[Diagnosis and treatment of anterior cruciate ligament cysts]. The authors declare that they have no competing interests. Coronal T2 weighted fat suppressed fast spin echo image showed complex anterior cruciate ligament ganglion cyst arising from superior aspect of ligament. MRI is better at detecting mucoid degeneration than arthroscopy, as the surface of the ligament is often intact. All nine studies were case series; six were retrospective and three were prospective studies. Arthroscopically ACL is intact but fibrillated, yellowish and hypertrophied,with interspersed yellowish mucinous material along the fibers, lack of synovial linning of the ACL. Pan African Medical Journal. Here are the search results of the thread mucoid degeneration of acl treatment from Bing. Method. . Arthroscopy 20(2):141146. Dietary management and various treatments Scanning and diagnostic . The author(s) read and approved the final manuscript. Provided by the Springer Nature SharedIt content-sharing initiative. Keywords: Mucoid Degeneration of the Anterior Cruciate Ligament: Characterization of Natural History, Femoral Notch Width Index, and Patient Reported Outcome Measures. Clipboard, Search History, and several other advanced features are temporarily unavailable. 2. 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). Preoperative magnetic resonance imaging (MRI) scan. 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. In this systematic review we found that arthroscopic debridement resulted in good pain relief and improved range of motion and clinical outcome scores. Any discrepancy was resolved by the senior author. government site. eCollection 2013. Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). Epub 2011 Feb 18. Sagittal proton density-weighted magnetic resonance image shows ill-defined anterior cruciate ligament with increased signal intensity and a celery stalk appearance of intact fibers. PMC Mucoid degeneration (MD) is a rare pathological affection of the anterior cruciate ligament (ACL). This site needs JavaScript to work properly. Postoperative Lachman test was positive in 40% of patients, and 6% of patients had symptomatic instability. Mucoid degeneration of the anterior cruciate ligament: a case report. [6], in 62% of patients (18 of 29) in the study of Lintz et al. Mucoid degeneration of acl (anterior cruciate ligament) is not a common problem and mostly it is found in female patients. Pandey, Vivek et al. https://doi.org/10.1007/s002560100336, Narvekar A, Gajjar S (2004) Mucoid degeneration of the anterior cruciate ligament. Effects of pre-operative knee laxity on clinical outcomes after partial anterior cruciate ligament 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. sharing sensitive information, make sure youre on a federal Anterior cruciate ligament mucoid degeneration. Federal government websites often end in .gov or .mil. Does Femoral Intercondylar Notch Volume Differ in Anterior Cruciate Ligament-Injured Adult Patients Compared to the Uninjured? Third, clinical outcomes were reported using a variety of scores, so a data meta-analysis was not possible. 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. Correlations between degree of knee instability and SIR were assessed for each bundle, each time point, and each sequence. -Evaluated and planned treatment protocol in accordance with physician. The appearance can mimic acute or chronic interstitial partial tears of the ACL. There was a high rate of association between degenerative lesions and MDACL, ranging from 39 to 96%. Please enable it to take advantage of the complete set of features! 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. Mucoid cystic degeneration of the cruciate ligament. Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first characterized by Kumar et al. 1999;81(2):304305. 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. Bethesda, MD 20894, Web Policies Anterior Cruciate Ligament (ACL) Mucoid Degeneration Anatomy Anterior Cruciate Ligament, is an important structure of the knee joint. A posterior approach will allow for the detection of changes by probing the ligament and mucoid material can be expressed. The need for delayed ACL reconstruction should be discussed preoperatively, especially if complete resection of the ACL is to be performed. eCollection 2022 May-Jun. Unable to load your collection due to an error, Unable to load your delegates due to an error. proposed reduction plasty, which is reduction of the ACL to normal volume without excision of all mucoid tissue. Careers. 2013 Oct;99(6):693-7. doi: 10.1016/j.otsr.2013.04.010. Unauthorized use of these marks is strictly prohibited. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. Instrumental treatment. Conclusions 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 . Possible etiologies include: It is postulated that mucoid degeneration may be a predisposing factor in the formation of ACL ganglion cysts. 8600 Rockville Pike However, symptomatic instability was not common. The main MRI finding of ACL mucoid degeneration is a celery stalk appearance [26, 27]. AJR Am J Roentgenol. -, Hensen JJ, Coerkamp EG, Bloem JL, De Schepper AM. Preoperative and postoperative KOOS questionnaires were compared and showed improvement in all categories. When refering to evidence in academic writing, you should always try to reference the primary (original) source. Arthroscopy. Accessibility Rehabilitation, orthophony, crenotherapy. 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. Arthroscopy 24(6):642649. 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). Magn Reson Imaging Clin N Am. -, Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK. 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 Introduction Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known pathology. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. official website and that any information you provide is encrypted Online ahead of print. PMC Online ahead of print. NCI CPTC Antibody Characterization Program. National Library of Medicine 1992;159(2):35760. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1016/j.jclinepi.2009.06.005. 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. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Cite this article. 2011. Please enable it to take advantage of the complete set of features! 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. IV (retrospective cohort study). Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2004;182 (5): 1283-7. Mucoid degeneration of the anterior cruciate ligament (ACL) is a very rare cause of knee pain. 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. Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. J Chin Med Assoc. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. 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. sharing sensitive information, make sure youre on a federal (100%). FOIA 2021 Oct 21;2021:5879121. doi: 10.1155/2021/5879121. Knee Surg Sports Traumatol Arthrosc. Skeletal Radiology. Some case reports have been published; however, it is difficult to diagnose and is often underdiagnosed or misdiagnosed because of its pathophysiological ambiguity. In most cases Physiopedia articles are a secondary source and so should not be used as references. Correspondence to 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. Knee Surg Sports Traumatol Arthrosc. Arthroscopic debridement of the anterior cruciate ligament (ACL) results in satisfactory pain relief and improvement in knee outcome scores. Complete resection of the ACL without ACL reconstruction is a reliable treatment for symptomatic cases of mucoid degenerated ACL. Epub 2013 Aug 27. Postoperative ACL laxity is common after arthroscopic ACL debridement, however, symptomatic instability is not. The rate of simultaneous meniscectomy ranged from 13 to 44%. http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42018087782. Hamal B, Karmacharya M, Mangal Joshi K, Gorkhali R. J Nepal Health Res Counc. 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). government site. Bookshelf Knee Surg Sports Traumatol Arthrosc 19(8):13261333. Tissue biopsy was performed in 85% of patients (58 of 68) in the study of Cha et al. 2018 Apr;34(4):1054-1059. doi: 10.1016/j.arthro.2017.10.039. Accessed 1 Mar 2021. 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. Methods: The minimum follow-up was 3 years. There is strong association between MDACL and chondral and meniscal lesions, which may support the theory that MDACL is a degenerative process. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. In these studies, the total number of patients with a postoperative positive Lachman test was 40% (77 of 194 patients). Unable to process the form. J Arthrosc Joint Surg 3(1):2833. The ligament is mainly responsible for restraining anterior translation of knee. Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) flowchart illustrating the selections of trials included in the systematic review. PubMed 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of anterior knee pain (AKP). 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. Its interstitial nature within the ACL structure contrasts with synovial cyst of the ACL. Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. Eight studies showed postoperative improvement in range of motion, whereas Khanna et al. It is commonly identified on MRI in association with other pathological findings and can be confused with partial ACL tears. Several critical distinctions allow a confident diagnosis of an ACL ganglion cyst. 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. To our knowledge, this is the first systematic review to look into the results of the management of MDACL. 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. Check for errors and try again. Clin Orthop Surg. Bilateral Symptomatic Mucoid Degeneration of the Anterior Cruciate Ligament with Anterior Knee Pain but No Limited Knee Flexion. An official website of the United States government. in 1999 [1]. Epub 2011 Feb 18. Palmer W, Bancroft L, Bonar F, Choi JA, Cotten A, Griffith JF, Robinson P, Pfirrmann CW. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. J Orthop. Kwee RM, Hafezi-Nejad N, Roemer FW, Zikria BA, Hunter DJ, Guermazi A, Demehri S. Association of Mucoid Degeneration of the Anterior Cruciate Ligament at MR Imaging with Medial Tibiofemoral Osteoarthritis Progression at Radiography: Data from the Osteoarthritis Initiative. Mucoid degeneration of ACL. However, MDACL is asymptomatic in most patients. 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). This site needs JavaScript to work properly. Bone and joint imaging. Bookshelf What Is Mucoid Degeneration of the ACL?
Rugby, Nd Mugshots,
Articles M
*
Be the first to comment.