Any discrepancy was resolved by the senior author. A total of nine studies were eligible for review. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. [Effectiveness of bone-anterior cruciate ligament-bone allograft in reconstruction of anterior cruciate ligament under arthroscope]. Indian J Orthop 48(2):197202. 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. Assessment of Anterior Cruciate Ligament (ACL) Degeneratio Mucosa Treatment 2022 Oct 23;34(1):40. doi: 10.1186/s43019-022-00169-9. Postoperative follow-up included standard radiography and dynamic examination, measuring laxity with a Telos device. The mean MINORS score was 9.5 (range 412). Sweed, T., Mussa, M., El-Bakoury, A. et al. Bookshelf 1). Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). JCM | Free Full-Text | Clinical Outcomes of Arthroscopic - MDPI PubMed Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. The site is secure. Arthroscopy. Loganathan D, Soma Sundar S, Sundar S, Sahanand S, Rajan DV. 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). Cho SD, Youm YS, Lee CC et-al. Nowadays, orthobiologics such as platelet-rich plasma (PRP) are increasingly used in ligament surgeries to improve healing. Sagittal T2-weighted MRI view showing intact anterior, Fig. This infiltrating lesion is included in the mucoid pathology of the intercondylar fossa. Mucoid Degeneration of the Anterior Cruciate Ligament: Characterization of Natural History, Femoral Notch Width Index, and Patient Reported Outcome Measures. This bicentric, retrospective cohort study with an average follow-up of 6years involved 27 patients (29 knees) presenting with symptomatic ACL mucoid degeneration validated by magnetic resonance imaging (MRI). MeSH sharing sensitive information, make sure youre on a federal Unauthorized use of these marks is strictly prohibited. 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. Mucoid degeneration itself is described as a yellow or brown substance which can be either seen through the most anterior fibers of the ACL or found by probing between them [ 19, 35] (Fig. National Library of Medicine Knee. 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. Management of mucoid degeneration of the anterior cruciate ligament: a systematic . PMC 2011. Orthopedics; anterior cruciate ligament; arthoscopy. PubMed Epub 2021 Nov 24. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. The extracted data were heterogeneous in terms of outcome assessment. Conclusions: Mucoid degeneration of the ACL is a clinical condition afflicting active middle-aged people without a single significant traumatic episode with a specific MRI picture. Clipboard, Search History, and several other advanced features are temporarily unavailable. In the nine included studies, four different scores were used for outcome assessment. Please enable it to take advantage of the complete set of features! On MRI, the ligament is thickened and ill-defined with a "celery stalk" appearance. In that case, mucoid degeneration can be extruded from the ligament and will be removed in the saline flow. The mean follow up ranged from 13 to 72months. Mucoid degeneration of ACL | Mayo Clinic Connect Histologically, there is a mucoid substance in connective tissue containing glycoproteins and mucoproteins [8]. Knee Surg Sports Traumatol Arthrosc 21(3):658663. A total of 313 knees in 292 patients were included in the nine studies. Mucoid Degeneration of the Anterior Cruciate Ligament: A Case Report 2012 Sep;46(5):561-5. doi: 10.4103/0019-5413.101037. A historical cohort of patients who underwent arthroscopic total or partial excision of the anterior cruciate ligament due to mucoid degeneration between 2011 and 2014 were reviewed. Rajani AM, Shah UA, Mittal ARS, Gupta S, Garg R, Punamiya M. Knee Surg Relat Res. (PDF) Anterior Cruciate Ligament Ganglion Cyst and Mucoid Degeneration Palmer W, Bancroft L, Bonar F, Choi JA, Cotten A, Griffith JF, Robinson P, Pfirrmann CW. The patient presented with extension block of the knee. proposed reduction plasty, which is reduction of the ACL to normal volume without excision of all mucoid tissue. Hsu CJ, Wang SC, Fong YC, Huang CY, Chiang IP, Hsu HC. Mucoid degeneration of the anterior cruciate ligament: a case report. statement and Mucoid degeneration of both ACL and PCL. National Library of Medicine mucoid degeneration of acl mri. . Skelet Radiol 30(6):312315. ACL mucoid degeneration is an uncommon pathological condition; the pathogenesis, prevalence, and . 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). This ligament consists of two fibers, mainly, the anterio-medial and postero-lateral fibers, respectively. The pathogenesis remains controversial. Case report: Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of knee pain. Physical therapy typically begins 7-10 days after the procedure. When refering to evidence in academic writing, you should always try to reference the primary (original) source. The https:// ensures that you are connecting to the Physiotherapy. Mucoid degeneration of the anterior cruciate ligament (ACL) of the knee can cause knee pain and other symptoms. The aetiology of MDACL is not fully understood, hence, there are multiple theories on this. What you feel (symptoms) You feel heaviness in knee joint. Knee Surg Sports Traumatol Arthrosc. Discussion: It is characterized by infiltration of mucoid like substance (glycosaminoglycans) interspersed within the substance of ACL causing knee pain and limited motion. Instrumental treatment. It can cause pain and to a meniscal tear. Learn how we can help 704 views Reviewed >2 years ago Thank The extracted data were assessed for meta-analysis. There is strong association between MDACL and chondral and meniscal lesions, which may support the theory that MDACL is a degenerative process. 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. Please enable it to take advantage of the complete set of features! Epub 2018 Aug 22. 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. Possible etiologies include: It is postulated that mucoid degeneration may be a predisposing factor in the formation of ACL ganglion cysts. Hamdaoui and others published Le signe de la branche de cleri | Find, read and cite all the research you need on ResearchGate They reported that a biopsy indicated mucoid degeneration and a relief of symptoms could be obtained through arthroscopic partial resection of the ligament. (B) Partial resection, MeSH An official website of the United States government. "Traumatic theory - post injury, ACL fibroblasts secrete glycosaminoglycans, the mucin substance within the ACL. The .gov means its official. It results in postoperative laxity, but rarely in frank instability. Careers. -Evaluated and planned treatment protocol in accordance with physician. Papadopoulou P. The celery stalk sign. Initially, partial weightbearing is allowed. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. Arthroscopy. Complete resection of the ACL without ACL reconstruction is a reliable treatment for symptomatic cases of mucoid degenerated ACL. Mucoid degeneration of ACL - Osteoporosis - inspire.com Advanced MR imaging of the cruciate ligaments. Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. Due to the heterogeneity of data, a meta-analysis was not possible, and a narrative review was deemed most appropriate. J Orthop. Finally, partial meniscectomy was commonly performed simultaneously with ACL debridement in all studies, which arguably could be the reason for the postoperative improvement. https://doi.org/10.1016/j.jclinepi.2009.06.005. https://doi.org/10.1007/s00167-012-1991-9, McIntyre J, Moelleken S, Tirman P (2001) Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears. This study concerns complete ACL resection as a treatment of mucoid degenerated ACL. All patients (100%, n=11) reported a good to very good surgery satisfaction. 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. 2018;4(4):875-80. Bethesda, MD 20894, Web Policies 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/. ACL Insufficiency | Anterior Knee Instability | Knee Instability J Clin Epidemiol 62(10):10061012. eCollection 2021. Terms and Conditions, 2004 Feb;20(2):141-6. doi: 10.1016/j.arthro.2003.11.030. 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. Its signal is increased on all sequences. Epub 2011 Feb 18. -Provided skilled hands on in post-op rehabilitation to various population including Head and neck cancers, Lymph edema management, Bone cancers. Mucoid degeneration of the anterior cruciate ligament (ACL) is a very rare cause of knee pain. Anterior cruciate ligament reconstruction was required in only one young patient due to disabling instability. Third, clinical outcomes were reported using a variety of scores, so a data meta-analysis was not possible. 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. reported total resection of the ACL in 68% of patients: one young patient had disabling instability and subsequent ACL reconstruction. See this image and copyright information in PMC. MAUDE Adverse Event Report: GENZYME BIOSURGERY (RIDGEFIELD) SYNVISC ONE Please enable it to take advantage of the complete set of features! volume33, Articlenumber:26 (2021) Anterior Cruciate Ligament, is an important structure of the knee joint. Chudasama CH, Chudasama VC, Prabhakar MM. Mucinous material within the substance of ACL produces pain and limited motion in the knee. 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. 2009 Jul;17(7):737-40. doi: 10.1007/s00167-008-0690-z. Introduction Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known pathology. Meniscectomy was undertaken in 11 cases (41%). sharing sensitive information, make sure youre on a federal Coronal T2 weighted fat suppressed fast spin echo image showed complex anterior cruciate ligament ganglion cyst arising from superior aspect of ligament. Unauthorized use of these marks is strictly prohibited. Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. 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. : A Meta-Analysis. 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). Skeletal Radiol. Knee Surg Sports Traumatol Arthrosc 19(8):13261333. Clipboard, Search History, and several other advanced features are temporarily unavailable. J Orthop. Mucoid degeneration,: like degenerative arthritis of a joint, generally occurs as a results of aging. Federal government websites often end in .gov or .mil. Check for errors and try again. 8600 Rockville Pike Conclusion: Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Roberts CC, Towers JD, Spangehl MJ et-al. 2019 Jun;32(6):577-583. doi: 10.1055/s-0038-1660514. Arthroscopic debridement of the anterior cruciate ligament (ACL) results in satisfactory pain relief and improvement in knee outcome scores. Histological diagnosis was established by tissue biopsy in all patients in five studies, with a total of 87 knees. 2004;182(5):12831287. Its interstitial nature within the ACL structure contrasts with synovial cyst of the ACL. sharing sensitive information, make sure youre on a federal Keywords: Would you like email updates of new search results? 2018 Sep;10(3):307-314. doi: 10.4055/cios.2018.10.3.307. 2. 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. An official website of the United States government. 2007;90(3):1923. ACL MUCOID DEGENERATION RADIOLOGY MRI - Radedasia (2018) Radiology. Before 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. Mucoid degeneration of the anterior cruciate ligament: MRI, clinical, intraoperative, and histological findings. https://doi.org/10.4055/cios.2018.10.3.307, University Hospitals of Derby and Burton, Uttoxeter Rd, Derby, DE22 3NE, UK, Trauma and Orthopaedic Speciality Trainee, West Midlands Deanery, Birmingham Rotation, Birmingham, UK, University Hospitals Plymouth NHS Trust, Plymouth, UK, University of Alexandria, Alexandria, Egypt, University Hospital Coventry and Warwickshire, Clifford Bridge Road, Walsgrave, Coventry, CV2 2DX, UK, You can also search for this author in 8600 Rockville Pike Mucoid degeneration is characterized by an increase in the mucoid ground substance in the connective tissue containing glycoprotein and mucoprotein [ 4 ]. 2013 Oct;99(6):693-7. doi: 10.1016/j.otsr.2013.04.010. Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. have described the following MRI criteria [4]: (1) high signal intensity in the T1 and T2 sequences, (2) increased ACL volume and (3) continuous fibres of ACL shown in the T2 sequence. Generally, we know little about this condition. Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. Bookshelf Twenty-eight knees (97%) showed soft and/or delayed stops on postoperative Lachman testing. Epub 2018 Apr 21. Clin Orthop Surg. government site. Tissue biopsy was performed in 85% of patients (58 of 68) in the study of Cha et al. Post-debridement arthroscopic view showing yellowish lesion of the anterior cruciate ligament which was debrided. The authors declare that they have no competing interests. What is acl mucoid degeneration? | HealthTap Online Doctor Its prevalence in magnetic resonance imaging (MRI) is 1.8 to 5.3%, but not all lesions are symptomatic. Method. Keywords: Mucoid degeneration of the anterior cruciate ligament: Partial Knee Surg Sports Traumatol Arthrosc. 2006 Sep;69(9):449-52. doi: 10.1016/S1726-4901(09)70290-4. Mucoid change | Radiology Reference Article | Radiopaedia.org