Answered . This was postulated to be due to the increased tension caused by the mucinous deposition in the substance of the ACL, leading to irritation of the native nociceptors of the tendon and the consequent impingement on the lateral femoral condyle, femoral notch and posterior cruciate ligament (PCL) owing to the increased thickness of the ACL [6,7,8]. Although asymptomatic in most cases, MD-ACL has been associated with posterior knee pain and restriction of terminal flexion or extension, in addition to pain and discomfort after sitting for a prolonged period of time [4, 5]. maude adverse event report: genzyme biosurgery (ridgefield) synvisc one intra-articular hyaluronic acid Before an appointment, be prepared to answer the following questions: Mayo Clinic does not endorse companies or products. All the demographic and biostatistical data was compiled and computed on the SPSS-24 software. The follow-up period was similar to that of Cha etal. fibroid degeneration degeneration of a leiomyoma with subsequent fibrosis. The ACL provides approximately 85% of the total restraining force of anterior translation. Mucoid degeneration of the anterior cruciate ligament (ACL) has been shown to cause restricted terminal range of motion and rest pain. Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is a very rare cause of knee pain. In: Current Medical Diagnosis & Treatment 2019. https://doi.org/10.1016/j.eats.2017.11.006, Srivastava A, Pateliya S, Singh H, Aggarwal S, Srivastava S (2016) Mucoid degeneration of anterior cruciate ligamentmanagement and functional outcome of 18 cases. After a database search of 4,221 knee MRI examinations, Bergin et al. The results found improved functional scores and pain scores compared with preoperative levels. What is acl mucoid degeneration? | HealthTap Online Doctor Let others know if this answer was helpful Oa W Tkr | Pdf [22], Pandey etal. Informed written consent was obtained from all individual participants included in the study. There was a statistically significant improvement in the mean IKDC and mean KSS of both the groups at 2years of follow-up as compared with their pre-operative scores (p<0.05). 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. Although arthroscopic resection of the degenerated ACL is the treatment of choice following the failure of conservative management, the extent of the excision and subsequent ACL reconstruction for . Most surgeons recommend a program of physical therapy post-operatively to reduce pain and swelling, promote full range-of-motion, and improve knee function. What is one assumption of Freud's psychoanalytic theory? Culmination of these results meant that even the patient satisfaction at 2years follow-up was better in the debulking group. Anterior cruciate ligament injury. https://doi.org/10.1177/03635465010290051301, Insall JN, Dorr LD, Scott RD, Scott WN (1989) Rationale of the Knee Society clinical rating system. If nothing is done, the ACL injury may turn into chronic ACL deficiency. All Rights Reserved. (i.e., thinning or thickening) or signs of ligament degeneration and attrition such as mucoid degeneration or sclerosis were absent in all specimens. Mucoid degeneration of the anterior cruciate ligament ACL MUCOID DEGENERATION RADIOLOGY MRI - Radedasia Freedom from war and natural disaster. (6a) "Celery stalk" form of ACL ganglion cyst. Knee Surg Sports Traumatol Arthrosc 19(8):13261333. https://doi.org/10.1016/j.knee.2020.06.004, Article Such meniscal tears are not appropriate for repair most of the time (Fig. . We reviewed previous reports and summarized clinical features and symptoms, including those found in our case. The demographic distribution of study population with respect to the mean age, gender distribution and the side affected was similar to the recent studies done on the MD-ACL as a standalone entity [2, 3, 5, 8]. Symptomatic mucoid degeneration of the anterior cruciate ligament PubMed Central 3, 2018 www.ecios.org Mucoid degeneration (MD . Hence, we targeted a minimum sample size of 400 patients. This denoted adequate release of the impinging fibers against the lateral femoral condyle, femoral notch and PCL. 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. This content does not have an English version. Home | About | Contact | Copyright | Report Content | Privacy | Cookie Policy | Terms & Conditions | Sitemap. https://doi.org/10.1007/s00167-012-1991-9, Pandey V, Suman C, Sharma S, Rao SP, Kiran Acharya K, Sambaji C (2014) Mucoid degeneration of the anterior cruciate ligament: management and outcome. On table, the extent of impingement caused by the mucoid degeneration was gauged using an arthroscopy hook. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. Patients with mucoid ACL undergoing mobile-bearing UKA at five different centres by five different arthroplasty surgeons were included. Nowadays, orthobiologics such as platelet-rich plasma (PRP) are increasingly used in ligament surgeries to improve healing. Do any specific movements seem to improve or worsen your symptoms? This study aims to compare functional and clinical outcomes of debulking the mucoid ACL in patients undergoing mobile-bearing unicompartmental knee . Connect with thousands of patients and caregivers for support, practical information, and answers. Cookies policy. Grade 1A laxity on Lachmans test (less than 5mm translation with a firm end-point) was noted in 27 knees (11.95%) intra-operatively in group B or those who underwent debulking (nb=226), whereas a firm endpoint with no translation was noted in all of the remaining 199 knees (88.05%). A painful injury where the upper arm bone dislocates out of its normal position with significant damage to the surrounding soft tissues. He or she may also move your knee into a variety of positions to assess range of motion and overall function of the joint. With an increasing trend of UKA being performed worldwide, the role of addressing concomitant MD-ACL is vital in improving the overall outcome of the patient without causing any instability or implant failure, as shown in this study. Mucoid degeneration of the anterior cruciate ligament: a case report Is this likely to cause my knee pain or can it be the compressed lumbar nerve or both? The abnormal sliding within the knee also can hurt cartilage. Mucoid degeneration of anterior cruciate ligament (ACL) [21]. Discussion: Treatment of ACL mucoid degeneration by arthroscopic resection is effective for . Su Chan Lee, Kyung Won . By continuing to browse this site, you accept our, International Journal of Endocrine Oncology, International Journal of Hematologic Oncology, Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases, Salvati F, Rossi F, Limbucci N, Pistoia ML, Barile A, Masciocchi C, Mucoid metaplastic-degeneration of anterior cruciate ligament, Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR, Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation, Makino A, Pascual-Garrido C, Roln A, Isola M, Muscolo DL, Mucoid degeneration of the anterior cruciate ligament: MRI, clinical, intraoperative, and histological findings, Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK, Mucoid cystic degeneration of the cruciate ligament, Mucoid degeneration of the anterior cruciate ligament, Arthroscopic management of mucoid degeneration of anterior cruciate ligament, Pandey V, Suman C, Sharma S, Rao S, Kiran Acharya K, Sambaji C, Mucoid degeneration of the anterior cruciate ligament: management and outcome, Mucoid degeneration of the anterior cruciate ligament: a case report and review of literature, 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, Ventura D, Nuez JH, Joshi-Jubert N, Castellet E, Minguell J, Outcome of arthroscopic treatment of mucoid degeneration of the anterior cruciate ligament, Kim T-H, Lee D-H, Lee S-H, Kim J-M, Kim C-W, Bin S-I, Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament, Foster TE, Puskas BL, Mandelbaum BR, Gerhardt MB, Rodeo SA, Platelet-rich plasma: from basic science to clinical applications, Southworth T, Naveen N, Tauro T, Leong N, Cole B, The use of platelet-rich plasma in symptomatic knee osteoarthritis, Vogrin M, Rupreht M, Crnjac A, Dinevski D, Krajnc Z, Renik G, The effect of platelet-derived growth factors on knee stability after anterior cruciate ligament reconstruction: a prospective randomized clinical study, Partial anterior cruciate ligament ruptures: advantages by intraligament autologous conditioned plasma injection and healing response technique midterm outcome evaluation, Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears, Rating systems in the evaluation of knee ligament injuries, Hensen JJ, Coerkamp EG, Bloem JL, Schepper AMD, Association of mucoid degeneration of anterior cruciate ligament with knee meniscal and cartilage damage, Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P, Anterior cruciate ligament mucoid degeneration: selecting the best treatment option, Zicaro JP, Yacuzzi C, Garcia-Mansilla I, Costa-Paz M, Nonsurgical treatment of partial ACL tears: intraarticular injection of platelet-rich plasma did not change the progression rate to knee instability, Seijas R, Ares O, Cusc X, lvarez P, Steinbacher G, Cugat R, Partial anterior cruciate ligament tears treated with intraligamentary plasma rich in growth factors, Long-term outcomes of primary repair of the anterior cruciate ligament combined with biologic healing augmentation to treat incomplete tears, McRobb J, Kamil KH, Ahmed I, Dhaif F, Metcalfe A, Influence of platelet-rich plasma (PRP) analogues on healing and clinical outcomes following anterior cruciate ligament (ACL) reconstructive surgery: a systematic review. . [] found the incidence of mucoid degeneration in their study population to be 1.0%.Most of their reported cases were incidental findings without contributory symptoms. Knee Surg & Relat Res 34, 40 (2022). customer@scirp.org +86 18163351462(WhatsApp) b Immediate post-operative radiograph showing no posterior translation of femur compared with pre-operative radiograph. https://doi.org/10.1302/0301-620X.81B2.0810304, Article ACL Graft Tear - Radsource . The authors acknowledge some limitations to this study. New York, N.Y.: McGraw-Hill Education; 2019. https://accessmedicine.mhmedical.com. Contact us. J Bone Jt Surg Br 73(4):582586. This ligament consists of two fibers, mainly, the anterio-medial and postero-lateral fibers, respectively. MRI has been established as the gold standard imaging modality for the diagnosis of MD-ACL based on the criteria laid out by Bergin etal. Philadelphia, Pa.: Saunders Elsevier; 2015. https://www.clinicalkey.com. Several critical distinctions allow a confident diagnosis of an ACL ganglion cyst. All 5 patients under- went arthroscopic surgery. A total of 442 patients (na=216; nb=226) fulfilled the inclusion criteria and were followed up until a minimum of 2years post-surgery (mean: 252.46months; range: 2427.5months). Physical therapy typically begins 7-10 days after the procedure. It can cause pain and to a meniscal tear. Only mobile-bearing UKA design was used in all the patients; hence the findings may differ in patients undergoing UKA with different implant designs such as fixed-bearing UKAs. Does mucoid degeneration of ACL require surgery? - TimesMojo The side of my knee is achy as well and I had a meniscus repair in 2012 and have had a few injections there as well. I have multiple issues spondylolisthesis in L4/L5 and L5/S1, osteopenia and osteoarthritis. 2022 - 2023 Times Mojo - All Rights Reserved Ventura etal. This was confirmed at 2years follow-up, when the patients who underwent debulking showed a statistically significant improvement in in mean terminal flexion by 21.51 in group B (mean pre-operative: 96.3855.78; mean post-operative: 117.892.64) as compared with 5.02 in group A (mean pre-operative: 98.0934.79; mean post-operative: 103.114.1). What happens if a torn ACL goes untreated? Sep 2017 - Feb 20186 months.
physiotherapy for mucoid degeneration of acl