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Federal government websites often end in .gov or .mil. 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. . Surgical treatment involves arthroscopic debridement of ACL, with partial or total resection, occasionally combined with ACL reconstruction. https://doi.org/10.1016/j.jclinepi.2009.06.005. What causes mucoid degeneration of ACL? volume33, Articlenumber:26 (2021) Online ahead of print. The .gov means its official. Average postoperative International Knee Documentation Committee (IKDC) and Knee Injury and Osteoarthritis Outcome Scores (KOOS) were 71.2 (42.5 to 92.0) and 78.2 (26.4 to 99). Cite this article. Epub 2021 Mar 8. 2009 Jul;17(7):737-40. doi: 10.1007/s00167-008-0690-z. On physical exam, the Lachman test for ACL instability is negative with an ACL ganglion. 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). in 1999 [ 1 ]. Data extracted included mean age and gender of the patients, duration of follow up, associated chondral and meniscal lesions, interventions and outcomes. 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, is the irreversible degeneration of the tissue with the infiltration of mucin(glycosaminoglycans) within the fibers[1][2]. Furthermore, this raises the question as to whether the symptoms (pain and diminished range of movement) were solely due to MDACL and not secondary to other associated pathological conditions. J Bone Joint Surg Br. Bergin D, Morrison WB, Carrino JA et-al. Partial resection of the anterior cruciate ligament was done in seven cases and a complete resection in 18 cases. AJR Am J Roentgenol. Unauthorized use of these marks is strictly prohibited. 2018 Sep;10(3):307-314. doi: 10.4055/cios.2018.10.3.307. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. Anterior cruciate ligament ganglia and mucoid degeneration: Coexistence and clinical correlation. It is a chronic degenerative change of a bulky ACL that may lead to notch impingement syndrome in the absence of instability symptoms and significant trauma history [ 1, 2, 3, 4 ]. What you feel (symptoms) You feel heaviness in knee joint. For non-comparative studies, this consists of eight questions. 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. If arthroscopy is performed, the ligament may appear entirely normal, especially using the standard anterior portal approach. Patients in all studies presented with central or posterior knee pain, mainly with terminal extension in three studies [14, 16, 17]. Therefore, Anterior Cruciate Ligament tear is more susceptible during any injury to the knee. Mumbai, Maharashtra, India. The total number of patients with symptomatic instability was 18 out of 288 (6%). Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first characterized by Kumar et al. A positive Lachman test and a negative pivot shift were noted after surgery in all cases. (48.2% (14/29 patients) with symptomatic instability), which may be due to the large number of patients with total resection of the ACL (58.6% (17 out of 29 patients)) (Table 4). The mean age of patients ranged from 31 to 78years. Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first characterized by Kumar et al. Knee Surg Sports Traumatol Arthrosc. It is characterized by infiltration of mucoid like substance (glycosaminoglycans) interspersed within the substance of ACL causing knee pain and limited motion. Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of anterior knee pain (AKP). PMC Anterior cruciate ligament mucoid degeneration. statement and Other theories include Degenerative theory- MD could occur due to ageing.[3]. At the time the article was last revised Dai Roberts had no recorded disclosures. Orthop Traumatol Surg Res. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. Initially, partial weightbearing is allowed. 1173185. This study hypothesized that arthroscopic debridement of MDACL would provide patients with improvement in pain, range of movement and functional outcome scores. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Orthop Traumatol Surg Res. FOIA Federal government websites often end in .gov or .mil. In the nine included studies, four different scores were used for outcome assessment. 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. Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. I have multiple issues - spondylolisthesis in L4/L5 and L5/S1, osteopenia and osteoarthritis. Arthroscopic management of mucoid degeneration of anterior cruciate ligament. Only three studies mentioned failed conservative treatment as an inclusion criterion [14, 15, 18]. The site is secure. Its interstitial nature within the ACL structure contrasts with synovial cyst of the ACL. Arthroscopic examination analyzed the ACL aspect and its associated lesions (meniscus, cartilage). With cruciate ligament ganglia, intact ACL fibers can often be visualized coursing through or around the cyst. Unauthorized use of these marks is strictly prohibited. The cause is not really known, but patients usually do not complain of instability. MeSH 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. The anterior cruciate ligament (ACL) is the most commonly injured of the major knee ligaments. Clin Orthop Surg. Morice et al. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. I have persistent pain in the back of that knee that is exacerbated by walking and bending it. . http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42018087782. Imaging: Plain radiographs By using this website, you agree to our The main MRI finding of ACL mucoid degeneration is a celery stalk appearance [26, 27]. All patients (100%, n=11) reported an improvement in pain. Clipboard, Search History, and several other advanced features are temporarily unavailable. -. https://doi.org/10.4103/0019-5413.128765, Article 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. The anterior cruciate ligament (ACL) is an important ligament in the knee. Before . Instrumental treatment. J Orthop. The https:// ensures that you are connecting to the Mucoid degeneration of the anterior cruciate ligament: a case report. ACL mucoid degeneration is an uncommon pathological condition; the pathogenesis, prevalence, and . Orthopaedics & Traumatology: Surgery & Research. Knee. 1. 2004;182(5):12831287. government site. Some case reports have been published; however, it is difficult to diagnose and is often underdiagnosed or misdiagnosed because of its pathophysiological ambiguity. California Privacy Statement, Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. After the literature search and exclusion of duplicates, 54 papers were retrieved: 12 articles were assessed for eligibility, and of these, 9 papers met the inclusion criteria and were included in the systematic review [3, 6, 13,14,15,16,17,18,19] (Fig. Later studies reported that changes consist of mucoid Results degeneration, neovascularisation, and tendon sheath hyper- Nineteen patients met the inclusion criteria and were inclu- trophy. Knee Surgery, Sports Traumatology, Arthroscopy. Preoperative magnetic resonance imaging (MRI), Fig. 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]. Epub 2013 Aug 27. ADVERTISEMENT: Supporters see fewer/no ads. Arthroscopy. The https:// ensures that you are connecting to the Epub 2011 Feb 18. Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. Bookshelf [Effectiveness of bone-anterior cruciate ligament-bone allograft in reconstruction of anterior cruciate ligament under arthroscope]. Arthroscopically ACL is intact but fibrillated, yellowish and hypertrophied,with interspersed yellowish mucinous material along the fibers, lack of synovial linning of the ACL. Bookshelf 1). 2004 Feb;20(2):141-6. doi: 10.1016/j.arthro.2003.11.030. eCollection 2013. Its signal is increased on all sequences. Arthroscopy 24(6):642649. A total of 313 knees in 292 patients were included. Online ahead of print. This site needs JavaScript to work properly. The lesion may manifest as an elongated cyst along the long axis of the ACL, or as an enlarged ACL. Questions just answered: mucoid degeneration of acl physiotherapy. If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. ACL debridement was partial in all studies except for those by Lintz et al. Chudasama et al. Anterior knee pain is the more common complaint. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. bling. Ahuja A, Parekh C, Salomon A, Lawande M, Daftary A. Skeletal Radiol. Knee Surg Sports Traumatol Arthrosc. They respond well to a judicious arthroscopic release of the ACL with notchplasty. Hide glossary Glossary. Sep 2017 - Feb 20186 months. ACL (anterior cruciate ligament) mucoid degeneration means the lesion of the ACL. At the time the article was created Frank Gaillard had no recorded disclosures. https://doi.org/10.1302/0301-620X.81B2.0810304, Article -Evaluated and planned treatment protocol in accordance with physician. Knee Surg Sports Traumatol Arthrosc 21(3):658663. Complete resection of the ACL without ACL reconstruction is a reliable treatment for symptomatic cases of mucoid degenerated ACL. (Table 3). 2 ). On clinical examination, the active range of motion showed a flexion deficit. Download Citation | On Feb 1, 2023, O.R. 2022 Jun 2;20(1):225-228. doi: 10.33314/jnhrc.v20i01.4182. Management of mucoid degeneration of the anterior cruciate ligament: a systematic . . 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. Generally, we know little about this condition. We herein describe a case of PCL mucoid degeneration presented with secondary ACL . proposed reduction plasty, which is reduction of the ACL to normal volume without excision of all mucoid tissue. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). This site needs JavaScript to work properly. Anatomopathology samples were collected in 18 cases. 8600 Rockville Pike Third, clinical outcomes were reported using a variety of scores, so a data meta-analysis was not possible. 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. Bethesda, MD 20894, Web Policies Methods: Knee Surg Sports Traumatol Arthrosc. Arthroscopic debridement may help relieve the anterior knee pain. J Orthop. Ever since mucoid degeneration of the anterior cruciate ligament (MD-ACL) was named by Kumar et al. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. -, Hensen JJ, Coerkamp EG, Bloem JL, De Schepper AM. Ligaments are very tough, fibrous tissue structures. On MRI, the ligament is thickened and ill-defined with a "celery stalk" appearance. The aim of this study was to detail the clinical, radiological, arthroscopic, and pathological findings of mucoid degeneration of the anterior cruciate ligament and report the clinical outcomes following arthroscopic treatment. J Chin Med Assoc. [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%). Would you like email updates of new search results? Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. The minimum follow-up was 3 years. We report a case of mucoid degeneration of the anterior cruciate ligament (ACL). Five studies demonstrated improved postoperative functional outcome scores compared to preoperative scores [6, 14, 16, 18, 19]. Clin Orthop Surg. Orthop Traumatol Surg Res. Mucoid degeneration is characterized by an increase in the mucoid ground substance in the connective tissue containing glycoprotein and mucoprotein [ 4 ]. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. Keywords: mucoid degeneration, anterior cruciate ligament, acl reconstruction, arthroscopy, knee Conclusion: Hamdaoui and others published Le signe de la branche de cleri | Find, read and cite all the research you need on ResearchGate official website and that any information you provide is encrypted Would you like email updates of new search results? 2013 Oct;99(6):693-7. doi: 10.1016/j.otsr.2013.04.010. Methods From January 2012 to August 2013, 32 knees (24 females and 8 males with left knee of 14 and 18 of right) were diagnosed with mucoid degeneration of the ACL and underwent arthroscopic treatment, all of whom with a mean age of 58.817.97 years (42-74 years). Online ahead of print. Chudasama CH, Chudasama VC, Prabhakar MM. MUCOID DEGENERATION OF ACL - ARTHROSCOPIC TREATMENT 2,375 views Sep 15, 2019 23 Dislike Dr. Prateek Joshi- Ortho 1.02K subscribers Notice Age-restricted video (based on Community Guidelines). 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. Part of Keywords: Epub 2008 Apr 18. The https:// ensures that you are connecting to the The site is secure. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. 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. Therefore, indications for ACL resection must be carefully selected. All patients (100%, n=11) reported a good to very good surgery satisfaction. Mucoid degeneration of the anterior cruciate ligament. National Library of Medicine This did not appear to affect the postoperative rate of clinically detectable laxity, which was comparable to that in other studies. A total of 313 knees in 292 patients were included in the nine studies. to 44% in the study of Cha et al. Glossary of terms for musculoskeletal radiology. However, MDACL is asymptomatic in most patients. Along with that, it also controls the internal rotation. Accessibility 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. 2011. 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. Indian J Orthop. Mucoid change or mucoid degeneration refers to the irreversible tissue degeneration due to the accumulation of mucin within the fibers of tendons, ligaments, and fibrocartilage. Epidemiology The likelihood of mucoid change within ligaments and tendons increases with age 1. Skeletal Radiology. Arthroscopy. The prevalence of mucoid degeneration of the ACL has been reported to be 0.43% [ 5 ]. Arthroscopy 20(2):141146. 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. Google Scholar, Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P (2010) Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. CONFLICT OF INTEREST: No potential conflict of interest relevant to this article was reported. This makes it difficult to relate the improvement of symptoms to ACL debridement. Typically patients present with knee pain or restricted movement, although often other potential causes for the patient's symptoms are found. 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. The extracted data were heterogeneous in terms of outcome assessment. 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. -, Hsu CJ, Wang SC, Fong YC, Huang CY, Chiang IP, Hsu HC. official website and that any information you provide is encrypted The .gov means its official. PubMed Central Advanced MR imaging of the cruciate ligaments. Thirteen patients were treated with complete ACL resection for symptomatic MD of the ACL from 2006-2016. Pain was posterior in 23 knees (80%). All patients with a preoperative limited ROM (100%, n=9) reported a return to a normal (subjective) ROM. First, our literature search revealed a heterogeneous group of studies dominated by case reports and case series, with no randomised controlled trials. 2013;15(1). Indian J Orthop 46(5):561565. An official website of the United States government. 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. 2023 BioMed Central Ltd unless otherwise stated. Another theory is the synovial theory whereby a pouch of synovium herniates and is subsequently filled with synovium [2]. The .gov means its official. Federal government websites often end in .gov or .mil. and transmitted securely. 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. Cookies policy. 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 Aug 22. Knee Surg Sports Traumatol Arthrosc. 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. Diet therapy and various other treatments (general aspects) Discipline Radiotherapy. Mucoid degeneration,: like degenerative arthritis of a joint, generally occurs as a results of aging. Epub 2018 Jun 13. 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. MDACL is diagnosed by MRI, showing a celery stalk sign, and is confirmed by tissue biopsy and histological examination [7]. Careers. 2001;30(6):312315. Pan African Medical Journal. Arthroscopy. Reeducation. 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 ). The .gov means its official. The knee is a complex synovial joint that can be affected by a range of pathologies: Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Each study was scored 02 on each question, with a global ideal score of 16. Mucoid degeneration of the anterior cruciate ligament (ACL) is a very rare cause of knee pain. Am J Roentgenol 182(5):12831287. and transmitted securely. W B Saunders Co. (2005) ISBN:0721602703. Study record managers: refer to the Data Element Definitions if submitting registration or results information.. Search for terms Treatment modalities for ACL ganglion cyst include arthroscopic excision or puncture, CT scan, and ultrasound-guided aspiration [25-26]. 5. An official website of the United States government. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Int J Curr Res Aca Rev 4(11):1824 http://www.ijcrar.com/abstractview.php?ID=228&vol=4-11-2016&SNo=3, Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI (2008) Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Google Scholar, Chudasama CH, Chudasama VC, Prabhakar MM (2012) Arthroscopic management of mucoid degeneration of anterior cruciate ligament. Introduction: Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Methodological quality of the studies was assessed using the Methodological Index for Non-Randomized Studies (MINORS) criteria [11] (Table1). Bilateral Symptomatic Mucoid Degeneration of the Anterior Cruciate Ligament with Anterior Knee Pain but No Limited Knee Flexion. It is commonly identified on MRI in association with other pathological findings and can be confused with partial ACL tears. Preoperative magnetic resonance imaging (MRI) scan. Second, methodological quality assessment showed that three studies had low methodological quality. 2011 Aug 1;19(8):1326-33. Keywords: Manage cookies/Do not sell my data we use in the preference centre. Keywords used for the Search were mucoid degeneration, anterior cruciate ligament and ACL. Disclaimer. The author(s) read and approved the final manuscript. Introduction: Signal intensity of the anteromedial bundle (AMB) or posterolateral bundle (PLB) graft standardized to the intensity of the PCL was defined as signal intensity ratio (SIR). Items are scored as 0 (not reported), 1 (reported but inadequate) or 2 (reported and adequate). Posterior pain disappeared in 27 cases (93%), on average 3.7 weeks after the procedure. The https:// ensures that you are connecting to the HHS Vulnerability Disclosure, Help There was a high rate of association between degenerative lesions and MDACL, ranging from 39 to 96%. reported on the co-existence of mucoid degeneration and ganglia of the ACL. 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. MEDLINE, Embase, Google Scholar, Cochrane, ISI web of science and Scopus were comprehensively searched from the earliest year of indexing until 10 July 2020. Hsu CJ, Wang SC, Fong YC, Huang CY, Chiang IP, Hsu HC. 2. 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. Pre-debridement arthroscopic view showing yellowish content in the anterior cruciate ligament. Bookshelf (61years), which was the largest study and represented more than one third of the total patients included in this review. Postoperative pain relief was reported in seven studies. https://doi.org/10.1016/j.jajs.2015.12.001, Ventura D, Nuez JH, Joshi-Jubert N, Castellet E, Minguell J (2018) Outcome of arthroscopic treatment of mucoid degeneration of the anterior cruciate ligament. Learn how we can help 704 views Reviewed >2 years ago Thank Mucoid degeneration of the anterior cruciate ligament: Management and outcome.. Morice et al. 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. 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. Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. 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/. There was no mention in the other three studies [13, 15, 18] of whether other procedures were performed simultaneously. 6. 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. -. Clipboard, Search History, and several other advanced features are temporarily unavailable. 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. 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. 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. . -, Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK. Average postoperative differential laxity on the Telos device was 8.3 mm (5 to 13 mm). Both anterior cruciate ligament ganglion cysts and mucoid degeneration have a high association with intraosseous cysts [3] (figures 1 and 2). Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. 2. Its prevalence in magnetic resonance imaging (MRI) is 1.8 to 5.3%, but not all lesions are symptomatic. 8600 Rockville Pike A total of nine studies were eligible for review. Mucoid degeneration of acl (anterior cruciate ligament) is not a common problem and mostly it is found in female patients. In this systematic review we found that arthroscopic debridement resulted in good pain relief and improved range of motion and clinical outcome scores. Epub 2018 Jan 2. Epub 2010 May 8. Post-debridement arthroscopic view showing yellowish lesion of the anterior cruciate ligament which was debrided. This appearance can mimic acute or chronic interstitial partial tears of the ligament. 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. Epub 2011 Feb 18. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. 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 knee pain. This ligament consists of two fibers, mainly, the anterio-medial and postero-lateral fibers, respectively.