Mucoid degeneration of the ACL is a rare cause of knee pain.1-8) This lesion of the ACL was first reported by Kumar et al.3) in 1999. 2007;245 (3): 916-7. Orthop Traumatol Surg Res 96(4):400406, Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR (2004) Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. Anterior cruciate ligament (ACL) mucoid degeneration, along with tears and anterior cruciate ligament ganglion cysts, is a relatively common cause of increased signal within the anterior cruciate ligament (ACL ). 2013 Jun 20;15:59. doi: 10.11604/pamj.2013.15.59.2534. official website and that any information you provide is encrypted At last follow-up, the mean visual analogue scale score, International Knee Documentation Committee score, and Tegner Lysholm Knee score improved (p < 0.01). Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of anterior knee pain (AKP). Besides, the patient may also have trouble in moving. 2022 Mar;50(3):3000605221084865. doi: 10.1177/03000605221084865. https://doi.org/10.1302/0301-620X.81B2.0810304, Article The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 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. . 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. Arthroscopic findings. 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. Federal government websites often end in .gov or .mil. 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. Other theories include Degenerative theory- MD could occur due to ageing.[3]. Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of knee pain. There was more than 20% loss to follow up in the study of Kim et al., while the three prospective studies had no loss to follow up [13, 14, 18]. Rajani AM, Shah UA, Mittal ARS, Gupta S, Garg R, Punamiya M. Knee Surg Relat Res. I have persistent pain in the back of that knee that is exacerbated by walking and bending it. Bookshelf The anterior cruciate ligament (ACL) is one of the more vital and more easily injured ligaments within our knee. Unable to process the form. PubMed Central Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. 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. There is no consensus on treatment and evidence is scarce. Mucoid degeneration is characterized by an increase in the mucoid ground substance in the connective tissue containing glycoprotein and mucoprotein [ 4 ]. They reported that a biopsy indicated mucoid degeneration and a relief of symptoms could be obtained through arthroscopic partial resection of the ligament. Epub 2018 Jan 2. Anterior cruciate ligament (ACL) mucoid degeneration, along with tears and anterior cruciate ligament ganglion cysts, is a relatively common cause of increased signal within the anterior cruciate ligament (ACL). This site needs JavaScript to work properly. Intact fibers are best seen on T2WI. You can read more if you want. Arthroscopy. Quadriceps and hamstring weakness are common features of people with symptomatic degenerative meniscal tears Surgery may address the structural injury, but . The mean follow up ranged from 13 to 72months. The pathogenesis remains controversial. 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. The appearance can mimic acute or chronic interstitial partial tears 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. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. Skeletal Radiol. sharing sensitive information, make sure youre on a federal Introduction: Unlike meniscal tears and chondral defects, the mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of knee pain and there have been no case reports of mucoid degeneration of both the ACL and the posterior cruciate ligament (PCL). Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK (1999) Mucoid cystic degeneration of the cruciate ligament. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). International Journal of Orthopaedics. Unable to load your collection due to an error, Unable to load your delegates due to an error. Its signal is increased on all sequences. PROSPERO. PMC Anterior cruciate ligament; Arthroscopy; Knee; Mucoid degeneration. Mucoid degeneration of the anterior cruciate ligament (ACL) of the knee can cause knee pain and other symptoms. The presence of intraligamentous mucoid degeneration in the ACL is demonstrated as a source of knee pain without instability and partial ACL debridement did not preclude adequate knee stability. Mucinous material within the substance of ACL produces pain and limited motion in the knee. [18] did not comment on an association between MDACL and chondral or meniscal lesions: after the exclusion of that report, the total number of patients with associated chondral lesions was 226 out of 275 patients (82%) and 190 patients had meniscal lesions (69%). Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. Arthroscopy. in 1999 [ 1 ]. Knee Surg Sports Traumatol Arthrosc. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). J Knee Surg. mucoid degeneration of acl mri. Partial resection of the anterior cruciate ligament was done in seven cases and a complete resection in 18 cases. and transmitted securely. 2020 Jun 2. el Kadi KI, Marcaillou F, Blanc S, Salloum B, Dimontagliari C, Boutayeb F. Mucoid degeneration of the anterior cruciate ligament: a case report. 2010 Jun 1;96(4):400-6. Noninfiltrating synovial cysts of the ACL were excluded. Online ahead of print. J Bone Joint Surg Ser B 81(2):304305. 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. 2012 Sep;46(5):561-5. doi: 10.4103/0019-5413.101037. report that one patient had ACL reconstruction simultaneously after the ACL debridement. Diet therapy and various other treatments (general aspects) Discipline Radiotherapy. -Evaluated and planned treatment protocol in accordance with physician. National Library of Medicine This was lowest in the study of Cha et al. The cause is not really known, but patients usually do not complain of instability. sharing sensitive information, make sure youre on a federal NCI CPTC Antibody Characterization Program. Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Knee Surg Relat Res. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Preoperative and postoperative KOOS questionnaires were compared and showed improvement in all categories. Postoperative symptomatic instability was not common in eight studies, but was observed in 48% of patients in the study of Lintz et al., with two patients having a delayed ACL reconstruction. Second, methodological quality assessment showed that three studies had low methodological quality. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. None of the studies was a randomised controlled trial and none had a control group. 287 (3): 912-921. Twenty-eight knees (97%) showed soft and/or delayed stops on postoperative Lachman testing. Keywords: Mucoid degeneration of both ACL and PCL. . Demographic, radiological, and histological findings, type of surgery, and clinical pre- and postoperative data were analyzed. Learn how we can help 704 views Reviewed >2 years ago Thank Arthroscopic debridement may help relieve the anterior knee pain. 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. The https:// ensures that you are connecting to the {"url":"/signup-modal-props.json?lang=us"}, Gaillard F, Roberts D, Saber M, et al. bling. Any discrepancy was resolved by the senior author. HHS Vulnerability Disclosure, Help Physiotherapy. 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. Reeducation. ACL mucoid degeneration is present on ~10% (range 9-12%) of 3 T MRI examinations and 2% of 1.5 T MRI examinations 6. Part of Tissue biopsy was performed in 85% of patients (58 of 68) in the study of Cha et al. 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). The need for delayed ACL reconstruction should be discussed preoperatively, especially if complete resection of the ACL is to be performed. Twenty knees (69%) had associated cartilaginous lesions and 19 (66%) had meniscal lesions. The extracted data were heterogeneous in terms of outcome assessment. -, Fealy S, Kenter K, Dines JS, Warren RF. It can cause pain and to a meniscal tear. These appearances must be differentiated from mucoid degeneration of the intact ACL. Fourteen knees (48%) had limited flexion, on average 97 degrees. Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. reported total resection of the ACL in 68% of patients: one young patient had disabling instability and subsequent ACL reconstruction. 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. https://doi.org/10.1186/s43019-021-00110-6, DOI: https://doi.org/10.1186/s43019-021-00110-6. Would you like email updates of new search results? 2008 Jun;24(6):642-9. doi: 10.1016/j.arthro.2008.02.004. ACL mucoid degeneration is an uncommon pathological condition; the pathogenesis, prevalence, and . Arthroscopically ACL is intact but fibrillated, yellowish and hypertrophied,with interspersed yellowish mucinous material along the fibers, lack of synovial linning of the ACL. Before Copyright 2010 Elsevier Masson SAS. On clinical examination, the active range of motion showed a flexion deficit. https://doi.org/10.4103/0019-5413.128765, Article The origin of MDACL may be degenerative or traumatic. Please enable it to take advantage of the complete set of features! 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. 2001;30(6):312315. 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.