mucoid degeneration of acl physiotherapy

This may support the theory that it is a degenerative process. Bethesda, MD 20894, Web Policies 2022 Oct 23;34(1):40. doi: 10.1186/s43019-022-00169-9. https://www.physio-pedia.com/index.php?title=Anterior_Cruciate_Ligament_(ACL)_Mucoid_Degeneration&oldid=253974, Difficulty in climbing stairs, cross-leg sitting, squatting, Primary condition- Osteoarthritis, degenerative menisci, meniscal tear, Impingement of the soft tissue in the vicinity. At the time the article was created Frank Gaillard had no recorded disclosures. The lesion may manifest as an elongated cyst along the long axis of the ACL, or as an enlarged ACL. ACL mucoid degeneration is present on ~10% (range 9-12%) of 3 T MRI examinations and 2% of 1.5 T MRI examinations 6. 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. PubMed 8600 Rockville Pike Conclusions. Accessed 1 Mar 2021. Mucoid degeneration of ACL is a disease affecting ACL in which mucoid like substance (glycosaminoglycans) gets interspersed within the substance of ACL and as a result ACL gets thickened. MDACL is not uncommon, however, it is rarely symptomatic [4, 5]. International Journal of Orthopaedics. Springer Nature. 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. Terms and Conditions, Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. Postoperative clinical laxity was common, however, symptomatic instability was not. Please enable it to take advantage of the complete set of features! 1. Skeletal Radiol. 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. and transmitted securely. We report a case of mucoid degeneration of the anterior cruciate ligament (ACL). Copyright 2010 Elsevier Masson SAS. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. did not report on this. Keywords: https://doi.org/10.2214/ajr.182.5.1821283, Article Clin Orthop Surg. Indian J Orthop 48(2):197202. The appearance can mimic acute or chronic interstitial partial tears of the ACL. 2013 Oct;99(6):693-7. doi: 10.1016/j.otsr.2013.04.010. Preoperative and postoperative results of eleven patient were compared. 2004 Feb;20(2):141-6. doi: 10.1016/j.arthro.2003.11.030. Average improvement in flexion was 21.5 degrees (0 to 60 degrees). At last follow-up, the mean visual analogue scale score, International Knee Documentation Committee score, and Tegner Lysholm Knee score improved (p < 0.01). Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. Orthopedics; anterior cruciate ligament; arthoscopy. -Delivered Pre-rehab care for breast cancer and thoracic cancer cases. 1. 2004;182 (5): 1283-7. This study concerns complete ACL resec 2022 Jun 2;20(1):225-228. doi: 10.33314/jnhrc.v20i01.4182. 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. Would you like email updates of new search results? Meniscectomy was undertaken in 11 cases (41%). . -, Hsu CJ, Wang SC, Fong YC, Huang CY, Chiang IP, Hsu HC. Results: 2008 Jun;24(6):642-9. doi: 10.1016/j.arthro.2008.02.004. 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 ). Both anterior cruciate ligament ganglion cysts and mucoid degeneration have a high association with intraosseous cysts [3] (figures 1 and 2). Background: Mucoid degeneration of the anterior cruciate ligament. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. It is a chronic degenerative change of a bulky ACL that may lead to notch . Bethesda, MD 20894, Web Policies Please enable it to take advantage of the complete set of features! 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. Morice et al. Knee Surg Sports Traumatol Arthrosc. Physiotherapy. Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. https://doi.org/10.4103/0019-5413.128765, Article All patients with a preoperative limited ROM (100%, n=9) reported a return to a normal (subjective) ROM. Papadopoulou P. The celery stalk sign. 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. https://doi.org/10.1016/j.jclinepi.2009.06.005. Introduction: There was strong association with chondral lesions and meniscal tears. 2011. 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]. The purpose of this study was to investigate the outcome of management of MDACL by performing a systematic review of methods of treatment that have been reported. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Accessibility TS designed the project, literature search and wrote the manuscript. This makes it difficult to relate the improvement of symptoms to ACL debridement. Hamdaoui and others published Le signe de la branche de cleri | Find, read and cite all the research you need on ResearchGate Knee Surg Sports Traumatol Arthrosc. 2010 Jun 1;96(4):400-6. Arthroscopy. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. HHS Vulnerability Disclosure, Help Anterior Cruciate Ligament, is an important structure of the knee joint. 2018 Apr;34(4):1054-1059. doi: 10.1016/j.arthro.2017.10.039. 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. Arthroscopic debridement of the ACL was the intervention in eight studies, whereas Morice et al. Disclaimer. 2009. Knee Surg Sports Traumatol Arthrosc. Histological diagnosis was established by tissue biopsy in all patients in five studies, with a total of 87 knees. Items are scored as 0 (not reported), 1 (reported but inadequate) or 2 (reported and adequate). Symptoms included limited range of motion (ROM) and posterior knee pain. Treatment modalities for ACL ganglion cyst include arthroscopic excision or puncture, CT scan, and ultrasound-guided aspiration [25-26]. Would you like email updates of new search results? Due to the heterogeneity of data, a meta-analysis was not possible, and a narrative review was deemed most appropriate. Mucoid degeneration of both ACL and PCL. 2023 BioMed Central Ltd unless otherwise stated. https://doi.org/10.1007/s00167-011-1433-0, Article 2018;4(4):875-80. 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. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. MRI is better at detecting mucoid degeneration than arthroscopy, as the surface of the ligament is often intact. Posterior pain disappeared in 27 cases (93%), on average 3.7 weeks after the procedure. JBR-BTR. Reeducation. reported total resection of the ACL in 68% of patients: one young patient had disabling instability and subsequent ACL reconstruction. The .gov means its official. Thirteen patients were treated with complete ACL resection for symptomatic MD of the ACL from 2006-2016. 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. 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. Risk factors Predisposing factors include the following 1: aging 2009 Jul;17(7):737-40. doi: 10.1007/s00167-008-0690-z. Loss to follow up was not mentioned in the other five studies [3, 6, 15, 17, 19]. Google Scholar, Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D (2011) Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. in this condition your acl (anterior cruciate ligament) filled with jelly like material and it thickened so space in intercondylar resion of knee joint is reduced. PMC Arch Orthop Trauma Surg. The ligament is mainly responsible for restraining anterior translation of knee. Post-debridement arthroscopic view showing yellowish, Post-debridement arthroscopic view showing yellowish lesion of the anterior cruciate ligament which was, MeSH The purpose of this study was to diagnose mucoid degeneration of anterior cruciate ligament and to assess the effectiveness of arthroscopic treatment in these patients.Materials and MethodsBetween December 2007 and November 2011, 20 patients were diagnosed to be suffering from mucoid degeneration of anterior cruciate ligament (ACL) on the basis . Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. This bicentric, retrospective cohort study with an average follow-up of 6years involved 27 patients (29 knees) presenting with symptomatic ACL mucoid degeneration validated by magnetic resonance imaging (MRI). After arthroscopic debridement of the lesion, the patient regained full range of motion of the knee and were pain-free at follow-up. Third, clinical outcomes were reported using a variety of scores, so a data meta-analysis was not possible. in 1999 [ 1 ]. 2012;4 (2): 167-70. 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). Bookshelf J Knee Surg. 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. 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. Instrumental treatment. 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. All patients (100%, n=11) reported a good to very good surgery satisfaction. The patient presented with extension block of the knee. Arthroscopic debridement of the anterior cruciate ligament (ACL) results in satisfactory pain relief and improvement in knee outcome scores. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). -Evaluated and planned treatment protocol in accordance with physician. Careers. 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. reported the largest percentage of patients (27.5%) with a positive pivot test. Postoperative Lachman test was positive in 40% of patients, and 6% of patients had symptomatic instability. Post-debridement arthroscopic view showing yellowish lesion of the anterior cruciate ligament which was debrided. All nine included studies utilized MRI of the knee to establish a radiological diagnosis as an inclusion criterion. Study record managers: refer to the Data Element Definitions if submitting registration or results information.. Search for terms Unauthorized use of these marks is strictly prohibited. [Diagnosis and treatment of anterior cruciate ligament cysts]. PMC Knee Surg Sports Traumatol Arthrosc. Arthroscopy. 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. . Preoperative magnetic resonance imaging (MRI) scan. Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. 2010 Jun;96(4):400-6. doi: 10.1016/j.otsr.2010.02.008. Postoperative pain relief ranged from 53.8 to 95%. There was strong association between MDACL and chondral lesions (82%) and between MDACL and meniscal tears (69%). National Library of Medicine No treatment is usually required. California Privacy Statement, The mean age of patients ranged from 31 to 78years. Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. 1 Its prevalence in magnetic resonance imaging (MRI) is 1.8-5.3%, but not all lesions are symptomatic.2, 3 It is characterized by infiltration of mucoid-like substance (glycosaminoglycans) interspersed within the In contrast to the tear, mucoid degeneration of the ACL characteristically does not cause knee instability [20, 21, 22]. Keywords: J Chin Med Assoc. 2011. statement and Correlations between degree of knee instability and SIR were assessed for each bundle, each time point, and each sequence. Unable to load your collection due to an error, Unable to load your delegates due to an error. Unable to load your collection due to an error, Unable to load your delegates due to an error. (2018) Radiology. to 44% in the study of Cha et al. This infiltrating lesion is included in the mucoid pathology of the intercondylar fossa. Coronal proton density-weighted magnetic resonance, Coronal proton density-weighted magnetic resonance imaging shows a thickening of the anterior cruciate, Sagittal proton density-weighted magnetic resonance, Sagittal proton density-weighted magnetic resonance image shows ill-defined anterior cruciate ligament with increased, Coronal T2 weighted fat suppressed fast spin echo image showed complex anterior cruciate, Pre-debridement arthroscopic view showing yellowish. Glossary of terms for musculoskeletal radiology. A total of 313 knees in 292 patients were included in the nine studies. . 2021 Oct 21;2021:5879121. doi: 10.1155/2021/5879121. Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of knee pain. 1. 2007;90(3):1923. Individuals with mucoid degeneration of the ACL were excluded. The site is secure. 2012 Sep;46(5):561-5. doi: 10.4103/0019-5413.101037. 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). Correspondence to Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. 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/. 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. https://doi.org/10.1186/s43019-021-00110-6, DOI: https://doi.org/10.1186/s43019-021-00110-6. Knee Surgery, Sports Traumatology, Arthroscopy. A posterior approach will allow for the detection of changes by probing the ligament and mucoid material can be expressed. Epub 2008 Dec 17. (B) Partial resection, MeSH Twelve partial and 17 total resections were performed. CONFLICT OF INTEREST: No potential conflict of interest relevant to this article was reported. Before Arthroscopic treatment may include ACL resection, which raises the questions about the harmlessness of this procedure and the risk of anterior instability. Conclusions: Mucoid degeneration of the ACL is a clinical condition afflicting active middle-aged people without a single significant traumatic episode with a specific MRI picture. Twenty-eight knees (97%) showed soft and/or delayed stops on postoperative Lachman testing. Exclusion criteria were (1) case reports, literature reviews and conference abstracts and (2) studies written in languages other than English. Orthopaedics & Traumatology: Surgery & Research. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. See this image and copyright information in PMC. Mucoid degeneration of the anterior cruciate ligament: MRI, clinical, intraoperative, and histological findings. Postoperative follow-up included standard radiography and dynamic examination, measuring laxity with a Telos device. Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. 2022 Mar;14(1):76-89. doi: 10.4055/cios20163. Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. maude adverse event report: genzyme biosurgery (ridgefield) synvisc one intra-articular hyaluronic acid Federal government websites often end in .gov or .mil. The prevalence of MDACL on magnetic resonance imaging (MRI) ranges from 1.8 to 5.3% [4, 5]. This is a rare pathological condition, in which, there is increased signal from within the ligament. in 1999 [1]. A positive Lachman test and a negative pivot shift were noted after surgery in all cases. Roberts CC, Towers JD, Spangehl MJ et-al. http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42018087782. Background: Mucoid degeneration of the anterior cruciate ligament (ACL) is an uncommon non-traumatic cause of knee pain and motion restriction, typically seen in a middle-aged population. Careers. and Ventura et al. With cruciate ligament ganglia, intact ACL fibers can often be visualized coursing through or around the cyst. Clipboard, Search History, and several other advanced features are temporarily unavailable. ACL tears don't heal as such. Introduction Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. Presentation Patients usually present with nonspecific posterior knee pain with restriction of flexion. 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). PROSPERO. eCollection 2022 May-Jun. For non-comparative studies, this consists of eight questions. 2. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2009 checklist [9]. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. Hotchen AJ, Demetriou C, Edwards D, Melton JTK. What is myxoid degeneration treatment? The mean age at the time of surgery was 57 years (range, 31 to 78 years). ACL mucoid degeneration is an uncommon pathological condition; the pathogenesis, prevalence, and . Diet therapy and various other treatments (general aspects) Discipline Radiotherapy. The anterior cruciate ligament (ACL) is one of the more vital and more easily injured ligaments within our knee. There was no mention in the other three studies [13, 15, 18] of whether other procedures were performed simultaneously.

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