An official website of the United States government. See this image and copyright information in PMC. Epidemiology The likelihood of mucoid change within ligaments and tendons increases with age 1. If arthroscopy is performed, the ligament may appear entirely normal, especially using the standard anterior portal approach. J Knee Surg. 2012 Sep;46(5):561-5. doi: 10.4103/0019-5413.101037. Bergin et al. 1. When refering to evidence in academic writing, you should always try to reference the primary (original) source. 2001;30(6):312315. Keywords: mucoid degeneration of acl mri. Clin Orthop Surg. (B) Partial resection, MeSH Knee Surg Sports Traumatol Arthrosc. What is myxoid degeneration treatment? 2018 Jun;25(3):445-452. doi: 10.1016/j.knee.2018.02.012. 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. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. California Privacy Statement, Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. 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. What causes mucoid degeneration of ACL? 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. FOIA The pathogenesis remains controversial. This ranged from 90 to 95% in all studies, except in the report by Kim et al., where only 53.8% of patients (57/106) had complete pain relief after surgery. Six studies reported using the pivot shift test; unsurprisingly, Lintz et al. Manage cookies/Do not sell my data we use in the preference centre. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. Knee Surg Sports Traumatol Arthrosc. Part of Arthroscopy. Arthroscopy 20(2):141146. Please enable it to take advantage of the complete set of features! Hamdaoui and others published Le signe de la branche de cleri | Find, read and cite all the research you need on ResearchGate Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. Fig. The aetiology of MDACL is not clearly understood. Two patients uderwent secondary ligamentoplasty. 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. 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. 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. It is lined by the synovial fluid, which provides the nutrition and plays an integral part in healing. AJR Am J Roentgenol. 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. Discussion: . This site needs JavaScript to work properly. Knee Surg & Relat Res 33, 26 (2021). 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. Online ahead of print. Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. Imaging: Plain radiographs The rate of association between meniscal tears and MDACL ranged from 9 to 96%. 6. The .gov means its official. Epub 2013 Aug 27. Seven of the nine studies reported using the Lachman test to check postoperative ACL laxity. All studies focused on the outcome of arthroscopic debridement of MDACL, with no studies on conservative treatment. JBR-BTR. 2018. http://journals.sagepub.com/doi/10.1177/2325967118786930, Pandey V, Suman C, Sharma S, Rao SP, Kiran Acharya K, Sambaji C (2014) Mucoid degeneration of the anterior cruciate ligament: management and outcome. Therefore, indications for ACL resection must be carefully selected. official website and that any information you provide is encrypted -, Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. Not really known: Mucoid degeneration of the ACL is seen most commonly in adults (35-55 years of age). Preoperative magnetic resonance imaging (MRI), Fig. 1999;81(2):304305. ACL ganglion cyst at arthroscopy may appear as a cystic mass with . Radiology. TS designed the project, literature search and wrote the manuscript. The need for delayed ACL reconstruction should be discussed preoperatively, especially if complete resection of the ACL is to be performed. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2009 checklist [9]. An 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. 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 . This site needs JavaScript to work properly. The https:// ensures that you are connecting to the Due to the heterogeneity of data, a meta-analysis was not possible, and a narrative review was deemed most appropriate. 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 . CAS The appearance can mimic acute or chronic interstitial partial tears of the ACL. Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. Role of ultrasound-guided decompression in management of mucoid degeneration of the anterior cruciate ligament. 287 (3): 912-921. Bethesda, MD 20894, Web Policies Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. Score: 4.7/5 (45 votes) . It results in postoperative laxity, but rarely in frank instability. In six of the nine studies [6, 14, 16,17,18], arthroscopic debridement of the ACL was associated with simultaneous partial meniscectomy; this ranged from 13% in the study of Morice et al. Epub 2021 Nov 24. did not report on this. Physical therapy typically begins 7-10 days after the procedure. PROSPERO. HHS Vulnerability Disclosure, Help https://doi.org/10.1302/0301-620X.81B2.0810304, Article Unauthorized use of these marks is strictly prohibited. 2004;182(5):12831287. Possible etiologies include: It is postulated that mucoid degeneration may be a predisposing factor in the formation of ACL ganglion cysts. CONFLICT OF INTEREST: No potential conflict of interest relevant to this article was reported. 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. government site. Google Scholar, Chudasama CH, Chudasama VC, Prabhakar MM (2012) Arthroscopic management of mucoid degeneration of 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 Careers. what causes mucoid degeneration of acl. -. Federal government websites often end in .gov or .mil. the degree of laxity, and the patient's age and willingness to pursue vigorous postoperative physical therapy are other major determinants. Twenty-eight knees (97%) showed soft and/or delayed stops on postoperative Lachman testing. IV (retrospective cohort study). official website and that any information you provide is encrypted Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. eCollection 2022 May-Jun. [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%). Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of knee pain. Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. 2007;90(3):1923. {"url":"/signup-modal-props.json?lang=us"}, Gaillard F, Roberts D, Saber M, et al. A total of nine studies were eligible for review. Orthopedics; anterior cruciate ligament; arthoscopy. Patients and methods: Any discrepancy was resolved by the senior author. Here are the search results of the thread mucoid degeneration of acl treatment from Bing. Accessibility in 1999 [1]. 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. Due to the lack of specific symptoms and signs, its diagnosis is often delayed or even misdiagnosed in clinical practice [ [1] , [2] ]. Functional Outcome of Arthroscopic Debridement of Mucoid Degeneration of the Anterior Cruciate Ligament. Pain was posterior in 23 knees (80%). It can cause pain and to a meniscal tear. 2022 Apr 11;31:67-71. doi: 10.1016/j.jor.2022.04.004. PMC AJR Am J Roentgenol. Treatment modalities for ACL ganglion cyst include arthroscopic excision or puncture, CT scan, and ultrasound-guided aspiration [25-26]. Magnetic Resonance Imaging is the most useful tool for differentiating mucoid degeneration of the ACL from an intraligamentous ganglion or other lesions in the knee joint and if this disease is considered preoperatively, it can be diagnosed easily based on characteristic findings. 2006;69(9):44952. 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. Mucoid degeneration of the anterior cruciate ligament: MRI, clinical, intraoperative, and histological findings. Three reviewers (an experienced librarian and two of the authors) independently searched these databases. Conclusions. What is Anterior Cruciate Ligament Mucoid Degeneration? Its prevalence in magnetic resonance imaging (MRI) is 1.8 to 5.3%, but not all lesions are symptomatic. AJR Am J Roentgenol. Arthroscopy 24(6):642649. Anterior Cruciate Ligament (ACL) Mucoid Degeneration Anatomy Anterior Cruciate Ligament, is an important structure of the knee joint. Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. 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). Knee Surgery & Related Research ACL debridement was partial in all studies except for those by Lintz et al.