All the demographic and biostatistical data was compiled and computed on the SPSS-24 software. Health. The main MRI finding of ACL mucoid degeneration is a celery stalk appearance [26, 27]. It is characterized by infiltration of mucoid like substance (glycosaminoglycans) interspersed within the substance of ACL causing knee pain and limited motion. Signs and symptoms: It usually affects middle aged and elderly people. On exposure of the joint, ACL was looked for in terms of integrity and any degenerative changes. Not really known: Mucoid degeneration of the ACL is seen most commonly in adults (35-55 years of age). Intraosseous increased signal is present within the tibial spine deep to the posterior extent of the ACL insertion (arrowhead). Culmination of these results meant that even the patient satisfaction at 2years follow-up was better in the debulking group. Mucoid degeneration of the anterior cruciate ligament (ACL) has been shown to cause restricted terminal range of motion and rest pain. American Journal of Sports Medicine. The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request. Anterior and posterior cruciate ligament ganglion cysts are reported in the literature as being rare with an incidence of approximately 0.5% to 1%.1,2 However, in our experience, this entity is encountered more commonly, most often within the anterior cruciate ligament. Knee 27(5):13321342. Patients were followed up post-surgery for rehabilitation. The Infona portal uses cookies, i.e. was the primary surgeon and was responsible for the conceptualization, methodology, supervision, writing review and editing. American Academy of Orthopaedic Surgeons. They were segregated into two groups matched for all demographic and pre-operative values: group A did not undergo debulking; group B underwent open debulking by a 15-number blade prior to UKA. Please check your URL or use the search form below. 2001. fibroid degeneration degeneration of a leiomyoma with subsequent fibrosis. J Arthosc 6:322, 1990. Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study. . 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. Friends. ACL Injury Grades. Mumbai, Maharashtra, India. The patients clinical history and symptoms do not support an ACL injury. This denoted adequate release of the impinging fibers against the lateral femoral condyle, femoral notch and PCL. Intraosseous ganglion 6. Although a few studies such as the one by Lee etal. Indian J Orthop 46(5):561565. 1). Google Scholar, Irrgang JJ, Anderson AF, Boland AL (2001) Development and validation of the international knee documentation committee subjective knee form. They are relatively uncommon, and their exact aetiopathogenesis is still not clear. Your 3-year nephew sta News comes out day after day about sexual harassment. Sun H, Gill TJ. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. T2-weighted sagittal view demonstrates localized fluid signal within the ACL (arrows). Treatment is only required if there are otherwise unexplained symptoms. [5] and Chudasama etal. Breach Candy Hospital, 60 A Bhulabhai Desai Marg, Breach Candy, Cumballa Hill, Mumbai, Maharashtra, 400026, India, Surgikids Hospital, 507-509, Aarohi Verve, Nr Vakil Saheb Bridge, Ambli-Bopal Cross Roads, Ambli, Ahmedabad, Gujarat, 380058, India, OAKS Clinic, 707 Panchshil Plaza, N S Patkar Marg, opp. Do any specific movements seem to improve or worsen your symptoms? 3, 2018 www.ecios.org Mucoid degeneration (MD . 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). Mucoid degeneration of the anterior cruciate ligament (ACL) is a clinical condition observed primarily in middle-aged patients presenting with knee pain and limited range of motion in the absence of symptoms of instability or a significant history of trauma [].ACL mucoid degeneration causes knee pain less frequently than meniscal tears or chondral defects [17, 18] and has been rarely reported . They offer less hospital stay and speedy recovery. Why Do Cross Country Runners Have Skinny Legs? J Clin Med 10(2):315. https://doi.org/10.3390/jcm10020315, Article (2a) T1-weighted sagittal image demonstrates an enlarged, club-shaped anterior cruciate ligament (arrows). Background: There has been a substantial increase in the amount of systematic reviews and meta-analyses published on the anterior cruciate ligament (ACL). TimesMojo is a social question-and-answer website where you can get all the answers to your questions. https://doi.org/10.2214/ajr.182.5.18212835, Article Cite this article. This study aims to compare functional and clinical outcomes of debulking the mucoid ACL in patients undergoing mobile-bearing unicompartmental knee . 2 Kaplan PA, Helms CA, Dussault R, Anderson MW, Major NM: Musculoskeletal MRI. Mucoid degeneration of the ACL is a very rare cause of knee pain. Diagnosis is usually made on the MRI. Correspondence to They assessed the stability of the joint with the Lachman test intra-operatively, confirming it to be either grade zero or one, with firm end point, before commencing with the UKA [16]. https://doi.org/10.1016/j.knee.2010.05.003, Keyes GW, Carr AJ, Miller RK, Goodfellow JW (1992) The radiographic classification of medial gonarthrosis. 3 Do-Dai DD, Youngberg RA, Lanchbury FD, et al: Intraligamentous ganglion cysts of the anterior cruciate ligament: MR findings with clinical and arthroscopic correlations. Follow the R.I.C.E. Unicompartmental knee arthroplasty (UKA) has rapidly emerged as a superior surgical option to total knee arthroplasty for bone-on-bone osteoarthritis owing to less trauma to the surrounding soft tissue, more conservative bone cuts, minimal bleeding, smaller incision, a better range of motion (ROM), faster recovery, preserved kinematics, higher rate of implant survival and decreased chances of major complications such as thromboembolism, cardiac arrest and stroke [9]. Successful ACL reconstruction paired with rigorous rehabilitation can usually restore stability and function to your knee. Love. Autologous PRP, prepared by double spin protocol, was injected into the remaining ACL after partial debridement was done. EMMY NOMINATIONS 2022: Outstanding Limited Or Anthology Series, EMMY NOMINATIONS 2022: Outstanding Lead Actress In A Comedy Series, EMMY NOMINATIONS 2022: Outstanding Supporting Actor In A Comedy Series, EMMY NOMINATIONS 2022: Outstanding Lead Actress In A Limited Or Anthology Series Or Movie, EMMY NOMINATIONS 2022: Outstanding Lead Actor In A Limited Or Anthology Series Or Movie. If your activities do not involve making pivoting movements on the knee, physical therapy rehabilitation may be all you need. Connect with thousands of patients and caregivers for support, practical information, and answers. Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is commonly treated with arthroscopic debridement of the ACL. Functional assessment was done by the same clinician using patient-related outcome measures (PROMs) using the self-questionnaire-based International Knee Documentation Committee (IKDC) score, Knee Society score (KSS), VAS score (for rest pain) and subjective satisfaction level. Springer Nature. No writing assistance was utilized in the production of this manuscript. A.R. Therefore, indications for ACL resection must be carefully selected. Rehabilitation, speech therapy, crenotherapy. My MRI done in June states that I have very severe mucoid degeneration/partial thickness tearing of the ACL with the tibial spine tractional marrow edema. I know what the words mean. 1998 Oct;53(10):771-3. ACL mucoid degeneration is present on ~10% (range 9-12%) of 3 T MRI examinations and 2% of 1.5 T MRI examinations 6. On inter-group comparison, the group in which debulking was done had better mean KSS and mean IKDC score at 2years of follow-up (p<0.05). The ACL graft (arrow) is abnormally lax and demonstrates abnormally increased signal intensity, likely secondary to degeneration from chronic mechanical stress. Method. Without adequate and timely treatment, . Follow us on social media for the latest updates, Future Medicine Ltd, Unitec House, 2 Albert Place, London, N3 1QB, UK, We use cookies to improve your experience. The Infona portal uses cookies, i.e. 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. . [4]showed high percentages of laxity post debulking of MD-ACL, a finding which would not allow a surgeon to carry out a UKA after the debulking. Anterior knee pain is the more common complaint. Mucoid degeneration of the anterior cruciate ligament (ACL) is a common pathology but is often unknown and underdiagnosed. Scribd adalah situs bacaan dan penerbitan sosial terbesar di dunia. Am J Roentgenol 182(5):12831287. PubMed Central DOI: 10.1016/J.JAJS.2015.12.001 Corpus ID: 74774556; Mucoid degeneration of the anterior cruciate ligament: Partial arthroscopic debridement and outcomes @article{Khanna2016MucoidDO, title={Mucoid degeneration of the anterior cruciate ligament: Partial arthroscopic debridement and outcomes}, author={Gagan Khanna and Rajan Sharma and Aditya Bhardwaj and Harjot S. Gurdutta and Deepak Agrawal and . Mucoid degeneration of the anterior cruciate ligament (ACL) of the knee can cause knee pain and other symptoms. [] 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. Hence, we targeted a minimum sample size of 400 patients. Histopathological confirmation of mucoid degeneration was obtained in all 442 patients. 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 . However, young patients . The pathogenesis of mucoid degeneration is unclear, but injury, ganglion cysts, and degenerative process have been implicated as the most likely etiologic factors in the production of this change. Once considered a rare disease, it is probably a less diagnosed condition of knee pain. 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. A: ACL (anterior cruciate ligament) mucoid degeneration means the lesion of the ACL. It is a very rare cause of knee pain and can be diagnosed preoperatively on MRI. mucoid degeneration of acl mri. These patients who underwent UKA with debulking of MD-ACL were included in group B (nb=226). Part of 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. The cause is not really known, but patients usually do not complain of instability. Diet therapy and various other treatments (general aspects) Discipline Radiotherapy. The authors presume that this objective end point suggests adequate debulking, just enough to remove the impingement factor from the lateral femoral condyle, femoral notch and PCL, and consequently the symptoms associated with the impingement. just over two decades ago [1], the interest in this condition has quickly gathered pace in the orthopaedic community. PubMed This content does not have an Arabic version. It can cause pain and to a meniscal tear. Anterior cruciate ligament (ACL) injuries. Google Scholar, Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A (2021) Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. Mucoid degeneration of acl (anterior cruciate ligament) is not a common problem and mostly it is found in female patients. https://doi.org/10.20546/ijcrar.2016.411.003, Chudasama CH, Chudasama VC, Prabhakar MM (2021) Arthroscopic management of mucoid degeneration of anterior cruciate ligament. 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. Treatment of Atherosclerotic Disease of the Femoral Artery: Randomized Controlled Trials and Meta-Analyses. New York, N.Y.: McGraw-Hill Education; 2019. https://accessmedicine.mhmedical.com. A June 2018 MRI of the cervical spine found multilevel degenerative changes of the cervical spine, . 2015;23:283. 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 . An ACL injury is a tear or sprain of the anterior cruciate (KROO-she-ate) ligament (ACL) one of the strong bands of tissue that help connect your thigh bone (femur) to your shinbone (tibia).ACL injuries most commonly occur during sports that involve sudden stops or changes in direction, jumping and landing such as soccer, basketball, football and downhill skiing.