial anterior cruciate ligament reconstruction. 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. Please enable it to take advantage of the complete set of features! Knee Surgery, Sports Traumatology, Arthroscopy. eCollection 2021. 1992;159(2):35760. Epub 2008 Apr 18. PROSPERO. If arthroscopy is performed, the ligament may appear entirely normal, especially using the standard anterior portal approach. At the time the article was created Frank Gaillard had no recorded disclosures. What is myxoid degeneration treatment? HHS Vulnerability Disclosure, Help 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. 1. Federal government websites often end in .gov or .mil. Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. CAS 8600 Rockville Pike HHS Vulnerability Disclosure, Help 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. Arch Orthop Trauma Surg. Indian J Orthop 46(5):561565. The site is secure. Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. PMC Therefore, Anterior Cruciate Ligament tear is more susceptible during any injury to the knee. Mumbai, Maharashtra, India. Eight studies reported postoperative instability. Rajani AM, Shah UA, Mittal ARS, Gupta S, Garg R, Punamiya M. Knee Surg Relat Res. 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). 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. 4. Skeletal Radiol. In six of the nine studies [6, 14, 16,17,18], arthroscopic debridement of the ACL was associated with simultaneous partial meniscectomy; this ranged from 13% in the study of Morice et al. AJR Am J Roentgenol. At last follow-up, the mean visual analogue scale score, International Knee Documentation Committee score, and Tegner Lysholm Knee score improved (p < 0.01). What causes mucoid degeneration of ACL? Google Scholar, Cha JR, Lee CC, Cho SD, Youm YS, Jung KH (2013) Symptomatic mucoid degeneration of the anterior cruciate ligament. The success of treatment for MDACL and the subsequent risk of instability is not known. 1 Its prevalence in magnetic resonance imaging (MRI) is 1.8-5.3%, but not all lesions are symptomatic.2, 3 It is characterized by infiltration of mucoid-like substance (glycosaminoglycans) interspersed within the This site needs JavaScript to work properly.