J Orthop. J Sports Med Phys Fitness 48(4):483487, PubMed 287 (3): 912-921. https://doi.org/10.1007/s002560100336, Narvekar A, Gajjar S (2004) Mucoid degeneration of the anterior cruciate ligament. 2018;4(4):875-80. J Clin Epidemiol 62(10):10061012. 2018 Jun;25(3):445-452. doi: 10.1016/j.knee.2018.02.012. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 2. Conclusions: Histological diagnosis was established by tissue biopsy in all patients in five studies, with a total of 87 knees. [3] and in 1% of patients (3 of 106 knees) in the study of Kim et al. 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. The mean follow up ranged from 13 to 72months. 2022 Mar;50(3):3000605221084865. doi: 10.1177/03000605221084865. 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. All patients (100%, n=11) reported a good to very good surgery satisfaction. 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. Arthroscopically ACL is intact but fibrillated, yellowish and hypertrophied,with interspersed yellowish mucinous material along the fibers, lack of synovial linning of the ACL. Score: 4.7/5 (45 votes) . However, MDACL is asymptomatic in most patients. https://doi.org/10.4103/0019-5413.101037, Srivastava A, Pateliya S, Singh H, Aggarwal S, Srivastava S (2016) Mucoid degeneration of anterior cruciate ligament management and functional outcome of 18 cases. Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Knee Surg Relat Res. What you feel (symptoms) You feel heaviness in knee joint. Treatment of ACL mucoid degeneration by arthroscopic resection is effective for posterior pain and flexion limitation. None of the studies was a randomised controlled trial and none had a control group. These appearances must be differentiated from mucoid degeneration of the intact ACL. official website and that any information you provide is encrypted official website and that any information you provide is encrypted Partial resection of the anterior cruciate ligament was done in seven cases and a complete resection in 18 cases. -, Fealy S, Kenter K, Dines JS, Warren RF. Rehabilitation, speech therapy, crenotherapy. 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. A total of 313 knees in 292 patients were included. I have multiple issues - spondylolisthesis in L4/L5 and L5/S1, osteopenia and osteoarthritis. 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 . California Privacy Statement, -, Makino A, Pascual-Garrido C, Rolon A, Isola M, Muscolo DL. 2011 Aug 1;19(8):1326-33. A positive Lachman test and a negative pivot shift were noted after surgery in all cases. If arthroscopy is performed, the ligament may appear entirely normal, especially using the standard anterior portal approach. Initially, partial weightbearing is allowed. 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. 2022 Mar;14(1):76-89. doi: 10.4055/cios20163. Introduction Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. MDACL is differentiated from synovial cysts of the anterior cruciate ligament (ACL) where, in MDACL, mucoid tissue intermingles within ACL fibres and is not contained within a cyst [3]. In contrast to the tear, mucoid degeneration of the ACL characteristically does not cause knee instability [20, 21, 22]. Pandey, Vivek et al. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. Accessibility Epub 2008 Apr 18. This did not appear to affect the postoperative rate of clinically detectable laxity, which was comparable to that in other studies. Read More Created for people with ongoing healthcare needs but benefits everyone. 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. 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. The .gov means its official. to 44% in the study of Cha et al. proposed a different intervention called reduction plasty, whereby the hypertrophic ACL is reduced to normal size without excision of all mucoid substance [17]. Role of ultrasound-guided decompression in management of mucoid degeneration of the anterior cruciate ligament. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. 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. Would you like email updates of new search results? We herein describe a case of PCL mucoid degeneration presented with secondary ACL . Arthroscopic debridement of the ACL was the intervention in eight studies, whereas Morice et al. Bergin D, Morrison WB, Carrino JA et-al. Orthopaedics & Traumatology: Surgery & Research. The appearance can mimic acute or chronic interstitial partial tears of the ACL. PubMedGoogle Scholar. Questions just answered: mucoid degeneration of acl physiotherapy. Physiotherapy. Unable to process the form. PMC Arthroscopic resection of ACL mucoid degeneration is effective for treating pain and flexion limitation, but at the expense of anterior laxity. 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. Average improvement in flexion was 21.5 degrees (0 to 60 degrees). Postoperative ACL laxity is a common finding after ACL arthroscopic debridement, however, symptomatic instability is not. -Evaluated and planned treatment protocol in accordance with physician. Treatment modalities for ACL ganglion cyst include arthroscopic excision or puncture, CT scan, and ultrasound-guided aspiration [25-26]. 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. Federal government websites often end in .gov or .mil. Several authors have identified this condition, described their experiences, and suggested their own guidelines for management. Patient having mucoid degeneration of ACL seeks multiple orthopedic consultation and most of the time treating orthopedican miss its diagnosis either because of lack of experience or rare cause of pain unless doctor sought magnetic resonance imaging (MRI) of knee. National Library of Medicine An official website of the United States government. Arthroscopy. Ahuja A, Parekh C, Salomon A, Lawande M, Daftary A. Skeletal Radiol. 1. Arthroscopy 20(2):141146. Knee Surg Sports Traumatol Arthrosc. -Delivered Pre-rehab care for breast cancer and thoracic cancer cases. Data extracted included mean age and gender of the patients, duration of follow up, associated chondral and meniscal lesions, interventions and outcomes. NCI CPTC Antibody Characterization Program. Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. . reported the largest percentage of patients (27.5%) with a positive pivot test. Eight studies reported postoperative instability. The visual analogue scale score, the International Knee Documentation Committee score, and the Tegner Lysholm Knee Score were collected preoperatively, postoperatively, and during the follow-up period. 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. CAS Preoperative magnetic resonance imaging (MRI) scan. Its interstitial nature within the ACL structure contrasts with synovial cyst of the ACL. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Hide glossary Glossary. This is a rare pathological condition, in which, there is increased signal from within the ligament. The total number of patients with symptomatic instability was 18 out of 288 (6%). The anterior cruciate ligament (ACL) is the most commonly injured of the major knee ligaments. Anterior Cruciate Ligament (ACL) Mucoid Degeneration Anatomy Anterior Cruciate Ligament, is an important structure of the knee joint. 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. The aetiology of MDACL is not fully understood, hence, there are multiple theories on this. Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. and transmitted securely. Magn Reson Imaging Clin N Am. Postoperative ACL laxity is common after arthroscopic ACL debridement, however, symptomatic instability is not. The site is secure. Postoperative pain relief was reported in seven studies. Items are scored as 0 (not reported), 1 (reported but inadequate) or 2 (reported and adequate). 2011. el Kadi KI, Marcaillou F, Blanc S, Salloum B, Dimontagliari C, Boutayeb F. Pan Afr Med J. Morice et al. official website and that any information you provide is encrypted Clin Orthop Surg. J Chin Med Assoc. Presentation Patients usually present with nonspecific posterior knee pain with restriction of flexion. ACL mucoid degeneration is present on ~10% (range 9-12%) of 3 T MRI examinations and 2% of 1.5 T MRI examinations 6. 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. Methodological quality of the studies was assessed using the Methodological Index for Non-Randomized Studies (MINORS) criteria [11] (Table1). in 1999 [ 1 ]. Introduction: 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 . There was a high rate of association between degenerative lesions and MDACL, ranging from 39 to 96%. -, Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. Quadriceps and hamstring weakness are common features of people with symptomatic degenerative meniscal tears Surgery may address the structural injury, but . Knee. 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).
Rose Bowl Seating View,
What Happened To Rollo On Sanford And Son,
Articles M