The pathogenesis remains controversial. Mucoid Degeneration of the Anterior Cruciate Ligament: Characterization of Natural History, Femoral Notch Width Index, and Patient Reported Outcome Measures. Preoperative and postoperative results of eleven patient were compared. Ahuja A, Parekh C, Salomon A, Lawande M, Daftary A. Skeletal Radiol. Twenty knees (69%) had associated cartilaginous lesions and 19 (66%) had meniscal lesions. eCollection 2013. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. National Library of Medicine Download Citation | On Feb 1, 2023, O.R. Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. PMC All patients (100%, n=11) reported an improvement in pain. Slim K, Nini E, Forestier D, Kwiatkowski F, Panis Y, Chipponi J (2003) Methodological index for non-randomized studies (MINORS): development and validation of a new instrument. No treatment is usually required. : A Meta-Analysis. All studies focused on the outcome of arthroscopic debridement of MDACL, with no studies on conservative treatment. In this systematic review we found that arthroscopic debridement resulted in good pain relief and improved range of motion and clinical outcome scores. Terms and Conditions, Accessed 1 Mar 2021. Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK (1999) Mucoid cystic degeneration of the cruciate ligament. Online ahead of print. AJR Am J Roentgenol. The retrospective study by Kim et al. Would you like email updates of new search results? What is myxoid degeneration treatment? government site. Epub 2010 May 8. When refering to evidence in academic writing, you should always try to reference the primary (original) source. Google Scholar, Chudasama CH, Chudasama VC, Prabhakar MM (2012) Arthroscopic management of mucoid degeneration of anterior cruciate ligament. https://doi.org/10.1007/s002560100336, Narvekar A, Gajjar S (2004) Mucoid degeneration of the anterior cruciate ligament. 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 Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. proposed reduction plasty, which is reduction of the ACL to normal volume without excision of all mucoid tissue. government site. (10%) and highest in the study of Ventura et al. A total of 313 knees in 292 patients were included. proposed a different intervention called reduction plasty, whereby the hypertrophic ACL is reduced to normal size without excision of all mucoid substance [17]. 2012;4 (2): 167-70. Presentation Patients usually present with nonspecific posterior knee pain with restriction of flexion. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. This is a rare pathological condition, in which, there is increased signal from within the ligament. Cite this article. ACL ganglion cyst at arthroscopy may appear as a cystic mass with . The site is secure. Patients will . We report a case of mucoid degeneration of the ACL in a 50-year-old female with knee pain of 18 months duration. 2021 Aug 21;33(1):26. doi: 10.1186/s43019-021-00110-6. Hypothesis: maude adverse event report: genzyme biosurgery (ridgefield) synvisc one intra-articular hyaluronic acid . 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. Arthroscopic debridement of the ACL results in satisfactory pain relief and improvement in knee outcome scores. . Rehabilitation, orthophony, crenotherapy. A June 2018 MRI of the cervical spine found multilevel degenerative changes of the cervical spine, most pronounced at 6-7 and small disc herniations at 5-6 and C4-5, with slight interval progression at 5-6. . Fig. Eight studies reported postoperative instability. Clipboard, Search History, and several other advanced features are temporarily unavailable. Introduction Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. Coronal T2 weighted fat suppressed fast spin echo image showed complex anterior cruciate ligament ganglion cyst arising from superior aspect of ligament. Anterior Cruciate Ligament, is an important structure of the knee joint. Bookshelf Meniscectomy was undertaken in 11 cases (41%). PMC A total of nine studies were eligible for review. Loss to follow up was not mentioned in the other five studies [3, 6, 15, 17, 19]. This study hypothesized that arthroscopic debridement of MDACL would provide patients with improvement in pain, range of movement and functional outcome scores. Coronal proton density-weighted magnetic resonance imaging shows a thickening of the anterior cruciate ligament. Preoperative magnetic resonance imaging (MRI) scan. Conditions that resembles the clinical findings are: Get Top Tips Tuesday and The Latest Physiopedia updates, The content on or accessible through Physiopedia is for informational purposes only. Another theory is the synovial theory whereby a pouch of synovium herniates and is subsequently filled with synovium [2]. PMC 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 . Knee Surg Sports Traumatol Arthrosc. Imaging: Plain radiographs Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Skeletal Radiology. At last follow-up, the mean visual analogue scale score, International Knee Documentation Committee score, and Tegner Lysholm Knee score improved (p < 0.01). 2019 Jun;32(6):577-583. doi: 10.1055/s-0038-1660514. Young and active patients should be warned about the risk of requiring secondary ligamentoplasty. Arthroscopy 24(6):642649. Cho SD, Youm YS, Lee CC et-al. volume33, Articlenumber:26 (2021) 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. Knee Surgery & Related Research In contrast to the tear, mucoid degeneration of the ACL characteristically does not cause knee instability [20, 21, 22]. All patients (100%, n=11) reported a good to very good surgery satisfaction. Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. CAS Case report: The patient presented with extension block of the knee. Clipboard, Search History, and several other advanced features are temporarily unavailable. It often presents with progressive knee pain, restriction in range of motion without a significant history of trauma, and without knee instability. 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. and Ventura et al. Therefore, indications for ACL resection must be carefully selected. Careers. 8600 Rockville Pike Mucoid degeneration of the anterior cruciate ligament: a case report. AJR Am J Roentgenol. J Bone Joint Surg Ser B 81(2):304305. Accessibility Rajani AM, Shah UA, Mittal ARS, Gupta S, Garg R, Punamiya M. Knee Surg Relat Res. Outcome of Arthroscopic Treatment of Mucoid Degeneration of the Anterior Cruciate Ligament. Google Scholar, Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D (2011) Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Clipboard, Search History, and several other advanced features are temporarily unavailable. Unauthorized use of these marks is strictly prohibited. Palmer W, Bancroft L, Bonar F, Choi JA, Cotten A, Griffith JF, Robinson P, Pfirrmann CW. Arthroscopic debridement may help relieve the anterior knee pain. Introduction: The extracted data were assessed for meta-analysis. Second, methodological quality assessment showed that three studies had low methodological quality. eCollection 2021. Disclaimer. A positive Lachman test and a negative pivot shift were noted after surgery in all cases. (B) Partial resection, MeSH Knee Surg Sports Traumatol Arthrosc 21(3):658663. [3] and in 1% of patients (3 of 106 knees) in the study of Kim et al. official website and that any information you provide is encrypted Individuals with mucoid degeneration of the ACL were excluded. Average patient age was 49 (22 to 68) years. Histologically, there is a mucoid substance in connective tissue containing glycoproteins and mucoproteins [8]. Epub 2021 Mar 8. 8600 Rockville Pike Orthop Traumatol Surg Res 99(6):693697, Khanna G, Sharma R, Bhardwaj A, Gurdutta HS, Agrawal DK, Rathore AS (2016) Mucoid degeneration of the anterior cruciate ligament: partial arthroscopic debridement and outcomes. Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. official website and that any information you provide is encrypted The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). MEDLINE, Embase, Google Scholar, Cochrane, ISI web of science and Scopus were comprehensively searched from the earliest year of indexing until 10 July 2020. (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). Conclusions. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Orthop Traumatol Surg Res. Third, clinical outcomes were reported using a variety of scores, so a data meta-analysis was not possible. {"url":"/signup-modal-props.json?lang=us"}, Gaillard F, Roberts D, Saber M, et al. Any discrepancy was resolved by the senior author. 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. Unable to load your collection due to an error, Unable to load your delegates due to an error. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines.
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