maude adverse event report: genzyme biosurgery (ridgefield) synvisc one intra-articular hyaluronic acid Knee Surg Sports Traumatol Arthrosc. Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. 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. Therefore, indications for ACL resection must be carefully selected. Ever since mucoid degeneration of the anterior cruciate ligament (MD-ACL) was named by Kumar et al. Tamer Sweed. 2. Rajani AM, Shah UA, Mittal ARS, Gupta S, Garg R, Punamiya M. Knee Surg Relat Res. 2004;182(5):12831287. Arthroscopy. Clipboard, Search History, and several other advanced features are temporarily unavailable. [17] do not mention whether any patients underwent biopsy (Table 3). Possible etiologies include: It is postulated that mucoid degeneration may be a predisposing factor in the formation of ACL ganglion cysts. 2011;19(3):408411. 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. (2018) Radiology. Outcome of Arthroscopic Treatment of Mucoid Degeneration of the Anterior Cruciate Ligament. Second, methodological quality assessment showed that three studies had low methodological quality. Arthroscopic resection of ACL mucoid degeneration is effective for treating pain and flexion limitation, but at the expense of anterior laxity. All studies focused on the outcome of arthroscopic debridement of MDACL, with no studies on conservative treatment. Treatment modalities for ACL ganglion cyst include arthroscopic excision or puncture, CT scan, and ultrasound-guided aspiration [25-26]. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Several critical distinctions allow a confident diagnosis of an ACL ganglion cyst. 1). Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Knee Surg Relat Res. However, the authors did not report whether there were any other patients with symptomatic instability. Its prevalence in magnetic resonance imaging (MRI) is 1.8 to 5.3%, but not all lesions are symptomatic. Epub 2011 Feb 18. Patients with symptomatic MDACL commonly present with posterior knee pain and limitation of knee flexion or extension [2, 6]. JBR-BTR. Cite this article. Truncation means that the . Arthroscopy 24(6):642649. Pan African Medical Journal. For non-comparative studies, this consists of eight questions. Demographic, radiological, and histological findings, type of surgery, and clinical pre- and postoperative data were analyzed. government site. Three reviewers (an experienced librarian and two of the authors) independently searched these databases. FOIA 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). PMC Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. Please enable it to take advantage of the complete set of features! J Orthop. 2022 Mar;50(3):3000605221084865. doi: 10.1177/03000605221084865. The visual analogue scale score, the International Knee Documentation Committee score, and the Tegner Lysholm Knee Score were collected preoperatively, postoperatively, and during the follow-up period. Finally, partial meniscectomy was commonly performed simultaneously with ACL debridement in all studies, which arguably could be the reason for the postoperative improvement. [Diagnosis and treatment of anterior cruciate ligament cysts]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. The aetiology of MDACL is not fully understood, hence, there are multiple theories on this. Arthroscopic debridement may help relieve the anterior knee pain. It has recently been postulated that mucoid degeneration of the ACL is related to the medial knee compartment joint space loss in patients with osteoarthritis or in the OA risk group 6. Am J Roentgenol 182(5):12831287. J Arthrosc Joint Surg 3(1):2833. Items are scored as 0 (not reported), 1 (reported but inadequate) or 2 (reported and adequate). Anatomopathology samples were collected in 18 cases. eCollection 2022 May-Jun. had the largest number of patients (91) with a mean age of 61 years, which was the oldest study population amongst the nine studies [16]. A total of 313 knees in 292 patients were included in the nine studies. and transmitted securely. The .gov means its official. This study hypothesized that arthroscopic debridement of MDACL would provide patients with improvement in pain, range of movement and functional outcome scores. -, McIntyre J, Moelleken S, Tirman P. Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears. Symptoms included limited range of motion (ROM) and posterior knee pain. Due to the lack of specific symptoms and signs, its diagnosis is often delayed or even misdiagnosed in clinical practice [ [1] , [2] ]. 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. Orthopedics; anterior cruciate ligament; arthoscopy. Mumbai, Maharashtra, India. Open Grey database was searched for grey literature using the same keywords. Generally, we know little about this condition. . Epub 2013 Aug 27. Disclaimer. At the time the article was last revised Dai Roberts had no recorded disclosures. An official website of the United States government. 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. Bergin et al. Score: 4.7/5 (45 votes) . 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 Springer Nature. Arthroscopic diagnostic criteria [7] are (1) continuous ACL fibres, (2) increased ACL volume, (3) yellowish-coloured material expressed on palpation and (4) loss of ACL synovial lining. Keywords: Mucoid degeneration of the anterior cruciate ligament. AJR Am J Roentgenol. Secondary signs include bone bruising, meniscal tears, anterior subluxation of the tibia and other ligamentous injuries. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. Privacy Careers. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. Knee Surg Sports Traumatol Arthrosc. These appearances must be differentiated from mucoid degeneration of the intact ACL. 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. 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. Another theory is the synovial theory whereby a pouch of synovium herniates and is subsequently filled with synovium [2]. Treatment of ACL mucoid degeneration by arthroscopic resection is effective for posterior pain and flexion limitation. Knee Surg & Relat Res 33, 26 (2021). Arch Orthop Trauma Surg. 2. 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. The pathogenesis remains controversial. PubMed Central Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of anterior knee pain (AKP). Symptomatic ACL mucoid degeneration in middle-age athletes. 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. It can cause pain and to a meniscal tear. 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. 2013;15(1). Mucoid degeneration of the anterior cruciate ligament: MRI, clinical, intraoperative, and histological findings. Characteristic: "celery stalk" appearance. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. Here are the search results of the thread mucoid degeneration of acl treatment from Bing. CAS There was a high rate of association between degenerative lesions and MDACL, ranging from 39 to 96%. Ventura D, Nuez JH, Joshi-Jubert N, Castellet E, Minguell J. Clin Orthop Surg. The mean MINORS score was 9.5 (range 412). Orthop Traumatol Surg Res. (100%). Cookies policy. government site. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. We report a case of mucoid degeneration of the anterior cruciate ligament (ACL). reported the largest percentage of patients (27.5%) with a positive pivot test. 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. Methods: The minimum follow-up was 3 years. The total number of patients with symptomatic instability was 18 out of 288 (6%). PubMed I have multiple issues - spondylolisthesis in L4/L5 and L5/S1, osteopenia and osteoarthritis. 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. government site. official website and that any information you provide is encrypted Manage cookies/Do not sell my data we use in the preference centre. Categories were determined in accordance with the study of Ekhtiari et al. Arthroscopy 20(2):141146. MDACL is not uncommon, however, it is rarely symptomatic [4, 5]. 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. All patients (100%, n=11) reported an improvement in pain. MRI - Interstitial ACL tear With Mild knee joint effusion ,No evidence of discontinuation of fibre Can Interstitial ACL tear heal without surgery Asked for Male, 22 Years 78 Views v Dr. Abhishek Kaushik Joint Replacement Surgeon | Delhi 1/1 people found this helpful Hi. Knee Surg Sports Traumatol Arthrosc. Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Knee Surg Relat Res. Conclusion: 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). Partial resection of the anterior cruciate ligament was done in seven cases and a complete resection in 18 cases. There was strong association between MDACL and chondral lesions (82%) and between MDACL and meniscal tears (69%). The success of treatment for MDACL and the subsequent risk of instability is not known. Indian J Orthop 48(2):197202. 287 (3): 912-921. 2011. el Kadi KI, Marcaillou F, Blanc S, Salloum B, Dimontagliari C, Boutayeb F. Pan Afr Med J. 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. Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study. 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 .