-, Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. . Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc. Please enable it to take advantage of the complete set of features! (10%) and highest in the study of Ventura et al. (A) Bulging of, Fig. To our knowledge, this is the first systematic review to look into the results of the management of MDACL. Bookshelf government site. Its signal is increased on all sequences. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. GG and AM interpreted the results and reviewed the manuscript. An official website of the United States government. just over two decades ago [], the interest in this condition has quickly gathered pace in the orthopaedic community.Little is known about this condition that affects 1.8-5.3% of the population as per magnetic resonance imaging (MRI) diagnosis [2, 3]. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. Please enable it to take advantage of the complete set of features! 8600 Rockville Pike Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. They reported that a biopsy indicated mucoid degeneration and a relief of symptoms could be obtained through arthroscopic partial resection of the ligament. Terms and Conditions, Level of Evidence: Level IV. Histologically, there is a mucoid substance in connective tissue containing glycoproteins and mucoproteins [8]. The pathogenesis remains controversial. the degree of laxity, and the patient's age and willingness to pursue vigorous postoperative physical therapy are other major determinants. 1999;81(2):304305. The clinical presentation is one of posterior pain with limited flexion. What is myxoid degeneration treatment? Discussion: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Characteristic: "celery stalk" appearance. Bookshelf -, Makino A, Pascual-Garrido C, Rolon A, Isola M, Muscolo DL. Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Coronal proton density-weighted magnetic resonance, Coronal proton density-weighted magnetic resonance imaging shows a thickening of the anterior cruciate, Sagittal proton density-weighted magnetic resonance, Sagittal proton density-weighted magnetic resonance image shows ill-defined anterior cruciate ligament with increased, Coronal T2 weighted fat suppressed fast spin echo image showed complex anterior cruciate, Pre-debridement arthroscopic view showing yellowish. Data extracted included mean age and gender of the patients, duration of follow up, associated chondral and meniscal lesions, interventions and outcomes. Skelet Radiol 30(6):312315. 2022 Jun 2;20(1):225-228. doi: 10.33314/jnhrc.v20i01.4182. The mean age at the time of surgery was 57 years (range, 31 to 78 years). 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. That is usually the journal article where the information was first stated. HHS Vulnerability Disclosure, Help Physical therapy typically begins 7-10 days after the procedure. Unauthorized use of these marks is strictly prohibited. J Orthop. Anterior cruciate ligament reconstruction was required in only one young patient due to disabling instability. Knee Surg & Relat Res 33, 26 (2021). 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. Download Citation | On Feb 1, 2023, O.R. Orthop Traumatol Surg Res. reported total resection of the ACL in 68% of patients: one young patient had disabling instability and subsequent ACL reconstruction. Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first characterized by Kumar et al. Arthroscopic debridement of the ACL results in satisfactory pain relief and improvement in knee outcome scores. Arch Orthop Trauma Surg. Mucoid degeneration of the anterior cruciate ligament. National Library of Medicine I have persistent pain in the back of that knee that is exacerbated by walking and bending it. We herein describe a case of PCL mucoid degeneration presented with secondary ACL . The origin of MDACL may be degenerative or traumatic. Two reviewers independently screened the titles and abstracts of the retrieved records for eligibility. Mucoid degeneration of the anterior cruciate ligament. Mucoid degenerated anterior cruciate ligament (ACL) managed by arthroscopic ACL reconstruction: A case series. There was a high rate of association between degenerative lesions and MDACL, ranging from 39 to 96%. National Library of Medicine bling. Pain was posterior in 23 knees (80%). This site needs JavaScript to work properly. Eight patients (72.7%, n=8) reported an improvement of knee instability, while three patients (27.3%, n=3) experienced an unchanged knee stability. Morice et al. ACL debridement was partial in all studies except for those by Lintz et al. Mucoid change or mucoid degeneration refers to the irreversible tissue degeneration due to the accumulation of mucin within the fibers of tendons, ligaments, and fibrocartilage. Its interstitial nature within the ACL structure contrasts with synovial cyst of the ACL. The total number of patients with symptomatic instability was 18 out of 288 (6%). 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. Knee Surgery, Sports Traumatology, Arthroscopy. This makes it difficult to relate the improvement of symptoms to ACL debridement. 2012 Sep;46(5):561-5. doi: 10.4103/0019-5413.101037. Epub 2018 Jan 2. 2011;19(3):408411. Epub 2021 Nov 24. Clin Orthop Surg. Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review, https://doi.org/10.1186/s43019-021-00110-6, https://doi.org/10.1302/0301-620X.81B2.0810304, https://doi.org/10.1007/s00167-011-1433-0, https://doi.org/10.2214/ajr.182.5.1821283, https://doi.org/10.1007/s00167-012-1991-9, https://doi.org/10.1016/j.arthro.2003.11.030, https://doi.org/10.1016/j.jclinepi.2009.06.005, http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42018087782, https://doi.org/10.1046/j.1445-2197.2003.02748.x, http://journals.sagepub.com/doi/10.1177/2325967118786930, http://www.ijcrar.com/abstractview.php?ID=228&vol=4-11-2016&SNo=3, https://doi.org/10.1016/j.arthro.2008.02.004, https://doi.org/10.1016/j.jajs.2015.12.001, https://doi.org/10.4055/cios.2018.10.3.307, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/. J Bone Joint Surg Ser B 81(2):304305. Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first described in the literature in 1999.1 Since then, MD-ACL has been recognized as a pathology present on between 0.7% and 5.3% of magnetic resonance images performed for knee pain.2 MD-ACL is thought to be part of a spectrum of ACL disease that can range from ganglion cysts to MD.3 MD-ACL can either be primary (idiopathic . Unauthorized use of these marks is strictly prohibited. Bookshelf See this image and copyright information in PMC. Arthroscopically ACL is intact but fibrillated, yellowish and hypertrophied,with interspersed yellowish mucinous material along the fibers, lack of synovial linning of the ACL. Ventura D, Nuez JH, Joshi-Jubert N, Castellet E, Minguell J. Clin Orthop Surg. Orthop Traumatol Surg Res 96(4):400406, Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR (2004) Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. Conclusion: Treatment of ACL mucoid degeneration by this modality is effective in preventing recurrence, post-operative laxity and provides better functional outcome compared to the classical partial resection of the degenerated ACL. 2011 Mar;25(3):262-5. Mucoid degeneration of both ACL and PCL. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. 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). government site. Hamal B, Karmacharya M, Mangal Joshi K, Gorkhali R. J Nepal Health Res Counc. There was strong association with chondral lesions and meniscal tears. Intact fibers are best seen on T2WI. Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. Sep 2017 - Feb 20186 months. Correlations between degree of knee instability and SIR were assessed for each bundle, each time point, and each sequence. (2018) Radiology. Open Grey database was searched for grey literature using the same keywords. 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. 2013 Oct;99(6):693-7. doi: 10.1016/j.otsr.2013.04.010. PubMed 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. Mucoid degeneration, is the irreversible degeneration of the tissue with the infiltration of mucin(glycosaminoglycans) within the fibers[1][2]. There is strong association between MDACL and chondral and meniscal lesions, which may support the theory that MDACL is a degenerative process. 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. This was lowest in the study of Cha et al. Cite this article. Resnick D, Kransdorf MJ. Khanna et al. 2009 Jul;17(7):737-40. doi: 10.1007/s00167-008-0690-z. 2009. 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]. It is a chronic degenerative change of a bulky ACL that may lead to notch . 2022 Oct 23;34(1):40. doi: 10.1186/s43019-022-00169-9. ACL tears don't heal as such. The site is secure. In these studies, the total number of patients with a postoperative positive Lachman test was 40% (77 of 194 patients). 2006 Sep;69(9):449-52. doi: 10.1016/S1726-4901(09)70290-4. 1173185. Patients and methods: Chudasama CH, Chudasama VC, Prabhakar MM. Postoperative recovery was four weeks on average. This ranged from 90 to 95% in all studies, except in the report by Kim et al., where only 53.8% of patients (57/106) had complete pain relief after surgery. Does Femoral Intercondylar Notch Volume Differ in Anterior Cruciate Ligament-Injured Adult Patients Compared to the Uninjured? J Knee Surg. What is Anterior Cruciate Ligament Mucoid Degeneration? MUCOID DEGENERATION OF ACL - ARTHROSCOPIC TREATMENT 2,375 views Sep 15, 2019 23 Dislike Dr. Prateek Joshi- Ortho 1.02K subscribers Notice Age-restricted video (based on Community Guidelines). Bergin et al. The anterior cruciate ligament (ACL) is an important ligament in the knee. The patient presented with extension block of the knee. 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. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. CONFLICT OF INTEREST: No potential conflict of interest relevant to this article was reported. All rights reserved. Presentation Patients usually present with nonspecific posterior knee pain with restriction of flexion. MeSH There was no mention in the other three studies [13, 15, 18] of whether other procedures were performed simultaneously. Mucoid degeneration of the anterior cruciate ligament: MRI, clinical, intraoperative, and histological findings. Anterior knee pain is the more common complaint. 3. Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. Recent studies have reported that the prevalence of ACL mucoid degeneration is approximately 2-14% [20, 23, 24, 25]. Mucoid degeneration (MD) is a rare pathological affection of the anterior cruciate ligament (ACL). The https:// ensures that you are connecting to the 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. Preoperative and postoperative results of eleven patient were compared. The mean follow up ranged from 13 to 72months. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Shimasaki K, Yoshioka T, Kanamori A, Yamazaki M. Case Rep Orthop. Radiology. Rajani AM, Shah UA, Mittal ARS, Gupta S, Garg R, Punamiya M. Knee Surg Relat Res. This is a rare pathological condition, in which, there is increased signal from within the ligament. The origin of MDACL may be degenerative or traumatic. In this review, the mean age of patients ranged from 31 to 78years; mean age was highest in the study of Kim et al. . Part of The appearance can mimic acute or chronic interstitial partial tears of the ACL. 2021 Aug 21;33(1):26. doi: 10.1186/s43019-021-00110-6. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. . Mucoid degeneration of the anterior cruciate ligament. Google Scholar, Salvati F, Rossi F, Limbucci N, Pistoia ML, Barile A, Masciocchi C (2008) Mucoid metaplastic-degeneration of anterior cruciate ligament. Disclaimer. J Chin Med Assoc. 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 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. 42 Mucoid degeneration of the anterior cruciate ligament with erosion of the lateral femoral condyle P. Melloni, R. Valls, M. Yuguero, A. Saez Medicine Dietary management and various treatments Scanning and diagnostic . Not really known: Mucoid degeneration of the ACL is seen most commonly in adults (35-55 years of age). The presence of intraligamentous mucoid degeneration in the ACL is demonstrated as a source of knee pain without instability and partial ACL debridement did not preclude adequate knee stability. Several authors have identified this condition, described their experiences, and suggested their own guidelines for management. Eight studies showed postoperative improvement in range of motion, whereas Khanna et al. If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. official website and that any information you provide is encrypted 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 ). Due to the heterogeneity of data, a meta-analysis was not possible, and a narrative review was deemed most appropriate. 2011. ACL mucoid degeneration is present on ~10% (range 9-12%) of 3 T MRI examinations and 2% of 1.5 T MRI examinations 6. 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. maude adverse event report: genzyme biosurgery (ridgefield) synvisc one intra-articular hyaluronic acid Magn Reson Imaging Clin N Am. Before Knee Surg Sports Traumatol Arthrosc 19(8):13261333. as very low (04 points), low (58 points), good (912 points) or excellent (1316 points) [12]. [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%). Histological diagnosis was established by tissue biopsy in all patients in five studies, with a total of 87 knees. Case report: Truncation means that the . Arthroscopic findings. Am J Roentgenol 182(5):12831287. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. https://doi.org/10.2214/ajr.182.5.1821283, Article Bethesda, MD 20894, Web Policies Patients in all studies presented with central or posterior knee pain, mainly with terminal extension in three studies [14, 16, 17]. 2022 Mar;50(3):3000605221084865. doi: 10.1177/03000605221084865. Average postoperative differential laxity on the Telos device was 8.3 mm (5 to 13 mm). Cho SD, Youm YS, Lee CC et-al. Please enable it to take advantage of the complete set of features! Bethesda, MD 20894, Web Policies Twenty knees (69%) had associated cartilaginous lesions and 19 (66%) had meniscal lesions. Patient having mucoid degeneration of ACL seeks multiple orthopedic consultation and most of the time treating orthopedican miss its diagnosis either because of lack of experience or rare cause of pain unless doctor sought magnetic resonance imaging (MRI) of knee. -, McIntyre J, Moelleken S, Tirman P. Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears. PMC Loss to follow up was not mentioned in the other five studies [3, 6, 15, 17, 19]. It can cause pain and to a meniscal tear. Copyright 2010 Elsevier Masson SAS. Epub 2010 May 8. The authors declare that they have no competing interests. This site needs JavaScript to work properly. Partial resection of the anterior cruciate ligament was done in seven cases and a complete resection in 18 cases. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. Bookshelf Demographic, radiological, and histological findings, type of surgery, and clinical pre- and postoperative data were analyzed. Average improvement in flexion was 21.5 degrees (0 to 60 degrees). Hamdaoui and others published Le signe de la branche de cleri | Find, read and cite all the research you need on ResearchGate 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. Keywords: 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. 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). 2013;15(1). ANZ J Surg 73(9):712716. Anterior cruciate ligament; Arthroscopy; Knee; Mucoid degeneration. Federal government websites often end in .gov or .mil. The .gov means its official. 4. With cruciate ligament ganglia, intact ACL fibers can often be visualized coursing through or around the cyst. FOIA Arthroscopy. 6. [Effectiveness of bone-anterior cruciate ligament-bone allograft in reconstruction of anterior cruciate ligament under arthroscope]. 5. A positive Lachman test and a negative pivot shift were noted after surgery in all cases. (61years), which was the largest study and represented more than one third of the total patients included in this review. -osis is a suffix denoting a process, condition, or state, the histology of the Achilles tendon and in ACL injuries(24-26). Epub 2011 Feb 18. Items are scored as 0 (not reported), 1 (reported but inadequate) or 2 (reported and adequate). The site is secure. Chudasama et al. in 1999 [ 1 ]. Postoperative pain relief ranged from 53.8 to 95%. Mucoid degeneration,: like degenerative arthritis of a joint, generally occurs as a results of aging. 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. https://doi.org/10.1007/s00167-011-1433-0, Article I have multiple issues - spondylolisthesis in L4/L5 and L5/S1, osteopenia and osteoarthritis. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. . Bethesda, MD 20894, Web Policies Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Despite the low rate of complications in all studies, there was a high incidence of postoperative knee laxity, demonstrated by a positive Lachman test, in most studies. Introduction Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. Pandey, Vivek et al. Partial/Total ACL resection arthroscopically- There is marked improvement in the range and reduced posterior pain, but at the cost of increased post-operative knee laxity. PMC On physical exam, the Lachman test for ACL instability is negative with an ACL ganglion. There was more than 20% loss to follow up in the study of Kim et al., while the three prospective studies had no loss to follow up [13, 14, 18]. 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. Ahuja A, Parekh C, Salomon A, Lawande M, Daftary A. Skeletal Radiol. J Clin Epidemiol 62(10):10061012. This systematic review has some limitations. . Management of mucoid degeneration of the anterior cruciate ligament: a systematic . Preoperative magnetic resonance imaging (MRI) scan. Clipboard, Search History, and several other advanced features are temporarily unavailable. This infiltrating lesion is included in the mucoid pathology of the intercondylar fossa. J Bone Joint Surg Br. See this image and copyright information in PMC. Nowadays, orthobiologics such as platelet-rich plasma (PRP) are increasingly used in ligament surgeries to improve healing. If arthroscopy is performed, the ligament may appear entirely normal, especially using the standard anterior portal approach. Accessed 1 Mar 2021. Introduction: Sixty-one patients underwent T2*WI and PDWI at 3, 6, and 12 months postoperatively. Some case reports have been published; however, it is difficult to diagnose and is often underdiagnosed or misdiagnosed because of its pathophysiological ambiguity. Google Scholar, Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P (2010) Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. 2008;24(6):642649. MEDLINE, Embase, Google Scholar, Cochrane, ISI web of science and Scopus were comprehensively searched from the earliest year of indexing until 10 July 2020. The appearance can mimic acute or chronic interstitial partial tears of the ACL. Arthroscopy. ACL (anterior cruciate ligament) mucoid degeneration means the lesion of the ACL. Any discrepancy was resolved by the senior author. Postoperative ACL laxity is a common finding after ACL arthroscopic debridement, however, symptomatic instability is not. It contrasts with cystic lesions better known as synovial cysts or intercondylar fossa cysts. There is no consensus on treatment and evidence is scarce. 2. It is a chronic degenerative change of a bulky ACL that may lead to notch impingement syndrome in the absence of instability symptoms and significant trauma history [ 1, 2, 3, 4 ]. 2001;17(9):E37. Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Knee Surg Relat Res. Thirteen patients were treated with complete ACL resection for symptomatic MD of the ACL from 2006-2016. Introduction: 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. This site needs JavaScript to work properly. Symptomatic instability was highest in the study of Lintz et al. 2021 Aug 21;33(1):26. doi: 10.1186/s43019-021-00110-6. sharing sensitive information, make sure youre on a federal Score: 4.7/5 (45 votes) . 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. Study record managers: refer to the Data Element Definitions if submitting registration or results information.. Search for terms A total of 313 knees in 292 patients were included. Several critical distinctions allow a confident diagnosis of an ACL ganglion cyst. sharing sensitive information, make sure youre on a federal eCollection 2013. Knee Surg Sports Traumatol Arthrosc. Only nine studies met our inclusion criteria and they were all case series. Epub 2018 Aug 22. Arthroscopic resection of ACL mucoid degeneration is effective for treating pain and flexion limitation, but at the expense of anterior laxity. Would you like email updates of new search results? Skeletal Radiol. Reeducation. -Provided skilled hands on in post-op rehabilitation to various population including Head and neck cancers, Lymph edema management, Bone cancers. Bone and joint imaging. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. Another theory is the synovial theory whereby a pouch of synovium herniates and is subsequently filled with synovium [2]. It results in postoperative laxity, but rarely in frank instability. Risk factors Predisposing factors include the following 1: aging 2018 Jun;25(3):445-452. doi: 10.1016/j.knee.2018.02.012. MDACL is not uncommon, however, it is rarely symptomatic [4, 5]. statement and Unable to load your collection due to an error, Unable to load your delegates due to an error. reported the largest percentage of patients (27.5%) with a positive pivot test. There was strong association between MDACL and chondral lesions (82%) and between MDACL and meniscal tears (69%). Sweed, T., Mussa, M., El-Bakoury, A. et al. -Evaluated and planned treatment protocol in accordance with physician. All patients (100%, n=11) reported an improvement in pain. 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. Fig. Its prevalence in magnetic resonance imaging (MRI) is 1.8 to 5.3%, but not all lesions are symptomatic. A systematic literature search in the databases MEDLINE, Embase, Google Scholar, Cochrane, ISI web of science and Scopus was performed through July 2020 by three independent reviewers. 2. Rehabilitation, speech therapy, crenotherapy. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. MDACL is diagnosed by MRI, showing a celery stalk sign, and is confirmed by tissue biopsy and histological examination [7]. Other theories include Degenerative theory- MD could occur due to ageing.[3]. 2011. FOIA The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Anterior Cruciate Ligament (ACL) Mucoid Degeneration Anatomy Anterior Cruciate Ligament, is an important structure of the knee joint.
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