As there was no control group in any of the studies and the natural history of MDACL is not known, the postoperative improvement may have been attributed to the placebo effect, simultaneous arthroscopic procedures or the postoperative rehabilitation, or may be due to the pain having resolved without treatment at all. -Provided skilled hands on in post-op rehabilitation to various population including Head and neck cancers, Lymph edema management, Bone cancers. Mucoid degeneration of both ACL and PCL. It contrasts with cystic lesions better known as synovial cysts or intercondylar fossa cysts. If arthroscopy is performed, the ligament may appear entirely normal, especially using the standard anterior portal approach. IV (retrospective cohort study). We herein describe a case of PCL mucoid degeneration presented with secondary ACL . Anterior knee pain is the more common complaint. 2010 Jun 1;96(4):400-6. Introduction Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known pathology. 1). Before They respond well to a judicious arthroscopic release of the ACL with notchplasty. PubMed Central 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. Arch Orthop Trauma Surg. Ever since mucoid degeneration of the anterior cruciate ligament (MD-ACL) was named by Kumar et al. 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. Accessibility Postoperative pain relief ranged from 53.8 to 95%. Treatment for MDACL usually starts non-surgically with anti-inflammatory drugs and physiotherapy. what causes mucoid degeneration of acl. Instrumental treatment. Careers. Bergin et al. reported the largest percentage of patients (27.5%) with a positive pivot test. For treatment of this, partial removing of bulky ACL is generally done, which causes weakness of the ACL. In most cases Physiopedia articles are a secondary source and so should not be used as references. The cause is not really known, but patients usually do not complain of instability. Sweed, T., Mussa, M., El-Bakoury, A. et al. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Mucoid degeneration of the anterior cruciate ligament. It is characterized by infiltration of mucoid like substance (glycosaminoglycans) interspersed within the substance of ACL causing knee pain and limited motion. Google Scholar, Cha JR, Lee CC, Cho SD, Youm YS, Jung KH (2013) Symptomatic mucoid degeneration of the anterior cruciate ligament. Along with that, it also controls the internal rotation. FOIA Unauthorized use of these marks is strictly prohibited. and transmitted securely. 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 ]. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Fig. First, our literature search revealed a heterogeneous group of studies dominated by case reports and case series, with no randomised controlled trials. Anterior cruciate ligament reconstruction was required in only one young patient due to disabling instability. An official website of the United States government. 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). The mean age of patients ranged from 31 to 78years. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. Exclusion criteria were (1) case reports, literature reviews and conference abstracts and (2) studies written in languages other than English. . We report a case of mucoid degeneration of the ACL in a 50-year-old female with knee pain of 18 months duration. eCollection 2013. 2 ). Twenty-eight knees (97%) showed soft and/or delayed stops on postoperative Lachman testing. The aetiology of MDACL is not clearly understood. 2011 Jun;25(6):650-2. Disclaimer. 5. Symptomatic ACL mucoid degeneration in middle-age athletes. Mucoid degeneration of the anterior cruciate ligament (ACL) of the knee can cause knee pain and other symptoms. Clin Orthop Surg. http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42018087782. [16]. 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. In this review, the mean age of patients ranged from 31 to 78years; mean age was highest in the study of Kim et al. At last follow-up, the mean visual analogue scale score, International Knee Documentation Committee score, and Tegner Lysholm Knee score improved (p < 0.01). Posterior pain disappeared in 27 cases (93%), on average 3.7 weeks after the procedure. sharing sensitive information, make sure youre on a federal The aetiology of MDACL is not fully understood, hence, there are multiple theories on this. 2013 Oct;99(6):693-7. doi: 10.1016/j.otsr.2013.04.010. Knee Surg & Relat Res 33, 26 (2021). Ventura D, Nuez JH, Joshi-Jubert N, Castellet E, Minguell J. Clin Orthop Surg. 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. ACL mucoid degeneration is an uncommon pathological condition; the pathogenesis, prevalence, and . Bookshelf Magn Reson Imaging Clin N Am. Knee Surg Sports Traumatol Arthrosc. Therefore, indications for ACL resection must be carefully selected. Tamer Sweed. See this image and copyright information in PMC. Patients and methods: Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK (1999) Mucoid cystic degeneration of the cruciate ligament. Preoperative assessment included a questionnaire, clinical examination (Lachman and pivot shift tests), MRI and standard radiography. Seventeen females (67%) and eight males (33%) were included in the final analysis. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Epidemiology The likelihood of mucoid change within ligaments and tendons increases with age 1. Chudasama CH, Chudasama VC, Prabhakar MM. Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. The authors declare that they have no competing interests. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. Seven of the nine studies reported using the Lachman test to check postoperative ACL laxity. Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. The purpose of this study was to investigate the outcomes of management of mucoid degeneration of the anterior cruciate ligament (MDACL) by performing a systematic review of methods of treatment that have been reported. Unable to process the form. This site needs JavaScript to work properly. 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/. No reconstruction was performed at the same time. 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). Conclusions. Ligaments are very tough, fibrous tissue structures. Arthroscopy 20(2):141146. Arthroscopic debridement of the ACL was the intervention in eight studies, whereas Morice et al. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. 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. Knee Surg Sports Traumatol Arthrosc. Eight studies showed postoperative improvement in range of motion, whereas Khanna et al. This did not appear to affect the postoperative rate of clinically detectable laxity, which was comparable to that in other studies. Management of mucoid degeneration of the anterior cruciate ligament: a systematic . Am J Roentgenol 182(5):12831287. This site needs JavaScript to work properly. 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. Mucoid degeneration of A C L is more common and literature has also reported many cases, but for PCL only few cases have been reported in English literature. The https:// ensures that you are connecting to the Papadopoulou P. The celery stalk sign. Complete resection of the ACL without ACL reconstruction is a reliable treatment for symptomatic cases of mucoid degenerated ACL. Arthroscopic treatment may include ACL resection, which raises the questions about the harmlessness of this procedure and the risk of anterior instability. Bookshelf Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. 2001;17(9):E37. 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. Google Scholar, Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P (2010) Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. A total of nine studies were eligible for review. Would you like email updates of new search results? MDACL is diagnosed by MRI, showing a celery stalk sign, and is confirmed by tissue biopsy and histological examination [7]. 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. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Orthop Traumatol Surg Res. It results in postoperative laxity, but rarely in frank instability. 2018. http://journals.sagepub.com/doi/10.1177/2325967118786930, Pandey V, Suman C, Sharma S, Rao SP, Kiran Acharya K, Sambaji C (2014) Mucoid degeneration of the anterior cruciate ligament: management and outcome. Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. The site is secure. Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of knee pain. 2. The success of treatment for MDACL and the subsequent risk of instability is not known. Treatment of ACL mucoid degeneration by arthroscopic resection is effective for posterior pain and flexion limitation. This may support the theory that it is a degenerative process. Arthroscopic debridement of the ACL resulted in good pain relief and improved range of movement in all studies, with postoperative improvement in the knee scores. Bilateral Symptomatic Mucoid Degeneration of the Anterior Cruciate Ligament with Anterior Knee Pain but No Limited Knee Flexion. 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. The aetiology of MDACL is not fully understood, hence, there are multiple theories on this. The primary intervention was arthroscopic ACL debridement in eight studies; this was combined with notchplasty in cases of impingement with the lateral wall of the notch in five studies [6, 14, 16,17,18] (Table 3). All studies focused on the outcome of arthroscopic debridement of MDACL, with no studies on conservative treatment. 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. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. 2018;4(4):875-80. JBR-BTR. -. Any discrepancy was resolved by the senior author. Bone and joint imaging. Mucoid degeneration of the anterior cruciate ligament is a rare pathological entity. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. 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). Conclusions: On clinical examination, the active range of motion showed a flexion deficit. 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. PMC Mucoid degeneration of the anterior cruciate ligament (ACL) is regarded as a degenerative change in the ligament, which is clinically presented with pain on full extension or flexion in the middle-aged population. Physiotherapy. Young and active patients should be warned about the risk of requiring secondary ligamentoplasty. eCollection 2022 May-Jun. official website and that any information you provide is encrypted When refering to evidence in academic writing, you should always try to reference the primary (original) source. 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). 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. Methods: The minimum follow-up was 3 years. Epub 2011 Feb 18. There was no mention in the other three studies [13, 15, 18] of whether other procedures were performed simultaneously. Other theories include Degenerative theory- MD could occur due to ageing.[3]. The clinical presentation is one of posterior pain with limited flexion. All patients with a preoperative limited ROM (100%, n=9) reported a return to a normal (subjective) ROM. Reeducation. The mean MINORS score was 9.5 (range 412). 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. Epub 2013 Aug 27. There was strong association with chondral lesions and meniscal tears. 2022 Mar;50(3):3000605221084865. doi: 10.1177/03000605221084865. Effects of pre-operative knee laxity on clinical outcomes after partial anterior cruciate ligament reconstruction. (A) Bulging of, Fig. (48.2% (14/29 patients) with symptomatic instability), which may be due to the large number of patients with total resection of the ACL (58.6% (17 out of 29 patients)) (Table 4). The origin of MDACL may be degenerative or traumatic. 2013;15(1). J Chin Med Assoc. J Chin Med Assoc. Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. 2022 Apr 11;31:67-71. doi: 10.1016/j.jor.2022.04.004. Epub 2010 May 8. Hsu CJ, Wang SC, Fong YC, Huang CY, Chiang IP, Hsu HC. Twelve partial and 17 total resections were performed. Resnick D, Kransdorf MJ. Epub 2018 Apr 21. Individuals were included in the study if they had had complete MRIs of the affected knee at baseline and at 4-year follow-up, had thigh MRIs at baseline and had no additional surgery in the meantime. Mucoid degeneration (MD) is a rare pathological affection of the anterior cruciate ligament (ACL). 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. The .gov means its official. 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. Epub 2021 Nov 24. -, Makino A, Pascual-Garrido C, Rolon A, Isola M, Muscolo DL. FOIA Discussion: AJR Am J Roentgenol. Orthop Traumatol Surg Res. Federal government websites often end in .gov or .mil. bling. . 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. 2021 Oct 21;2021:5879121. doi: 10.1155/2021/5879121. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. 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. Questions just answered: mucoid degeneration of acl physiotherapy. (B) Partial resection, MeSH Symptomatic instability was highest in the study of Lintz et al. Please enable it to take advantage of the complete set of features! . HHS Vulnerability Disclosure, Help Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. Methods: [17] do not mention whether any patients underwent biopsy (Table 3). (10%) and highest in the study of Ventura et al. At the time the article was created Frank Gaillard had no recorded disclosures. Background: Mucoid degeneration of the anterior cruciate ligament (ACL) is an uncommon non-traumatic cause of knee pain and motion restriction, typically seen in a middle-aged population. Not really known: Mucoid degeneration of the ACL is seen most commonly in adults (35-55 years of age). 2006;69(9):44952. Introduction: reported total resection of the ACL in 68% of patients: one young patient had disabling instability and subsequent ACL reconstruction. The site is secure. Bergin D, Morrison WB, Carrino JA et-al. Pandey, Vivek et al. Method. Recent studies have reported that the prevalence of ACL mucoid degeneration is approximately 2-14% [20, 23, 24, 25]. 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. Four studies reported only postoperative scores, which were comparable to those in other studies. All nine studies assessed the outcome of arthroscopic debridement of MDACL. 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. In these studies, the total number of patients with a postoperative positive Lachman test was 40% (77 of 194 patients). CONFLICT OF INTEREST: No potential conflict of interest relevant to this article was reported. ADVERTISEMENT: Supporters see fewer/no ads. Keywords used for the Search were mucoid degeneration, anterior cruciate ligament and ACL. reported on the co-existence of mucoid degeneration and ganglia of the ACL. This makes it difficult to relate the improvement of symptoms to ACL debridement. sharing sensitive information, make sure youre on a federal 3. The minimum follow-up was 3 years. proposed reduction plasty, which is reduction of the ACL to normal volume without excision of all mucoid tissue. HHS Vulnerability Disclosure, Help Epub 2008 Dec 17. Unauthorized use of these marks is strictly prohibited. Methodological quality of the studies was assessed using the Methodological Index for Non-Randomized Studies (MINORS) criteria [11] (Table1). Keywords: Would you like email updates of new search results? Some case reports have been published; however, it is difficult to diagnose and is often underdiagnosed or misdiagnosed because of its pathophysiological ambiguity. It may lead to knee pain. Arthroscopic debridement may help relieve the anterior knee pain. Epub 2011 Feb 18. 2007;15 (1): 73-86. The anterior cruciate ligament (ACL) is the most commonly injured of the major knee ligaments. Two reviewers independently screened the titles and abstracts of the retrieved records for eligibility. Third, clinical outcomes were reported using a variety of scores, so a data meta-analysis was not possible. 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 . CAS [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%). Thirteen patients were treated with complete ACL resection for symptomatic MD of the ACL from 2006-2016. in 1999 [1]. [6], in 62% of patients (18 of 29) in the study of Lintz et al. Besides, the patient may also have trouble in moving. 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. This series describes the clinicoradiological presentation of patients with mucoid ACL, partial arthroscopic debridement of ACL and outcomes. 2011 Mar;25(3):262-5. Bergin 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. FOIA Hypothesis: Before Arch Orthop Trauma Surg. Indian J Orthop 48(2):197202. AJR Am J Roentgenol. A total of 313 knees in 292 patients were included in the nine studies. 2018 Jun;25(3):445-452. doi: 10.1016/j.knee.2018.02.012. Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. Clin Orthop Surg. Bookshelf Arthroscopy. Careers. J Knee Surg. Items are scored as 0 (not reported), 1 (reported but inadequate) or 2 (reported and adequate). After arthroscopic debridement of the lesion, the patient regained full range of motion of the knee and were pain-free at follow-up. eCollection 2022 May-Jun. After the literature search and exclusion of duplicates, 54 papers were retrieved: 12 articles were assessed for eligibility, and of these, 9 papers met the inclusion criteria and were included in the systematic review [3, 6, 13,14,15,16,17,18,19] (Fig. . Epub 2010 May 8. government site. It is lined by the synovial fluid, which provides the nutrition and plays an integral part in healing. With cruciate ligament ganglia, intact ACL fibers can often be visualized coursing through or around the cyst. and transmitted securely. This appearance can mimic acute or chronic interstitial partial tears of the ligament. Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first characterized by Kumar et al. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Hotchen AJ, Demetriou C, Edwards D, Melton JTK. Knee Surg Sports Traumatol Arthrosc 21(3):658663. 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. 2018 Sep;10(3):307-314. doi: 10.4055/cios.2018.10.3.307. Before Cho SD, Youm YS, Lee CC et-al. A positive Lachman test and a negative pivot shift were noted after surgery in all cases. Symptoms included limited range of motion (ROM) and posterior knee pain. 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. See this image and copyright information in PMC. 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). Arthroscopy 24(6):642649. Mucoid cystic degeneration of the cruciate ligament. J Bone Joint Surg Ser B 81(2):304305. 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. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Federal government websites often end in .gov or .mil. All nine studies included patients with symptomatic MDACL confirmed by MRI (Table3). Preoperative magnetic resonance imaging (MRI) scan. Glossary of terms for musculoskeletal radiology. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a well-recognized pathology characterized by the degradation of collagen fibers and infiltration of a mucoidlike substance, [1,2 . However, in the case of mucoid degeneration secondary signs of an ACL injury are usually absent. Average postoperative differential laxity on the Telos device was 8.3 mm (5 to 13 mm). 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. Mucoid degeneration of the anterior cruciate ligament. Would you like email updates of new search results? It is a chronic degenerative change of a bulky ACL that may lead to notch . 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. 2022 Apr 11;31:67-71. doi: 10.1016/j.jor.2022.04.004. 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]. -, Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. 2019 Jun;32(6):577-583. doi: 10.1055/s-0038-1660514. It is commonly identified on MRI in association with other pathological findings and can be confused with partial ACL tears. Mucoid degeneration of ACL. 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.). Skeletal Radiol. The anterior cruciate ligament (ACL) is one of the more vital and more easily injured ligaments within our knee. J Orthop. Mucoid degeneration of the anterior cruciate ligament. 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
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