1999;81(2):304305. J Orthop. National Library of Medicine [17] do not mention whether any patients underwent biopsy (Table 3). I have multiple issues - spondylolisthesis in L4/L5 and L5/S1, osteopenia and osteoarthritis. In the Lintz study, total resection of the ACL was performed in 17 out of 29 knees, while in the Ventura study total resection was performed in 17 out of 25 patients. Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) flowchart illustrating the selections of trials included in the systematic review. -, Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. Postoperative symptomatic instability was not common in eight studies, but was observed in 48% of patients in the study of Lintz et al., with two patients having a delayed ACL reconstruction. We report a case of mucoid degeneration of the anterior cruciate ligament (ACL). Google Scholar, Salvati F, Rossi F, Limbucci N, Pistoia ML, Barile A, Masciocchi C (2008) Mucoid metaplastic-degeneration of anterior cruciate ligament. Orthopedics; anterior cruciate ligament; arthoscopy. Fourteen knees (48%) had limited flexion, on average 97 degrees. sharing sensitive information, make sure youre on a federal 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. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. Please enable it to take advantage of the complete set of features! Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. 2010 Jun 1;96(4):400-6. Hamal B, Karmacharya M, Mangal Joshi K, Gorkhali R. J Nepal Health Res Counc. Check for errors and try again. Mucoid degeneration of both ACL and PCL. MM and A performed the literature search, and data analysis. The retrospective study by Kim et al. Mucoid degeneration of the anterior cruciate ligament. -, Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK. 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. 2013;15(1). Mucoid degeneration of acl (anterior cruciate ligament) is not a common problem and mostly it is found in female patients. [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%). Arthroscopy. However, symptomatic instability was not common. Postoperative pain relief was reported in seven studies. . Coronal T2 weighted fat suppressed fast spin echo image showed complex anterior cruciate ligament ganglion cyst arising from superior aspect of ligament. Cookies policy. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. Treatment of ACL mucoid degeneration by arthroscopic resection is effective for posterior pain and flexion limitation. 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 ]. Its function is to stabilize the knee while bending and rotating; the ACL also keeps the knee from shifting out of place or moving anteriorly (toward the front) with pivoting activities. in 1999 [ 1 ]. Demographic, radiological, and histological findings, type of surgery, and clinical pre- and postoperative data were analyzed. 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. 8600 Rockville Pike That is usually the journal article where the information was first stated. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. Anterior Cruciate Ligament, is an important structure of the knee joint. Mucoid degeneration is characterized by an increase in the mucoid ground substance in the connective tissue containing glycoprotein and mucoprotein [ 4 ]. Complete resection of the ACL without ACL reconstruction is a reliable treatment for symptomatic cases of mucoid degenerated ACL. The ACL appears on MRI to be enlarged with cystic changes throughout, however it is intact. Postoperative ACL laxity is common after arthroscopic ACL debridement, however, symptomatic instability is not. Anterior cruciate ligament reconstruction was required in only one young patient due to disabling instability. Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. Knee Surgery, Sports Traumatology, Arthroscopy. . Would you like email updates of new search results? 2018;4(4):875-80. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. 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. 8600 Rockville Pike 287 (3): 912-921. Chudasama CH, Chudasama VC, Prabhakar MM. National Library of Medicine Epub 2021 Mar 8. Presentation Patients usually present with nonspecific posterior knee pain with restriction of flexion. Study record managers: refer to the Data Element Definitions if submitting registration or results information.. Search for terms Preoperative and postoperative results of eleven patient were compared. To our knowledge, this is the first systematic review to look into the results of the management of MDACL. Sometimes, it is mislead as ACL tear on MRI findings, hence requires probing and histopathology for definitive diagnosis. Federal government websites often end in .gov or .mil. The purpose of this study was to investigate the outcome of management of MDACL by performing a systematic review of methods of treatment that have been reported. Another theory is the synovial theory whereby a pouch of synovium herniates and is subsequently filled with synovium [2]. The knee is a complex synovial joint that can be affected by a range of pathologies: Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. Privacy Only nine studies met our inclusion criteria and they were all case series. Mucoid degeneration,: like degenerative arthritis of a joint, generally occurs as a results of aging. What you feel (symptoms) You feel heaviness in knee joint. 2008;24(6):642649. Quadriceps and hamstring weakness are common features of people with symptomatic degenerative meniscal tears Surgery may address the structural injury, but . Preoperative magnetic resonance imaging (MRI) scan. Young and active patients should be warned about the risk of requiring secondary ligamentoplasty. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Bethesda, MD 20894, Web Policies Its signal is increased on all sequences. This study concerns complete ACL resec official website and that any information you provide is encrypted 2021 Sep;50(9):1837-1843. doi: 10.1007/s00256-021-03750-7. Knee Surg & Relat Res 33, 26 (2021). A total of 313 knees in 292 patients were included in the nine studies. Online ahead of print. Keywords: -Evaluated and planned treatment protocol in accordance with physician. 2011 Aug 1;19(8):1326-33. Introduction Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known pathology. In this review, the mean age of patients ranged from 31 to 78years; mean age was highest in the study of Kim et al. 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]. -, Makino A, Pascual-Garrido C, Rolon A, Isola M, Muscolo DL. 8600 Rockville Pike Data extracted included mean age and gender of the patients, duration of follow up, associated chondral and meniscal lesions, interventions and outcomes. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. Loganathan D, Soma Sundar S, Sundar S, Sahanand S, Rajan DV. The prevalence of MDACL on magnetic resonance imaging (MRI) ranges from 1.8 to 5.3% [4, 5]. Indian J Orthop. The extracted data were heterogeneous in terms of outcome assessment. Springer Nature. [Effectiveness of bone-anterior cruciate ligament-bone allograft in reconstruction of anterior cruciate ligament under arthroscope]. 2022 Apr 11;31:67-71. doi: 10.1016/j.jor.2022.04.004. PubMed Six studies reported using the pivot shift test; unsurprisingly, Lintz et al. official website and that any information you provide is encrypted Mucoid degeneration of the anterior cruciate ligament. JBR-BTR. Imaging: Plain radiographs Federal government websites often end in .gov or .mil. Please enable it to take advantage of the complete set of features! Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of anterior knee pain (AKP). 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 . Along with that, it also controls the internal rotation. Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Knee Surg Relat Res. National Library of Medicine 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. All patients (100%, n=11) reported a good to very good surgery satisfaction. Functional Outcome of Arthroscopic Debridement of Mucoid Degeneration of the Anterior Cruciate Ligament. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. Postoperative clinical laxity was common, however, symptomatic instability was not. PubMed It can cause pain and to a meniscal tear. 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. Unauthorized use of these marks is strictly prohibited. Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. Federal government websites often end in .gov or .mil. Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. 2004;182 (5): 1283-7. Only three studies mentioned failed conservative treatment as an inclusion criterion [14, 15, 18]. 2021 Aug 21;33(1):26. doi: 10.1186/s43019-021-00110-6. It is lined by the synovial fluid, which provides the nutrition and plays an integral part in healing. Eight patients (72.7%, n=8) reported an improvement of knee instability, while three patients (27.3%, n=3) experienced an unchanged knee stability. Conclusion: Anatomopathology samples were collected in 18 cases. PMC All nine studies were case series; six were retrospective and three were prospective studies. Mucoid degeneration, is the irreversible degeneration of the tissue with the infiltration of mucin(glycosaminoglycans) within the fibers[1][2]. Coronal proton density-weighted magnetic resonance imaging shows a thickening of the anterior cruciate ligament. Therefore, indications for ACL resection must be carefully selected. 2004 Feb;20(2):141-6. doi: 10.1016/j.arthro.2003.11.030. Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. Recent studies have reported that the prevalence of ACL mucoid degeneration is approximately 2-14% [20, 23, 24, 25]. In that case, mucoid degeneration can be extruded from the ligament and will be removed in the saline flow. 2007;90(3):1923. 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. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Its prevalence in magnetic resonance imaging (MRI) is 1.8 to 5.3%, but not all lesions are symptomatic. and transmitted securely. 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). 2019 Jun;32(6):577-583. doi: 10.1055/s-0038-1660514. . http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42018087782. Epub 2011 Feb 18. 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).