Freedom from war and natural disaster. The ACL appears on MRI to be enlarged with cystic changes throughout, however it is intact. Mucoid degeneration of ACl is a rare pathological process involving knee joint. was the primary surgeon and was responsible for the conceptualization, methodology, supervision, writing review and editing. Main symptoms are pain during terminal knee flexion (as in squatting) feeling of heaviness/tiredness in the knee. What is the meaning of mucoid degeneration? 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. Incidence of second ACL injuries 2 years after primary ACL reconstruction and return to sport. Health. Background. The authors did not perform stress tests. https://doi.org/10.4103/0019-5413.128765, Article 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. : any of various mucoproteins that occur especially in secretions of mucous membranes. Platelet-rich plasma (PRP) is known to influence musculoskeletal healing through multiple growth factors. Predetermined inclusion and exclusion criteria were used for sample collection. Most older patients with meniscus tears can obtain relief from symptoms such as pain, swelling and decreased range of motion, and improve function, without surgery. Subsequently, controlled debulking of the posterolateral fibers was done using a 15-number blade until it was possible to tug at the ACL by passing a hook between the lateral femoral condyle and the posterolateral fibres of the ACL (Fig. Patients will . Not really known: Mucoid degeneration of the ACL is seen most commonly in adults (35-55 years of age). 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 ). [2]. Results: Visual analogue scale and Lysholm scores improved compared with preoperative scores, along with strength (anterior drawer test and Lachman test). Sun H, Gill TJ. 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. Close. Several critical distinctions allow a confident diagnosis of an ACL ganglion cyst. These appearances must be differentiated from mucoid degeneration of the intact ACL. The minimum follow-up was 3 years. ACL Injury Grades. The rest of the surgery remained the same and all patients underwent mobile-bearing Oxford UKA. The etiology of cruciate ligament ganglion cysts is uncertain. Evaluate the TCO of your PACS download >, 750 Old Hickory Blvd, Suite 1-260Brentwood, TN 37027, Focus on Musculoskeletal and Neurological MRI, The Anterior Meniscofemoral Ligament of the Medial Meniscus. Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study, https://doi.org/10.1186/s43019-022-00169-9, https://doi.org/10.1302/0301-620X.81B2.0810304, https://doi.org/10.2214/ajr.182.5.18212835, https://doi.org/10.1007/s00167-011-1433-0, https://doi.org/10.1007/s00167-012-1991-9, https://doi.org/10.1186/s43019-021-00110-6, https://doi.org/10.1016/j.knee.2020.06.004, https://doi.org/10.1302/0301-620X.73B4.2071640, https://doi.org/10.1016/j.knee.2010.05.003, https://doi.org/10.3109/17453679209154722, https://doi.org/10.1302/0301-620X.93B4.25562, https://doi.org/10.1186/s10195-020-00551-x, https://doi.org/10.1177/03635465010290051301, https://doi.org/10.1016/j.eats.2017.11.006, https://doi.org/10.20546/ijcrar.2016.411.003, https://doi.org/10.4055/cios.2018.10.3.307, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/. https://doi.org/10.1016/j.knee.2020.06.004, Article What is one assumption of Freud's psychoanalytic theory? 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. 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 cruciate ligament, improving patient satisfaction and function without causing clinical instability in daily activities. [] 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. et al. We reviewed previous reports and summarized clinical features and symptoms, including those found in our case. maude adverse event report: genzyme biosurgery (ridgefield) synvisc one intra-articular hyaluronic acid Quadriceps and hamstring weakness are common features of people with symptomatic degenerative meniscal tears Surgery may address the structural injury, but I saw this news report on CNN politics and somehow I find Mr. Trumps theory on human energy really interesting, so he Its Christmas day, and everything should have gone just in its right way, except it doesnt. A: ACL (anterior cruciate ligament) mucoid degeneration means the lesion of the ACL. They are relatively uncommon, and their exact aetiopathogenesis is still not clear. The authors state that they have obtained appropriate institutional review board approval or have followed the principles outlined in the Declaration of Helsinki for all human or animal experimental investigations. 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. Accumulation of mucopolysaccharides at the meniscal interstitial area disrupts the collagen network and weakens the meniscus. Two characteristic MR appearances have been described for ganglion cysts of the ACL. To provide the highest quality clinical and technology services to customers and patients, in the spirit of continuous improvement and innovation. 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. AskMayoExpert. Google Scholar, White SH, Ludkowski PF, Goodfellow JW (1991) Anteromedial osteoarthritis of the knee. statement and (8a) Intraosseous extension of an ACL ganglion. Breast cancer is one of the most common cancers in women, with more than 2 million new diagnoses last year alone. The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. anterior cruciate ligament mucoid degeneration; mucoid degeneration of the triangular . 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. Platelet-rich plasma (PRP) is known to influence musculoskeletal healing through multiple growth factors. . Enter your email address below and we will send you the reset instructions. Anterior Cruciate Ligament, is an important structure of the knee joint. The lesion may look like an elongated cyst along the long axis of the ACL, or as an enlarged ACL. We describe Arthroscopic near total debridement of mucoid degenerated ACL in . With the advent of the mobile-bearing UKA system, the predilection towards this surgery is on an upward trend. J Bone Jt Surg Br 93(4):4768. What happens if you dont get surgery on a torn ACL? 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. The treatments all help with back and hip pain but I have a consistent back-of-knee pain that worsens with walking. In patients undergoing UKA and diagnosed with mucoid degeneration of the ACL, controlled debulking of the ACL provides better functional outcomes as compared with non-debulking of the mucoid ACL. customer@scirp.org +86 18163351462(WhatsApp) How long does it take an ACL to heal without surgery? Ellman MB, et al. Both the patient groups were matched for age, gender, pre-operative ROM and functional scores, minimising any confounding effect in data collection. American Academy of Orthopaedic Surgeons. Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is a very rare cause of knee pain. Papers of special note have been highlighted as: of interest. ), or their login data. The median age of the affected population is estimated to be 51years [5]. Besides, the patient may also have trouble in moving. 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. [21]. Treatment of Atherosclerotic Disease of the Femoral Artery: Randomized Controlled Trials and Meta-Analyses. K Munde: Substantial contributions to the design of the work, analysis of the data for work, agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. Terms and Conditions, Papadakis MA, et al., eds. 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. Community. Cookies policy. This study holds clinical significance in terms of the very limited literature available on the role of MD-ACL in outcomes of patients undergoing UKA. UKA by itself improves the functional and clinical outcome of patients with medial compartment osteoarthritis. The Infona portal uses cookies, i.e. strings of text saved by a browser on the user's device. Debulking of mucoid ACL in patients undergoing unicompartmental knee arthroplasty significantly reduces the rest pain and improves the final range of motion of the knee joint, subsequently improving the overall functional and clinical outcome of the patient and resulting in greater patient satisfaction. Autologous PRP, prepared by double spin protocol, was injected into the remaining ACL after partial debridement was done. J Bone Jt Surg [Br] 68-B:608609, Kang SN, Smith TO, De Rover WBS, Walton NP (2011) Pre-operative patellofemoral degenerative changes do not affect the outcome after medial Oxford unicompartmental knee replacement: a report from an independent centre. It is postulated that mucoid degeneration may be a predisposing factor to the formation of ACL ganglion cysts . This study used PRP to augment the weakened ACL and followed patients for 1 year to assess outcomes. S Banerjee: Substantial contributions to the conception, drafting the work interpretation of data for the work, agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. Why Do Cross Country Runners Have Skinny Legs? "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. . Considering a dearth of studies that evaluates the effect of debulking an ACL with mucoid degeneration, more prospective studies with larger sample size and longer follow-up period are encouraged to corroborate the findings of this study. However, young patients . Flowchart representation of selection process of sample size, intervention process and outcome assessment. Without a properly functioning ACL, the other structures of the knee experience greater strain, which causes further injuries to tissues in the knee.