Provided by the Springer Nature SharedIt content-sharing initiative. The https:// ensures that you are connecting to the Before 1. Unable to load your collection due to an error, Unable to load your delegates due to an error. Hsu CJ, Wang SC, Fong YC, Huang CY, Chiang IP, Hsu HC. Some case reports have been published; however, it is difficult to diagnose and is often underdiagnosed or misdiagnosed because of its pathophysiological ambiguity. Orthop Traumatol Surg Res. Keywords: Knee Surg Sports Traumatol Arthrosc 21(3):658663. Mucoid cystic degeneration of the cruciate ligament. Here are the search results of the thread mucoid degeneration of acl treatment from Bing. Bookshelf Bergin et al. The origin of MDACL may be degenerative or traumatic. 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. This series describes the clinicoradiological presentation of patients with mucoid ACL, partial arthroscopic debridement of ACL and outcomes. On clinical examination, the active range of motion showed a flexion deficit. Reeducation. 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. as very low (04 points), low (58 points), good (912 points) or excellent (1316 points) [12]. The pathogenesis remains controversial. Chudasama CH, Chudasama VC, Prabhakar MM. 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. Rehabilitation, orthophony, crenotherapy. [Effectiveness of bone-anterior cruciate ligament-bone allograft in reconstruction of anterior cruciate ligament under arthroscope]. http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42018087782. 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. Arthroscopic examination analyzed the ACL aspect and its associated lesions (meniscus, cartilage). Please enable it to take advantage of the complete set of features! Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. 2011. https://doi.org/10.2214/ajr.182.5.1821283, Article PMC There was no mention in the other three studies [13, 15, 18] of whether other procedures were performed simultaneously. It can cause pain and to a meniscal tear. Symptomatic ACL mucoid degeneration in middle-age athletes. Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. Knee Surgery & Related Research The inclusion criteria for this study were (1) studies including symptomatic patients with mucoid degeneration of the ACL, (2) studies of 10 or more patients, (3) a minimum of 6months follow up and (4) patients treated conservatively or surgically (arthroscopic debridement with or without simultaneous ACL reconstruction). Learn how we can help 704 views Reviewed >2 years ago Thank Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. 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. This makes it difficult to relate the improvement of symptoms to ACL debridement. Download Citation | On Feb 1, 2023, O.R. Mumbai, Maharashtra, India. -, Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK. 2023 BioMed Central Ltd unless otherwise stated. Would you like email updates of new search results? To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. to 44% in the study of Cha et al. Unable to load your collection due to an error, Unable to load your delegates due to an error. Epub 2011 Feb 18. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. Introduction Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known pathology. have described the following MRI criteria [4]: (1) high signal intensity in the T1 and T2 sequences, (2) increased ACL volume and (3) continuous fibres of ACL shown in the T2 sequence. 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. J Bone Joint Surg Ser B 81(2):304305. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. No reconstruction was performed at the same time. 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. Association between magnetic resonance imaging characteristics and pathological findings in entire posterior cruciate ligament with mucoid degeneration. Posterior pain disappeared in 27 cases (93%), on average 3.7 weeks after the procedure. Ever since mucoid degeneration of the anterior cruciate ligament (MD-ACL) was named by Kumar et al. The minimum follow-up was 3 years. 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. 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). "Traumatic theory - post injury, ACL fibroblasts secrete glycosaminoglycans, the mucin substance within the ACL. Generally, we know little about this condition. Mucoid degeneration of ACL. eCollection 2022 May-Jun. AJR Am J Roentgenol. Introduction: Coronal proton density-weighted magnetic resonance imaging shows a thickening of the anterior cruciate ligament. Physiotherapy. California Privacy Statement, NCI CPTC Antibody Characterization Program. reported the largest percentage of patients (27.5%) with a positive pivot test. Reeducation. Complete resection of the ACL without ACL reconstruction is a reliable treatment for symptomatic cases of mucoid degenerated ACL. Arthroscopically ACL is intact but fibrillated, yellowish and hypertrophied,with interspersed yellowish mucinous material along the fibers, lack of synovial linning of the ACL. However, symptomatic instability was not common. official website and that any information you provide is encrypted FOIA 42 Mucoid degeneration of the anterior cruciate ligament with erosion of the lateral femoral condyle P. Melloni, R. Valls, M. Yuguero, A. Saez Medicine However, in the case of mucoid degeneration secondary signs of an ACL injury are usually absent. Keywords: 2011. el Kadi KI, Marcaillou F, Blanc S, Salloum B, Dimontagliari C, Boutayeb F. Pan Afr Med J. Post-debridement arthroscopic view showing yellowish, Post-debridement arthroscopic view showing yellowish lesion of the anterior cruciate ligament which was, MeSH A long duration of non-specific knee pain in a patient should be evaluated with MRI. Epub 2018 Aug 22. Am J Roentgenol 182(5):12831287. https://doi.org/10.1007/s00167-011-1433-0, Article Hamal B, Karmacharya M, Mangal Joshi K, Gorkhali R. J Nepal Health Res Counc. Postoperative ACL laxity is common after arthroscopic ACL debridement, however, symptomatic instability is not. Online ahead of print. 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. . 2018 Apr;34(4):1054-1059. doi: 10.1016/j.arthro.2017.10.039. Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first characterized by Kumar et al. official website and that any information you provide is encrypted 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. 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 . This is basically an MRI diagnosis of expansion and increased signal of an intact ACL in a person with knee pain which is worse on knee flexion/bending. 2012;4 (2): 167-70. Glossary of terms for musculoskeletal radiology. The authors declare that they have no competing interests. There was an improvement in postoperative range of motion and outcome scores (Lysholm and International Knee Documentation Committee scores and the Knee Injury and Osteoarthritis Outcome Score). 2010 Jun;96(4):400-6. doi: 10.1016/j.otsr.2010.02.008. 2013 Oct;99(6):693-7. doi: 10.1016/j.otsr.2013.04.010. Epub 2021 Nov 24. report that one patient had ACL reconstruction simultaneously after the ACL debridement. The rate of association between meniscal tears and MDACL ranged from 9 to 96%. There was strong association between degenerative changes and MDACL (82% having chondral and 69% meniscal lesions), which might suggest that MDACL is a degenerative process. Bookshelf Mucoid degeneration of the anterior cruciate ligament. J Knee Surg. Symptomatic instability was highest in the study of Lintz et al. 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. [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%). Unauthorized use of these marks is strictly prohibited. . 2007;245 (3): 916-7. and transmitted securely. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Orthop Traumatol Surg Res. Pan African Medical Journal. 2001;30(6):312315. The reported restriction of range of movement was flexion deficit in four studies [3, 13, 15, 17], extension deficit in one study [14] and combined flexion and extension deficit in four studies [6, 16, 18, 19] (Table4). For non-comparative studies, this consists of eight questions. I give my consent to Physiopedia to be in touch with me via email using the information I have provided in this form for the purpose of news, updates and marketing. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. Finally, partial meniscectomy was commonly performed simultaneously with ACL debridement in all studies, which arguably could be the reason for the postoperative improvement. The origin of MDACL may be degenerative or traumatic. 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. There was a high rate of association between degenerative lesions and MDACL, ranging from 39 to 96%. Coronal T2 weighted fat suppressed fast spin echo image showed complex anterior cruciate ligament ganglion cyst arising from superior aspect of ligament. 2004;182(5):12831287. This is a characteristic appearance of ACL mucoid degeneration where the ACL is expanded and hyperintense but is still continuous with normal alignment. did not report on this. official website and that any information you provide is encrypted government site. maude adverse event report: genzyme biosurgery (ridgefield) synvisc one intra-articular hyaluronic acid Postoperative follow-up included standard radiography and dynamic examination, measuring laxity with a Telos device. in 1999 [ 1 ]. Mucoid degeneration,: like degenerative arthritis of a joint, generally occurs as a results of aging. In most cases Physiopedia articles are a secondary source and so should not be used as references. the degree of laxity, and the patient's age and willingness to pursue vigorous postoperative physical therapy are other major determinants. Therefore, indications for ACL resection must be carefully selected. Twelve partial and 17 total resections were performed. ACL mucoid degeneration is present on ~10% (range 9-12%) of 3 T MRI examinations and 2% of 1.5 T MRI examinations 6. Arthroscopy 20(2):141146. 2011. and transmitted securely. The site is secure. Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. A 48-year-old-male patient presented with knee pain and limitation of motion. Cookies policy. The mean age at the time of surgery was 57 years (range, 31 to 78 years). 1). . 2022 Mar;50(3):3000605221084865. doi: 10.1177/03000605221084865. Knee. 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). Effects of pre-operative knee laxity on clinical outcomes after partial anterior cruciate ligament reconstruction. This site needs JavaScript to work properly. -, Hsu CJ, Wang SC, Fong YC, Huang CY, Chiang IP, Hsu HC. Noninfiltrating synovial cysts of the ACL were excluded. and transmitted securely. The .gov means its official. However, the authors did not report whether there were any other patients with symptomatic instability. Physical Therapy. proposed reduction plasty, which is reduction of the ACL to normal volume without excision of all mucoid tissue. what causes mucoid degeneration of acl. Bookshelf -, Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. FOIA 2011 Mar;25(3):262-5. reported on the co-existence of mucoid degeneration and ganglia of the ACL. 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/. 2018;4(4):875-80. Both anterior cruciate ligament ganglion cysts and mucoid degeneration have a high association with intraosseous cysts [3] (figures 1 and 2). The mean follow up ranged from 13 to 72months. Magn Reson Imaging Clin N Am. https://doi.org/10.1016/j.arthro.2003.11.030, Moher D, Liberati A, Tetzlaff J, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Unable to load your collection due to an error, Unable to load your delegates due to an error. Dietary management and various treatments Scanning and diagnostic . 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. Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. Histologically, there is a mucoid substance in connective tissue containing glycoproteins and mucoproteins [8]. https://doi.org/10.1007/s002560100336, Narvekar A, Gajjar S (2004) Mucoid degeneration of the anterior cruciate ligament. 2008 Jun;24(6):642-9. doi: 10.1016/j.arthro.2008.02.004. Disclaimer. MRI is better at detecting mucoid degeneration than arthroscopy, as the surface of the ligament is often intact. ACL tears don't heal as such. 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]. Histological diagnosis was established by tissue biopsy in all patients in five studies, with a total of 87 knees. 1999;81(2):304305. 2022 Mar;50(3):3000605221084865. doi: 10.1177/03000605221084865. Secondary signs include bone bruising, meniscal tears, anterior subluxation of the tibia and other ligamentous injuries. 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). Twenty knees (69%) had associated cartilaginous lesions and 19 (66%) had meniscal lesions. On MRI, the ligament is thickened and ill-defined with a "celery stalk" appearance. Mucoid degeneration of the anterior cruciate ligament. Outcome of Arthroscopic Treatment of Mucoid Degeneration of the Anterior Cruciate Ligament. 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. 2006;69(9):44952. IV (retrospective cohort study). Check for errors and try again. Level of evidence: This study hypothesized that arthroscopic debridement of MDACL would provide patients with improvement in pain, range of movement and functional outcome scores. 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. Indian J Orthop 48(2):197202. Background: It often presents with progressive knee pain, restriction in range of motion without a significant history of trauma, and without knee instability. J Arthrosc Joint Surg 3(1):2833. 2004;182(5):12837. Would you like email updates of new search results? Each study was scored 02 on each question, with a global ideal score of 16. Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. 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 Ahuja A, Parekh C, Salomon A, Lawande M, Daftary A. Skeletal Radiol. Mucoid degeneration of the anterior cruciate ligament (ACL) of the knee can cause knee pain and other symptoms. (A) Bulging of, Fig. #radiologycpd #medicalimaging #imaging #radcme #rheumatology #arthritis #rheumatologist #orthopaedic #painphysician #physiotherapy #sportsmed #orthopaedic #mskmri. Skelet Radiol 30(6):312315. The retrospective study by Kim et al. Mucoid degeneration of the anterior cruciate ligament: a case report. Level of Evidence: Level IV. CAS Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. 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. HHS Vulnerability Disclosure, Help In these studies, the total number of patients with a postoperative positive Lachman test was 40% (77 of 194 patients). Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of anterior knee pain (AKP). MM and A performed the literature search, and data analysis. Anatomopathology samples were collected in 18 cases. 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. GG and AM interpreted the results and reviewed the manuscript. A total of nine studies were eligible for review. This may support the theory that it is a degenerative process. I have persistent pain in the back of that knee that is exacerbated by walking and bending it. Eight patients (72.7%, n=8) reported an improvement of knee instability, while three patients (27.3%, n=3) experienced an unchanged knee stability. 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 2004 Feb;20(2):141-6. doi: 10.1016/j.arthro.2003.11.030. Disclaimer. Conclusion: The prevalence of MDACL on magnetic resonance imaging (MRI) ranges from 1.8 to 5.3% [4, 5]. Any discrepancy was resolved by the senior author. government site. 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. 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. 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. Google Scholar, Cha JR, Lee CC, Cho SD, Youm YS, Jung KH (2013) Symptomatic mucoid degeneration of the anterior cruciate ligament. The author(s) read and approved the final manuscript. -Provided skilled hands on in post-op rehabilitation to various population including Head and neck cancers, Lymph edema management, Bone cancers. Clipboard, Search History, and several other advanced features are temporarily unavailable. They respond well to a judicious arthroscopic release of the ACL with notchplasty. 5. Six studies reported using the pivot shift test; unsurprisingly, Lintz et al. Treatment modalities for ACL ganglion cyst include arthroscopic excision or puncture, CT scan, and ultrasound-guided aspiration [25-26]. 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 ]. JBR-BTR. Careers. I have multiple issues - spondylolisthesis in L4/L5 and L5/S1, osteopenia and osteoarthritis. Skeletal Radiology. The aetiology of MDACL is not clearly understood. Orthopedics; anterior cruciate ligament; arthoscopy. and Ventura et al. The cause is not really known, but patients usually do not complain of instability. 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. Preoperative and postoperative results of eleven patient were compared. The https:// ensures that you are connecting to the Management of mucoid degeneration of the anterior cruciate ligament: a systematic . 2013;15(1). 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). -Delivered Pre-rehab care for breast cancer and thoracic cancer cases. 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. However, MDACL is asymptomatic in most patients. What is Anterior Cruciate Ligament Mucoid Degeneration? MDACL is differentiated from synovial cysts of the anterior cruciate ligament (ACL) where, in MDACL, mucoid tissue intermingles within ACL fibres and is not contained within a cyst [3]. The anterior cruciate ligament (ACL) is one of the more vital and more easily injured ligaments within our knee. -Evaluated and planned treatment protocol in accordance with physician. 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. A total of 313 knees in 292 patients were included. Study record managers: refer to the Data Element Definitions if submitting registration or results information.. Search for terms Epidemiology The likelihood of mucoid change within ligaments and tendons increases with age 1. It results in postoperative laxity, but rarely in frank instability. Google Scholar, Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P (2010) Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. Fig. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. Bookshelf Mucoid degeneration of the anterior cruciate ligament (ACL) is a very rare cause of knee pain. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. Therefore, indications for ACL resection must be carefully selected. Bethesda, MD 20894, Web Policies Knee Surg Sports Traumatol Arthrosc. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. Epub 2010 May 8. https://doi.org/10.1186/s43019-021-00110-6, DOI: https://doi.org/10.1186/s43019-021-00110-6. (Table 3). In six of the nine studies [6, 14, 16,17,18], arthroscopic debridement of the ACL was associated with simultaneous partial meniscectomy; this ranged from 13% in the study of Morice et al. The extracted data were assessed for meta-analysis. 2018 Sep;10(3):307-314. doi: 10.4055/cios.2018.10.3.307. That is usually the journal article where the information was first stated. In this systematic review we found that arthroscopic debridement resulted in good pain relief and improved range of motion and clinical outcome scores. 8600 Rockville Pike Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. 8600 Rockville Pike Epub 2018 Jan 2. FOIA AJR Am J Roentgenol. Association between magnetic resonance imaging characteristics and pathological findings in entire posterior cruciate ligament with mucoid degeneration. Arch Orthop Trauma Surg. Treatment for MDACL usually starts non-surgically with anti-inflammatory drugs and physiotherapy. 2019 Jun;32(6):577-583. doi: 10.1055/s-0038-1660514. Arthroscopic debridement of the anterior cruciate ligament (ACL) results in satisfactory pain relief and improvement in knee outcome scores. Postoperative Lachman test was positive in 40% of patients, and 6% of patients had symptomatic instability. The .gov means its official. government site. bling. Its signal is increased on all sequences. The ligament is mainly responsible for restraining anterior translation of knee. 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. A posterior approach will allow for the detection of changes by probing the ligament and mucoid material can be expressed. https://doi.org/10.1016/j.jclinepi.2009.06.005. All studies focused on the outcome of arthroscopic debridement of MDACL, with no studies on conservative treatment. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option.
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