bling. 2. 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. At the time the article was created Frank Gaillard had no recorded disclosures. CONFLICT OF INTEREST: No potential conflict of interest relevant to this article was reported. Would you like email updates of new search results? Before Bethesda, MD 20894, Web Policies Besides, the patient may also have trouble in moving. Coronal proton density-weighted magnetic resonance imaging shows a thickening of the anterior cruciate ligament. 2004;182 (5): 1283-7. Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first described in the literature in 1999.1 Since then, MD-ACL has been recognized as a pathology present on between 0.7% and 5.3% of magnetic resonance images performed for knee pain.2 MD-ACL is thought to be part of a spectrum of ACL disease that can range from ganglion cysts to MD.3 MD-ACL can either be primary (idiopathic . 2. AJR Am J Roentgenol. Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. Other theories include Degenerative theory- MD could occur due to ageing.[3]. 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 Several critical distinctions allow a confident diagnosis of an ACL ganglion cyst. Physiotherapy. Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Mucoid Degeneration of Posterior Cruciate Ligament with Secondary PDF Anterior Cruciate Ligament Ganglion Cyst and Mucoid Degeneration: A Review 42 Mucoid degeneration of the anterior cruciate ligament with erosion of the lateral femoral condyle P. Melloni, R. Valls, M. Yuguero, A. Saez Medicine Every time when patient flexes the knee, thickened ACL impinges over posterior cruciate ligament (PCL) in the knee, causing knee pain and limited motion. 2013;15(1). Anterior cruciate ligament mucoid degeneration: Selecting the best W B Saunders Co. (2005) ISBN:0721602703. Unable to load your collection due to an error, Unable to load your delegates due to an error. All rights reserved. ACL mucoid degeneration is present on ~10% (range 9-12%) of 3 T MRI examinations and 2% of 1.5 T MRI examinations 6. Discussion: [Diagnosis and treatment of anterior cruciate ligament cysts]. The mean MINORS score was 9.5 out of 16 (412). Please enable it to take advantage of the complete set of features! Its interstitial nature within the ACL structure contrasts with synovial cyst of the ACL. 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. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. Morice et al. Clipboard, Search History, and several other advanced features are temporarily unavailable. 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. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 8600 Rockville Pike 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). In contrast to the tear, mucoid degeneration of the ACL characteristically does not cause knee instability [20, 21, 22]. Coronal T2 weighted fat suppressed fast spin echo image showed complex anterior cruciate ligament ganglion cyst arising from superior aspect of ligament. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. PubMedGoogle Scholar. mucoid degeneration acl symptoms. 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/. Mucoid degeneration of ACL. An official website of the United States government. None of the studies was a randomised controlled trial and none had a control group. The appearance can mimic acute or chronic interstitial partial tears of the ACL. The .gov means its official. 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. The authors declare that they have no competing interests. No treatment is usually required. An official website of the United States government. The site is secure. What are the treatment options for anterior cruciate ligament mucoid Clinical outcome was reported using a variety of scores (the Lysholm and International Knee Documentation Committee (IKDC) score, the Knee Injury and Osteoarthritis Outcome Score (KOOS) and the visual analogue scale (VAS) score) in the different studies; these are summarized in Table 4. With cruciate ligament ganglia, intact ACL fibers can often be visualized coursing through or around the cyst. Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. . This did not appear to affect the postoperative rate of clinically detectable laxity, which was comparable to that in other studies. proposed reduction plasty, which is reduction of the ACL to normal volume without excision of all mucoid tissue. Postoperative pain relief was reported in seven studies. The mean follow up ranged from 13 to 72months. . (100%). Imaging: Plain radiographs -, Hodler J, Haghighi P, Trudell D, Resnick D. The cruciate ligaments of the knee: Correlation between MR appearance and gross and histologic findings in cadaveric specimens. Bookshelf This systematic review has some limitations. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. Epub 2011 Feb 18. 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. FOIA In this review, the mean age of patients ranged from 31 to 78years; mean age was highest in the study of Kim et al. 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. "Traumatic theory - post injury, ACL fibroblasts secrete glycosaminoglycans, the mucin substance within the ACL. Postoperative pain relief ranged from 53.8 to 95%. Before There was strong association between degenerative changes and MDACL (82% having chondral and 69% meniscal lesions), which might suggest that MDACL is a degenerative process. The extracted data were heterogeneous in terms of outcome assessment. . Shimasaki K, Yoshioka T, Kanamori A, Yamazaki M. Case Rep Orthop. 2007;90(3):1923. Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. Ligaments are very tough, fibrous tissue structures. Pre-debridement arthroscopic view showing yellowish content in the anterior cruciate ligament. Ventura et al. The mean follow up ranged from 13 to 72months. 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. Truncation means that the . Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first characterized by Kumar et al. . Roberts CC, Towers JD, Spangehl MJ et-al. Twenty knees (69%) had associated cartilaginous lesions and 19 (66%) had meniscal lesions. [3] and in 1% of patients (3 of 106 knees) in the study of Kim et al. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Accessibility . 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. Epub 2013 Aug 27. ACL ganglion cyst at arthroscopy may appear as a cystic mass with . Bergin et al. Anterior cruciate ligament reconstruction was required in only one young patient due to disabling instability. Mucoid Degeneration Of Acl Treatment? The 140 Top Answers 2011 Mar;25(3):262-5. In most cases Physiopedia articles are a secondary source and so should not be used as references. Unauthorized use of these marks is strictly prohibited. Generally, we know little about this condition. [Effectiveness of bone-anterior cruciate ligament-bone allograft in reconstruction of anterior cruciate ligament under arthroscope]. Arthroscopy. Risk factors Predisposing factors include the following 1: aging Unauthorized use of these marks is strictly prohibited. Check for errors and try again. 1173185. and transmitted securely. the degree of laxity, and the patient's age and willingness to pursue vigorous postoperative physical therapy are other major determinants. Two patients uderwent secondary ligamentoplasty. It results in postoperative laxity, but rarely in frank instability. KoreaMed Synapse PMC 2011. The retrospective study by Kim et al. -Evaluated and planned treatment protocol in accordance with physician. Reference article, Radiopaedia.org (Accessed on 04 Mar 2023) https://doi.org/10.53347/rID-3615, Case 11: with Hoffa fat pad ganglion cyst, Case 12: tibial nerve schwannoma and ACL mucoid degeneration, Case 1: Complete ACL tear and meniscal tears, Case 2: Anomalous insertion of the medial meniscus, View Frank Gaillard's current disclosures, see full revision history and disclosures, anterior cruciate ligament ganglion cysts, anterior cruciate ligament avulsion fracture, posterior cruciate ligament avulsion fracture, Ahlback classification system in assessing osteoarthritis of the knee joint, Kellgren and Lawrence system for classification of osteoarthritis, anterior cruciate ligament mucoid degeneration, MRI grading system for meniscal signal intensity, Mucoid degeneration of the anterior cruciate ligament, congenital or acquired synovial tissue entrapment between ACL fibers. This study concerns complete ACL resec Anterior knee pain is the more common complaint. Symptomatic ACL mucoid degeneration in middle-age athletes. in 1999 [ 1 ]. A Retrospective Comparison of ACL Tear and Mucoid Degeneration MRI All nine studies included patients with symptomatic MDACL confirmed by MRI (Table3). The site is secure. Arthroscopic findings. Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) flowchart illustrating the selections of trials included in the systematic review. Mucoid degeneration of the anterior cruciate ligament - PubMed Knee Surg Sports Traumatol Arthrosc. Am J Roentgenol 182(5):12831287. 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. 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. Some case reports have been published; however, it is difficult to diagnose and is often underdiagnosed or misdiagnosed because of its pathophysiological ambiguity. Multiple theories have been put forth that explains the pathological disorganization in the collagen fibers of the Anterior Cruciate Ligament, such as synovial, traumatic, and degenerative, "Synovial theory- states that there is accumulation of synovial fluid inside the substance of ACL in a herniated pouch of synovium. Would you like email updates of new search results? 2022 Mar;50(3):3000605221084865. doi: 10.1177/03000605221084865. (PDF) Assessment of imaging, pathoanatomy and - Academia.edu CAS FOIA Indian J Orthop 46(5):561565. (B) Partial resection, MeSH Please enable it to take advantage of the complete set of features! 6. It may lead to knee pain. On clinical examination, the active range of motion showed a flexion deficit. -, Makino A, Pascual-Garrido C, Rolon A, Isola M, Muscolo DL. The appearance can mimic acute or chronic interstitial partial tears of the ACL. proposed a different intervention called reduction plasty, whereby the hypertrophic ACL is reduced to normal size without excision of all mucoid substance [17]. Postoperative clinical laxity was common, however, symptomatic instability was not. Cho SD, Youm YS, Lee CC et-al. PubMed Level of evidence: Its signal is increased on all sequences. Preoperative and postoperative results of eleven patient were compared. Mucoid degeneration of the patellar ligament in athletes. Fourteen knees (48%) had limited flexion, on average 97 degrees. Symptomatic ACL mucoid degeneration in middle-age athletes 2019 Jun;32(6):577-583. doi: 10.1055/s-0038-1660514. (Table 3). 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. . Five studies demonstrated improved postoperative functional outcome scores compared to preoperative scores [6, 14, 16, 18, 19]. It is lined by the synovial fluid, which provides the nutrition and plays an integral part in healing. Learn how we can help 704 views Reviewed >2 years ago Thank http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42018087782. Provided by the Springer Nature SharedIt content-sharing initiative. Correspondence to Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. Open Grey database was searched for grey literature using the same keywords. Therefore, indications for ACL resection must be carefully selected. . Radiology. Conclusion: Treatment of ACL mucoid degeneration by this modality is effective in preventing recurrence, post-operative laxity and provides better functional outcome compared to the classical partial resection of the degenerated ACL. Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study. Possible etiologies include: It is postulated that mucoid degeneration may be a predisposing factor in the formation of ACL ganglion cysts. Despite the low rate of complications in all studies, there was a high incidence of postoperative knee laxity, demonstrated by a positive Lachman test, in most studies. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 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. Average postoperative differential laxity on the Telos device was 8.3 mm (5 to 13 mm). Skelet Radiol 30(6):312315. Sometimes, it is mislead as ACL tear on MRI findings, hence requires probing and histopathology for definitive diagnosis. Keywords: Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. Introduction: Arthroscopic management of mucoid degeneration of anterior cruciate ligament. Categories were determined in accordance with the study of Ekhtiari et al. ACL Ganglion Cysts - Radsource There was a high rate of association between degenerative lesions and MDACL, ranging from 39 to 96%. However, MDACL is asymptomatic in most patients. ACL tears don't heal as such. government site. Knee Surg Sports Traumatol Arthrosc. The mean MINORS score was 9.5 (range 412). https://doi.org/10.2214/ajr.182.5.1821283, Article Does mucoid degeneration of ACL require surgery? - TimesMojo Anterior cruciate ligament mucoid degeneration: a review of the -, McIntyre J, Moelleken S, Tirman P. Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears. Physiotherapy. ACL Mucoid Degeneration in Knee - Diagnosis & Treatment | Dr. Hemendra How to Treat ACL Mucoid Degeneration? - HTQ 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. 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. https://doi.org/10.1046/j.1445-2197.2003.02748.x, Ekhtiari S, Horner NS, Bedi A, Ayeni OR, Khan M. The learning curve for the Latarjet procedure: a systematic review. Mucoid degeneration of anterior cruciate ligament (ACL) as very low (04 points), low (58 points), good (912 points) or excellent (1316 points) [12]. 2022 Apr 11;31:67-71. doi: 10.1016/j.jor.2022.04.004. The main MRI finding of ACL mucoid degeneration is a celery stalk appearance [26, 27]. Epub 2021 Mar 8. Bethesda, MD 20894, Web Policies 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. 2013 Oct;99(6):693-7. doi: 10.1016/j.otsr.2013.04.010. For non-comparative studies, this consists of eight questions. statement and National Library of Medicine 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. Mucoid Degeneration of the Anterior Cruciate Ligament - ResearchGate 287 (3): 912-921. It can cause pain and to a meniscal tear. Mucoid degeneration of the anterior cruciate ligament: a case report. 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. Seventeen females (67%) and eight males (33%) were included in the final analysis. MAUDE Adverse Event Report: GENZYME BIOSURGERY (RIDGEFIELD) SYNVISC ONE The rate of simultaneous meniscectomy ranged from 13 to 44%. Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. Score: 4.7/5 (45 votes) . Bone and joint imaging. Unauthorized use of these marks is strictly prohibited. https://doi.org/10.1007/s00167-011-1433-0, Article All patients (100%, n=11) reported a good to very good surgery satisfaction. Mucoid degeneration of the anterior cruciate ligament. 2007;245 (3): 916-7. We report a case of mucoid degeneration of the anterior cruciate ligament (ACL). Demographic, radiological, and histological findings, type of surgery, and clinical pre- and postoperative data were analyzed. Surgical treatment involves arthroscopic debridement of ACL, with partial or total resection, occasionally combined with ACL reconstruction. Bilateral Symptomatic Mucoid Degeneration of the Anterior Cruciate Ligament with Anterior Knee Pain but No Limited Knee Flexion. FOIA Sweed, T., Mussa, M., El-Bakoury, A. et al. The .gov means its official. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. Indian J Orthop. Disclaimer. Mucoid degeneration of acl (anterior cruciate ligament) is not a common problem and mostly it is found in female patients. Mumbai, Maharashtra, India. J Clin Epidemiol 62(10):10061012. The https:// ensures that you are connecting to the 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. MDACL is not uncommon, however, it is rarely symptomatic [4, 5]. Not really known: Mucoid degeneration of the ACL is seen most commonly in adults (35-55 years of age). Secondary signs include bone bruising, meniscal tears, anterior subluxation of the tibia and other ligamentous injuries. MRI - Interstitial ACL tear With Mild knee joint effusion ,No evidence of discontinuation of fibre Can Interstitial ACL tear heal without surgery Asked for Male, 22 Years 78 Views v Dr. Abhishek Kaushik Joint Replacement Surgeon | Delhi 1/1 people found this helpful Hi. and Ventura et al. Along with that, it also controls the internal rotation. in 1999 [1]. 2021 Aug 21;33(1):26. doi: 10.1186/s43019-021-00110-6. official website and that any information you provide is encrypted National Library of Medicine Mucoid degeneration of the anterior cruciate ligament Complete resection of the ACL without ACL reconstruction is a reliable treatment for symptomatic cases of mucoid degenerated ACL. Online ahead of print. Level of Evidence: Level IV. eCollection 2021. 2001;30(6):312315. Symptoms included limited range of motion (ROM) and posterior knee pain. Twelve partial and 17 total resections were performed. 2018 Jun;25(3):445-452. doi: 10.1016/j.knee.2018.02.012. Effects of pre-operative knee laxity on clinical outcomes after partial anterior cruciate ligament reconstruction. 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. What you feel (symptoms) You feel heaviness in knee joint. Arthroscopy. Treatment modalities for ACL ganglion cyst include arthroscopic excision or puncture, CT scan, and ultrasound-guided aspiration [25-26]. Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. 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. Initially, partial weightbearing is allowed. 2001;17(9):E37. 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. Arch Orthop Trauma Surg. 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. NCI CPTC Antibody Characterization Program. Mucoid degeneration of the anterior cruciate ligament: Partial Online ahead of print. Mucoid degeneration of the anterior cruciate ligament 2022 Apr 11;31:67-71. doi: 10.1016/j.jor.2022.04.004. government site. Management of mucoid degeneration of the anterior cruciate ligament: a In these studies, the total number of patients with a postoperative positive Lachman test was 40% (77 of 194 patients). A total of nine studies were eligible for review. 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. Only three studies mentioned failed conservative treatment as an inclusion criterion [14, 15, 18]. Tamer Sweed. Arthroscopy. Methods: The minimum follow-up was 3 years. 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. Postoperative ACL laxity is common after arthroscopic ACL debridement, however, symptomatic instability is not. Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. This was lowest in the study of Cha et al. Arthroscopic debridement of the anterior cruciate ligament (ACL) results in satisfactory pain relief and improvement in knee outcome scores. Treatment of ACL mucoid degeneration by arthroscopic resection is effective for posterior pain and flexion limitation. ACL (anterior cruciate ligament) mucoid degeneration means the lesion of the ACL. First, our literature search revealed a heterogeneous group of studies dominated by case reports and case series, with no randomised controlled trials. [16]. Mucoid cystic degeneration of the cruciate ligament. Characteristic: "celery stalk" appearance. Hotchen AJ, Demetriou C, Edwards D, Melton JTK. Answer (1 of 2): Most of the time mucoid degenrative changes in the ACL does not cause any problemonly if u have sign of ACL instability or the bending of the knee is reduced you may need a arthroscopic evaluation usually u may skip without ACL reconstruction but some of us will need AcL recons. Knee Surg Sports Traumatol Arthrosc. On MRI, the ligament is thickened and ill-defined with a "celery stalk" appearance. Increased posterior slope and coronal inclination of the tibial joint PubMed Mucoid Degeneration of the Anterior Cruciate Ligament: Characterization of Natural History, Femoral Notch Width Index, and Patient Reported Outcome Measures. -. In this systematic review we found that arthroscopic debridement resulted in good pain relief and improved range of motion and clinical outcome scores. The site is secure. A long duration of non-specific knee pain in a patient should be evaluated with MRI. did not report on this. 2010 Jun 1;96(4):400-6. However, symptomatic instability was not common. The review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines and registered in the PROSPERO database (CRD42018087782). Sagittal T2-weighted MRI view showing intact anterior, Fig. Google Scholar, Chudasama CH, Chudasama VC, Prabhakar MM (2012) Arthroscopic management of mucoid degeneration of anterior cruciate ligament. 2009 Jul;17(7):737-40. doi: 10.1007/s00167-008-0690-z. MRI is better at detecting mucoid degeneration than arthroscopy, as the surface of the ligament is often intact. Joshita Poojary - Sports Physical Therapist - Padmanabhan's - Linkedin MeSH Mucinous material within the substance of ACL produces pain and limited motion in the knee. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity that has been found in patients with pain and limited range of motion of the knee in association with a bulky ACL shown on magnetic resonance imaging (MRI). Unable to load your collection due to an error, Unable to load your delegates due to an error. 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. Arthroscopically ACL is intact but fibrillated, yellowish and hypertrophied,with interspersed yellowish mucinous material along the fibers, lack of synovial linning of the ACL.
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