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. Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of anterior knee pain (AKP). The https:// ensures that you are connecting to the Hide glossary Glossary. Google Scholar, Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D (2011) Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. ACL Insufficiency | Anterior Knee Instability | Knee Instability Nowadays, orthobiologics such as platelet-rich plasma (PRP) are increasingly used in ligament surgeries to improve healing. 2013 Jun 20;15:59. doi: 10.11604/pamj.2013.15.59.2534. Partial resection of the anterior cruciate ligament was done in seven cases and a complete resection in 18 cases. Rajani AM, Shah UA, Mittal ARS, Gupta S, Garg R, Punamiya M. Knee Surg Relat Res. 2022 Mar;14(1):76-89. doi: 10.4055/cios20163. Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. The minimum follow-up was 3 years. The lesion may manifest as an elongated cyst along the long axis of the ACL, or as an enlarged ACL. Preoperative magnetic resonance imaging (MRI) scan. government site. Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. In this review, the mean age of patients ranged from 31 to 78years; mean age was highest in the study of Kim et al. Preoperative magnetic resonance imaging (MRI), Fig. Read More Created for people with ongoing healthcare needs but benefits everyone. The aetiology of MDACL is not clearly understood. It is commonly identified on MRI in association with other pathological findings and can be confused with partial ACL tears. Diet therapy and various other treatments (general aspects) Discipline Radiotherapy. HHS Vulnerability Disclosure, Help -, Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. Mucoid degeneration of the anterior cruciate ligament: Partial An 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. MAUDE Adverse Event Report: GENZYME BIOSURGERY (RIDGEFIELD) SYNVISC ONE 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. Score: 4.7/5 (45 votes) . Hamdaoui and others published Le signe de la branche de cleri | Find, read and cite all the research you need on ResearchGate The rate of simultaneous meniscectomy ranged from 13 to 44%. 1992;159(2):35760. 2021 Oct 21;2021:5879121. doi: 10.1155/2021/5879121. The total number of patients with symptomatic instability was 18 out of 288 (6%). Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. There is no consensus on treatment and evidence is scarce. Clipboard, Search History, and several other advanced features are temporarily unavailable. Accessed 1 Mar 2021. Several critical distinctions allow a confident diagnosis of an ACL ganglion cyst. Federal government websites often end in .gov or .mil. Privacy . There was no mention in the other three studies [13, 15, 18] of whether other procedures were performed simultaneously. Conclusions. 2022 Apr 11;31:67-71. doi: 10.1016/j.jor.2022.04.004. 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. Therefore, Anterior Cruciate Ligament tear is more susceptible during any injury to the knee. Symptomatic instability was highest in the study of Lintz et al. Federal government websites often end in .gov or .mil. 2. Would you like email updates of new search results? Would you like email updates of new search results? what causes mucoid degeneration of acl. mucoid degeneration of acl mri. 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 ]. Clipboard, Search History, and several other advanced features are temporarily unavailable. Google Scholar, Cha JR, Lee CC, Cho SD, Youm YS, Jung KH (2013) Symptomatic mucoid degeneration of the anterior cruciate ligament. You can read more if you want. Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. Epub 2008 Apr 18. Average improvement in flexion was 21.5 degrees (0 to 60 degrees). Bethesda, MD 20894, Web Policies maude adverse event report: genzyme biosurgery (ridgefield) synvisc one intra-articular hyaluronic acid Mucoid degeneration of the anterior cruciate ligament: can platelet All patients (100%, n=11) reported an improvement in pain. Anterior Cruciate Ligament (ACL) MRI: Practice Essentials, Anatomy Mucoid degeneration of ACL Justamom21 Feb 17, 2023 7:27 AM Among other conditions - osteoarthritis, osteopenia, spondylolisthesis- an MRI report showed "severe mucoid degeneration of the ACL" in my left knee. -, Hodler J, Haghighi P, Trudell D, Resnick D. The cruciate ligaments of the knee: Correlation between MR appearance and gross and histologic findings in cadaveric specimens. Am J Roentgenol 182(5):12831287. -, Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK. Association between magnetic resonance imaging characteristics and pathological findings in entire posterior cruciate ligament with mucoid degeneration. 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. 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]. Mucoid degeneration of both ACL and PCL. They reported that a biopsy indicated mucoid degeneration and a relief of symptoms could be obtained through arthroscopic partial resection of the ligament. Loreto v. Kijakazi, 1:22-CV-1404-JDG | Casetext Search + Citator On MRI, the ligament is thickened and ill-defined with a "celery stalk" appearance. Please enable it to take advantage of the complete set of features! Bilateral Symptomatic Mucoid Degeneration of the Anterior Cruciate Ligament with Anterior Knee Pain but No Limited Knee Flexion. in 1999 [ 1 ]. bling. -, McIntyre J, Moelleken S, Tirman P. Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. 2010 Jun;96(4):400-6. doi: 10.1016/j.otsr.2010.02.008. 2008;24(6):642649. Introduction Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known pathology. Springer Nature. Terms and Conditions, 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. Methodological quality of the studies was assessed using the Methodological Index for Non-Randomized Studies (MINORS) criteria [11] (Table1). Le signe de la branche de cleri - ResearchGate J Chin Med Assoc. ADVERTISEMENT: Supporters see fewer/no ads. The https:// ensures that you are connecting to the PROSPERO. ACL debridement was partial in all studies except for those by Lintz et al. [6], in 62% of patients (18 of 29) in the study of Lintz et al. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2009 checklist [9]. 2022 Apr 11;31:67-71. doi: 10.1016/j.jor.2022.04.004. Cite this article. Imaging: Plain radiographs Clinical Outcomes, Return to Sports, and Patient Satisfaction After Anterior Cruciate Ligament Reconstruction in Young and Middle-Aged Patients in an Asian Population-A 2-Year Follow-up Study. IV (retrospective cohort study). 2022 Oct 23;34(1):40. doi: 10.1186/s43019-022-00169-9. Surgical treatment involves arthroscopic debridement of ACL, with partial or total resection, occasionally combined with ACL reconstruction. government site. How to Treat ACL Mucoid Degeneration? - HTQ What causes mucoid degeneration of ACL? Arthroscopic findings. Treatment of ACL mucoid degeneration by arthroscopic resection is effective for posterior pain and flexion limitation. -osis is a suffix denoting a process, condition, or state, the histology of the Achilles tendon and in ACL injuries(24-26). 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. 2008 Jun;24(6):642-9. doi: 10.1016/j.arthro.2008.02.004. Keywords: Skeletal Radiol. Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a Case report: intra-tendinous ganglion of the anterior cruciate ligament AJR Am J Roentgenol. 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. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. (Table 3). Epub 2021 Mar 8. If arthroscopy is performed, the ligament may appear entirely normal, especially using the standard anterior portal approach. 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. In that case, mucoid degeneration can be extruded from the ligament and will be removed in the saline flow. Arthroscopic treatment may include ACL resection, which raises the questions about the harmlessness of this procedure and the risk of anterior instability. Careers. On physical exam, the Lachman test for ACL instability is negative with an ACL ganglion. By using this website, you agree to our Characteristic: "celery stalk" appearance. 3. What is acl mucoid degeneration? | HealthTap Online Doctor 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. I get PT and acupuncture, have had several epidural injections, and am trying hard to avoid osteoporosis meds (was on bisphosphonates for many years many years ago) as well as spinal fusion. When refering to evidence in academic writing, you should always try to reference the primary (original) source. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. The need for simultaneous or delayed ACL reconstruction should be discussed with patients in case total resection of the ACL is to be performed, particularly in young active patients. Keywords used for the Search were mucoid degeneration, anterior cruciate ligament and ACL. 2011. Indian J Orthop 48(2):197202. Joshita Poojary - Sports Physical Therapist - Padmanabhan's - Linkedin Unauthorized use of these marks is strictly prohibited. CONFLICT OF INTEREST: No potential conflict of interest relevant to this article was reported. Signal intensity of the anteromedial bundle (AMB) or posterolateral bundle (PLB) graft standardized to the intensity of the PCL was defined as signal intensity ratio (SIR). This site needs JavaScript to work properly. Exclusion criteria were (1) case reports, literature reviews and conference abstracts and (2) studies written in languages other than English. The cause is not really known, but patients usually do not complain of instability. Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study. 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). Patients and methods: This series describes the clinicoradiological presentation of patients with mucoid ACL, partial arthroscopic debridement of ACL and outcomes. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. 1999;81(2):304305. 2009. 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. Postoperative clinical laxity was common, however, symptomatic instability was not. Twenty knees (69%) had associated cartilaginous lesions and 19 (66%) had meniscal lesions. GG and AM interpreted the results and reviewed the manuscript. MeSH Pan African Medical Journal. The aetiology of MDACL is not fully understood, hence, there are multiple theories on this. 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. 2006;69(9):44952. Learn how we can help 704 views Reviewed >2 years ago Thank Average postoperative International Knee Documentation Committee (IKDC) and Knee Injury and Osteoarthritis Outcome Scores (KOOS) were 71.2 (42.5 to 92.0) and 78.2 (26.4 to 99). Three reviewers (an experienced librarian and two of the authors) independently searched these databases. 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). What Is Mucoid Degeneration of the ACL? Secondary signs include bone bruising, meniscal tears, anterior subluxation of the tibia and other ligamentous injuries. Roberts CC, Towers JD, Spangehl MJ et-al. PubMed Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Orthop Traumatol Surg Res. . Federal government websites often end in .gov or .mil. . 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. Open Grey database was searched for grey literature using the same keywords. Ever since mucoid degeneration of the anterior cruciate ligament (MD-ACL) was named by Kumar et al. -, Makino A, Pascual-Garrido C, Rolon A, Isola M, Muscolo DL. Before Khanna et al. Morice et al. Postoperative pain relief ranged from 53.8 to 95%. Sometimes, it is mislead as ACL tear on MRI findings, hence requires probing and histopathology for definitive diagnosis. Arch Orthop Trauma Surg. Its signal is increased on all sequences. 2013;15(1). 8600 Rockville Pike Arthroscopic examination analyzed the ACL aspect and its associated lesions (meniscus, cartilage). Treatment for MDACL usually starts non-surgically with anti-inflammatory drugs and physiotherapy. 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.). CAS [Effectiveness of bone-anterior cruciate ligament-bone allograft in reconstruction of anterior cruciate ligament under arthroscope]. MM and A performed the literature search, and data analysis. Clipboard, Search History, and several other advanced features are temporarily unavailable. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. There is strong association between MDACL and chondral and meniscal lesions, which may support the theory that MDACL is a degenerative process. sharing sensitive information, make sure youre on a federal Epub 2011 Feb 18. Would you like email updates of new search results? and transmitted securely. Google Scholar, Chudasama CH, Chudasama VC, Prabhakar MM (2012) Arthroscopic management of mucoid degeneration of anterior cruciate ligament. The need for delayed ACL reconstruction should be discussed preoperatively, especially if complete resection of the ACL is to be performed. Mucoid degenerated anterior cruciate ligament (ACL) managed by arthroscopic ACL reconstruction: A case series. Two reviewers independently screened the titles and abstracts of the retrieved records for eligibility. 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 . 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. Unauthorized use of these marks is strictly prohibited. Conditions that resembles the clinical findings are: Get Top Tips Tuesday and The Latest Physiopedia updates, The content on or accessible through Physiopedia is for informational purposes only.
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