AJR Am J Roentgenol. Bergin et al. Arthroscopy 20(2):141146. Mucoid change | Radiology Reference Article | Radiopaedia.org All nine studies assessed the outcome of arthroscopic debridement of MDACL. 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). Treatment of ACL mucoid degeneration by arthroscopic resection is effective for posterior pain and flexion limitation. Not really known: Mucoid degeneration of the ACL is seen most commonly in adults (35-55 years of age). I give my consent to Physiopedia to be in touch with me via email using the information I have provided in this form for the purpose of news, updates and marketing. Thirteen patients were treated with complete ACL resection for symptomatic MD of the ACL from 2006-2016. Treatment options include non-operative management, arthroscopic debridement with a biceps tenotomy or tenodesis, complete or partial repair, patch augmentation, superior capsular reconstruction, muscle/tendon transfer and reverse total shoulder arthroplasty. Cho SD, Youm YS, Lee CC et-al. Accessibility Role of ultrasound-guided decompression in management of mucoid degeneration of the anterior cruciate ligament. Due to the lack of specific symptoms and signs, its diagnosis is often delayed or even misdiagnosed in clinical practice [ [1] , [2] ]. Anterior cruciate ligament mucoid degeneration: MR findings Please enable it to take advantage of the complete set of features! NCI CPTC Antibody Characterization Program. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Treatment for MDACL usually starts non-surgically with anti-inflammatory drugs and physiotherapy. This site needs JavaScript to work properly. 2023 BioMed Central Ltd unless otherwise stated. Ligaments are very tough, fibrous tissue structures. Introduction: The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. Part of Clipboard, Search History, and several other advanced features are temporarily unavailable. What you feel (symptoms) You feel heaviness in knee joint. Would you like email updates of new search results? . The site is secure. Treatment modalities for ACL ganglion cyst include arthroscopic excision or puncture, CT scan, and ultrasound-guided aspiration [25-26]. See this image and copyright information in PMC. Khanna et al. Quadriceps and hamstring weakness are common features of people with symptomatic degenerative meniscal tears Surgery may address the structural injury, but . https://doi.org/10.1302/0301-620X.81B2.0810304, Article 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. -, Fealy S, Kenter K, Dines JS, Warren RF. 2 ). in 1999 [ 1 ]. Before ACL Mucoid Degeneration in Knee - Diagnosis & Treatment | Dr. Hemendra 2004;182(5):12837. If arthroscopy is performed, the ligament may appear entirely normal, especially using the standard anterior portal approach. Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. Knee Surgery & Related Research Arthroscopic resection of ACL mucoid degeneration is effective for treating pain and flexion limitation, but at the expense of anterior laxity. Postoperative Lachman test was positive in 40% of patients, and 6% of patients had symptomatic instability. Joshita Poojary - Sports Physical Therapist - Padmanabhan's - Linkedin (A) Bulging of, Fig. The appearance can mimic acute or chronic interstitial partial tears of the ACL. Histologically, there is a mucoid substance in connective tissue containing glycoproteins and mucoproteins [8]. PDF Anterior Cruciate Ligament Ganglion Cyst and Mucoid Degeneration: A Review 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. Ever since mucoid degeneration of the anterior cruciate ligament (MD-ACL) was named by Kumar et al. 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. 1. 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). At the time the article was created Frank Gaillard had no recorded disclosures. Level of evidence: Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. 2009. https://www.physio-pedia.com/index.php?title=Anterior_Cruciate_Ligament_(ACL)_Mucoid_Degeneration&oldid=253974, Difficulty in climbing stairs, cross-leg sitting, squatting, Primary condition- Osteoarthritis, degenerative menisci, meniscal tear, Impingement of the soft tissue in the vicinity. Mucoid degeneration of the anterior cruciate ligament: a case report. This is a characteristic appearance of ACL mucoid degeneration where the ACL is expanded and hyperintense but is still continuous with normal alignment. Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. Four studies reported only postoperative scores, which were comparable to those in other studies. Mucoid degeneration of ACL. A total of nine studies were eligible for review. Does Femoral Intercondylar Notch Volume Differ in Anterior Cruciate Ligament-Injured Adult Patients Compared to the Uninjured? Epidemiology The likelihood of mucoid change within ligaments and tendons increases with age 1. J Bone Joint Surg Ser B 81(2):304305. 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. This ligament consists of two fibers, mainly, the anterio-medial and postero-lateral fibers, respectively. The patient presented with extension block of the knee. Case report: intra-tendinous ganglion of the anterior cruciate ligament The success of treatment for MDACL and the subsequent risk of instability is not known. Open Grey database was searched for grey literature using the same keywords. Quality was assessed using the Methodological Index for Non-Randomized Studies (MINORS) criteria. Clin Orthop Surg. : A Meta-Analysis. Pain was posterior in 23 knees (80%). Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Orthop Traumatol Surg Res. 2013 Jun 20;15:59. doi: 10.11604/pamj.2013.15.59.2534. You can read more if you want. For non-comparative studies, this consists of eight questions. Unable to process the form. Knee Surg Sports Traumatol Arthrosc. -. Eight studies showed postoperative improvement in range of motion, whereas Khanna et al. Clin Orthop Surg. Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. All rights reserved. See this image and copyright information in PMC. 2010 Jun;96(4):400-6. doi: 10.1016/j.otsr.2010.02.008. The extracted data were heterogeneous in terms of outcome assessment. 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 ]. AJR Am J Roentgenol. The site is secure. 2006 Sep;69(9):449-52. doi: 10.1016/S1726-4901(09)70290-4. J Chin Med Assoc. Noninfiltrating synovial cysts of the ACL were excluded. https://doi.org/10.2214/ajr.182.5.1821283, Article "Traumatic theory - post injury, ACL fibroblasts secrete glycosaminoglycans, the mucin substance within the ACL. The main MRI finding of ACL mucoid degeneration is a celery stalk appearance [26, 27]. 2012 Sep;46(5):561-5. doi: 10.4103/0019-5413.101037. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. Magn Reson Imaging Clin N Am. Sixty-one patients underwent T2*WI and PDWI at 3, 6, and 12 months postoperatively. It is a chronic degenerative change of a bulky ACL that may lead to notch . Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. 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. Loreto v. Kijakazi, 1:22-CV-1404-JDG | Casetext Search + Citator Mucoid degeneration of the anterior cruciate ligament - PubMed A positive Lachman test and a negative pivot shift were noted after surgery in all cases. 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. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. They reported that a biopsy indicated mucoid degeneration and a relief of symptoms could be obtained through arthroscopic partial resection of the ligament. Hamdaoui and others published Le signe de la branche de cleri | Find, read and cite all the research you need on ResearchGate 2. maude adverse event report: genzyme biosurgery (ridgefield) synvisc one intra-articular hyaluronic acid Anterior Cruciate Ligament (ACL) MRI: Practice Essentials, Anatomy Arthroscopic findings. -Delivered Pre-rehab care for breast cancer and thoracic cancer cases. 2. Another theory is the synovial theory whereby a pouch of synovium herniates and is subsequently filled with synovium [2]. In this systematic review we found that arthroscopic debridement resulted in good pain relief and improved range of motion and clinical outcome scores. 2011 Jun;25(6):650-2. 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. -osis is a suffix denoting a process, condition, or state, the histology of the Achilles tendon and in ACL injuries(24-26). Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Google Scholar, Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P (2010) Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. Preoperative assessment included a questionnaire, clinical examination (Lachman and pivot shift tests), MRI and standard radiography. 2004;182(5):12831287. Bergin D, Morrison WB, Carrino JA et-al. Epub 2010 May 8. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity that has been found in patients with pain and limited range of motion of the knee in association with a bulky ACL shown on magnetic resonance imaging (MRI). 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. Epub 2013 Aug 27. Two reviewers independently screened the titles and abstracts of the retrieved records for eligibility. 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. Symptomatic instability was highest in the study of Lintz et al. Learn.Physio on LinkedIn: Quadriceps and hamstring weakness are common https://doi.org/10.1016/j.jclinepi.2009.06.005. 5. Please enable it to take advantage of the complete set of features!
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