mucoid degeneration of acl physiotherapy

Ligaments are very tough, fibrous tissue structures. Arthroscopy. Categories were determined in accordance with the study of Ekhtiari et al. government site. Anterior knee pain is the more common complaint. (2018) Radiology. Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. 2006;69(9):44952. and transmitted securely. Knee Surg Sports Traumatol Arthrosc. This site needs JavaScript to work properly. Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. See this image and copyright information in PMC. Eight studies reported postoperative instability. 4. (B) Partial resection, MeSH Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. HHS Vulnerability Disclosure, Help It can cause pain and to a meniscal tear. -. 2011 Aug 1;19(8):1326-33. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. Introduction Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. 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. Young and active patients should be warned about the risk of requiring secondary ligamentoplasty. 2004;182 (5): 1283-7. Therefore, indications for ACL resection must be carefully selected. The review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines and registered in the PROSPERO database (CRD42018087782). Advanced MR imaging of the cruciate ligaments. The lesion may manifest as an elongated cyst along the long axis of the ACL, or as an enlarged ACL. In contrast to the tear, mucoid degeneration of the ACL characteristically does not cause knee instability [20, 21, 22]. Postoperative Lachman test was positive in 40% of patients, and 6% of patients had symptomatic instability. Clipboard, Search History, and several other advanced features are temporarily unavailable. The mean age at the time of surgery was 57 years (range, 31 to 78 years). 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 . J Sports Med Phys Fitness 48(4):483487, PubMed sharing sensitive information, make sure youre on a federal [6], in 62% of patients (18 of 29) in the study of Lintz et al. Anterior cruciate ligament ganglia and mucoid degeneration: Coexistence and clinical correlation. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 2022 Apr 11;31:67-71. doi: 10.1016/j.jor.2022.04.004. The clinical presentation is one of posterior pain with limited flexion. Some case reports have been published; however, it is difficult to diagnose and is often underdiagnosed or misdiagnosed because of its pathophysiological ambiguity. 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/. For non-comparative studies, this consists of eight questions. reported on the co-existence of mucoid degeneration and ganglia of the ACL. Six studies reported using the pivot shift test; unsurprisingly, Lintz et al. Mucoid Degeneration of the Anterior Cruciate Ligament: Characterization of Natural History, Femoral Notch Width Index, and Patient Reported Outcome Measures. Arthroscopic examination analyzed the ACL aspect and its associated lesions (meniscus, cartilage). Both anterior cruciate ligament ganglion cysts and mucoid degeneration have a high association with intraosseous cysts [3] (figures 1 and 2). in 1999 [1]. All patients (100%, n=11) reported a good to very good surgery satisfaction. 2006 Sep;69(9):449-52. doi: 10.1016/S1726-4901(09)70290-4. MRI is better at detecting mucoid degeneration than arthroscopy, as the surface of the ligament is often intact. Outcome of Arthroscopic Treatment of Mucoid Degeneration of the Anterior Cruciate Ligament. Part of There is strong association between MDACL and chondral and meniscal lesions, which may support the theory that MDACL is a degenerative process. Sixty-one patients underwent T2*WI and PDWI at 3, 6, and 12 months postoperatively. Keywords: Postoperative recovery was four weeks on average. Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first described in the literature in 1999.1 Since then, MD-ACL has been recognized as a pathology present on between 0.7% and 5.3% of magnetic resonance images performed for knee pain.2 MD-ACL is thought to be part of a spectrum of ACL disease that can range from ganglion cysts to MD.3 MD-ACL can either be primary (idiopathic . Knee Surgery & Related Research Histological diagnosis was established by tissue biopsy in all patients in five studies, with a total of 87 knees. Its interstitial nature within the ACL structure contrasts with synovial cyst of the ACL. and transmitted securely. Symptoms included limited range of motion (ROM) and posterior knee pain. Partial/Total ACL resection arthroscopically- There is marked improvement in the range and reduced posterior pain, but at the cost of increased post-operative knee laxity. It results in postoperative laxity, but rarely in frank instability. Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of knee pain. 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. Epub 2018 Jan 2. Knee Surg Sports Traumatol Arthrosc. Epub 2011 Feb 18. Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. Rehabilitation, orthophony, crenotherapy. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. Clin Orthop Surg. volume33, Articlenumber:26 (2021) In the nine included studies, four different scores were used for outcome assessment. 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. 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. 2012 Sep;46(5):561-5. doi: 10.4103/0019-5413.101037. W B Saunders Co. (2005) ISBN:0721602703. Rajani AM, Shah UA, Mittal ARS, Gupta S, Garg R, Punamiya M. Knee Surg Relat Res. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. Average improvement in flexion was 21.5 degrees (0 to 60 degrees). sharing sensitive information, make sure youre on a federal bling. 2018;4(4):875-80. The https:// ensures that you are connecting to the ACL debridement was partial in all studies except for those by Lintz et al. A total of nine studies were eligible for review. Several authors have identified this condition, described their experiences, and suggested their own guidelines for management. HHS Vulnerability Disclosure, Help 2001;17(9):E37. . The anterior cruciate ligament (ACL) is one of the more vital and more easily injured ligaments within our knee. 2. (61years), which was the largest study and represented more than one third of the total patients included in this review. eCollection 2022 May-Jun. 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 We report a case of mucoid degeneration of the ACL in a 50-year-old female with knee pain of 18 months duration. Would you like email updates of new search results? maude adverse event report: genzyme biosurgery (ridgefield) synvisc one intra-articular hyaluronic acid The mean follow up ranged from 13 to 72months. Not really known: Mucoid degeneration of the ACL is seen most commonly in adults (35-55 years of age). 8600 Rockville Pike 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. Symptomatic ACL mucoid degeneration in middle-age athletes. Accessibility Association between magnetic resonance imaging characteristics and pathological findings in entire posterior cruciate ligament with mucoid degeneration. In this systematic review we found that arthroscopic debridement resulted in good pain relief and improved range of motion and clinical outcome scores. All nine included studies utilized MRI of the knee to establish a radiological diagnosis as an inclusion criterion. The need for delayed ACL reconstruction should be discussed preoperatively, especially if complete resection of the ACL is to be performed. https://doi.org/10.1302/0301-620X.81B2.0810304, Article 2021 Sep;50(9):1837-1843. doi: 10.1007/s00256-021-03750-7. government site. Before Mucoid degeneration of the anterior cruciate ligament: a case report. They reported that a biopsy indicated mucoid degeneration and a relief of symptoms could be obtained through arthroscopic partial resection of the ligament. 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. Unable to load your collection due to an error, Unable to load your delegates due to an error. Arthroscopy. Indian J Orthop 46(5):561565. official website and that any information you provide is encrypted Association between magnetic resonance imaging characteristics and pathological findings in entire posterior cruciate ligament with mucoid degeneration. Eight studies showed postoperative improvement in range of motion, whereas Khanna et al. The pathogenesis remains controversial. 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. Twelve partial and 17 total resections were performed. Symptomatic instability was highest in the study of Lintz et al. CAS Disclaimer. On clinical examination, the active range of motion showed a flexion deficit. Would you like email updates of new search results? Introduction Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known pathology. Its signal is increased on all sequences. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. This study concerns complete ACL resection as a treatment of mucoid degenerated ACL. Mucoid degeneration of the anterior cruciate ligament (ACL) is regarded as a degenerative change in the ligament, which is clinically presented with pain on full extension or flexion in the middle-aged population. J Clin Epidemiol 62(10):10061012. Sometimes, it is mislead as ACL tear on MRI findings, hence requires probing and histopathology for definitive diagnosis. Arthroscopic resection of ACL mucoid degeneration is effective for treating pain and flexion limitation, but at the expense of anterior laxity. This did not appear to affect the postoperative rate of clinically detectable laxity, which was comparable to that in other studies. The minimum follow-up was 3 years. With cruciate ligament ganglia, intact ACL fibers can often be visualized coursing through or around the cyst. Epub 2011 Feb 18. Postoperative pain relief was reported in seven studies. MEDLINE, Embase, Google Scholar, Cochrane, ISI web of science and Scopus were comprehensively searched from the earliest year of indexing until 10 July 2020. -, Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK. Postoperative ACL laxity is a common finding after ACL arthroscopic debridement, however, symptomatic instability is not. Mucoid degeneration of ACL Justamom21 Feb 17, 2023 7:27 AM Among other conditions - osteoarthritis, osteopenia, spondylolisthesis- an MRI report showed "severe mucoid degeneration of the ACL" in my left knee. Secondary signs include bone bruising, meniscal tears, anterior subluxation of the tibia and other ligamentous injuries. Arthroscopic debridement may help relieve the anterior knee pain. 2004;182(5):12831287. For treatment of this, partial removing of bulky ACL is generally done, which causes weakness of the ACL. The extracted data were heterogeneous in terms of outcome assessment. #radiologycpd #medicalimaging #imaging #radcme #rheumatology #arthritis #rheumatologist #orthopaedic #painphysician #physiotherapy #sportsmed #orthopaedic #mskmri. Introduction: Only nine studies met our inclusion criteria and they were all case series. ACL (anterior cruciate ligament) mucoid degeneration means the lesion of the ACL. Knee Surg Sports Traumatol Arthrosc 19(8):13261333. It is a chronic degenerative change of a bulky ACL that may lead to notch . proposed reduction plasty, which is reduction of the ACL to normal volume without excision of all mucoid tissue. What Is Mucoid Degeneration of the ACL? There was strong association between MDACL and chondral lesions (82%) and between MDACL and meniscal tears (69%). -, Hensen JJ, Coerkamp EG, Bloem JL, De Schepper AM. Careers. Tamer Sweed. 2013 Oct;99(6):693-7. doi: 10.1016/j.otsr.2013.04.010. Online ahead of print. Springer Nature. Epub 2008 Apr 18. Glossary of terms for musculoskeletal radiology. Mucoid degeneration of ACL. There is no consensus on treatment and evidence is scarce. 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. . PMC Two patients uderwent secondary ligamentoplasty. http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42018087782. Coronal proton density-weighted magnetic resonance imaging shows a thickening of the anterior cruciate ligament. An official website of the United States government. Mucoid degeneration, is the irreversible degeneration of the tissue with the infiltration of mucin(glycosaminoglycans) within the fibers[1][2]. Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. Epub 2010 May 8. 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. Morice et al. In most cases Physiopedia articles are a secondary source and so should not be used as references. Background: The mean MINORS score was 9.5 out of 16 (412). Individuals with mucoid degeneration of the ACL were excluded. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. official website and that any information you provide is encrypted 2010 Jun;96(4):400-6. doi: 10.1016/j.otsr.2010.02.008. AJR Am J Roentgenol. Here are the search results of the thread mucoid degeneration of acl treatment from Bing. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Orthop Traumatol Surg Res. Postoperative clinical laxity was common, however, symptomatic instability was not. -, McIntyre J, Moelleken S, Tirman P. Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears. 2011. el Kadi KI, Marcaillou F, Blanc S, Salloum B, Dimontagliari C, Boutayeb F. Pan Afr Med J. If arthroscopy is performed, the ligament may appear entirely normal, especially using the standard anterior portal approach. Five studies demonstrated improved postoperative functional outcome scores compared to preoperative scores [6, 14, 16, 18, 19]. Bethesda, MD 20894, Web Policies Sweed, T., Mussa, M., El-Bakoury, A. et al. 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. A 48-year-old-male patient presented with knee pain and limitation of motion. Preoperative magnetic resonance imaging (MRI), Fig. [Diagnosis and treatment of anterior cruciate ligament cysts]. Instrumental treatment. National Library of Medicine Download Citation | On Feb 1, 2023, O.R. TS designed the project, literature search and wrote the manuscript. Preoperative and postoperative KOOS questionnaires were compared and showed improvement in all categories. FOIA Sep 2017 - Feb 20186 months. As there was no control group in any of the studies and the natural history of MDACL is not known, the postoperative improvement may have been attributed to the placebo effect, simultaneous arthroscopic procedures or the postoperative rehabilitation, or may be due to the pain having resolved without treatment at all. ACL ganglion cyst at arthroscopy may appear as a cystic mass with . National Library of Medicine Sagittal T2-weighted MRI view showing intact anterior, Fig. Cite this article. All nine studies included patients with symptomatic MDACL confirmed by MRI (Table3). 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. I have persistent pain in the back of that knee that is exacerbated by walking and bending it. Knee Surg Sports Traumatol Arthrosc. Coronal T2 weighted fat suppressed fast spin echo image showed complex anterior cruciate ligament ganglion cyst arising from superior aspect of ligament. Bookshelf Level of Evidence: Level IV. in 1999 [ 1 ]. Patients in all studies presented with central or posterior knee pain, mainly with terminal extension in three studies [14, 16, 17]. 2018 Jun;25(3):445-452. doi: 10.1016/j.knee.2018.02.012. National Library of Medicine Mucoid degeneration of the anterior cruciate ligament. -, Fealy S, Kenter K, Dines JS, Warren RF. Arthroscopic management of mucoid degeneration of anterior cruciate ligament. Disclaimer. Mucoid degeneration of the anterior cruciate ligament is a rare pathological entity. in 1999 [ 1 ]. and transmitted securely. The anterior cruciate ligament (ACL) is an important ligament in the knee. Eight patients (72.7%, n=8) reported an improvement of knee instability, while three patients (27.3%, n=3) experienced an unchanged knee stability. First, our literature search revealed a heterogeneous group of studies dominated by case reports and case series, with no randomised controlled trials. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Four studies reported only postoperative scores, which were comparable to those in other studies. However, in the case of mucoid degeneration secondary signs of an ACL injury are usually absent. https://doi.org/10.2214/ajr.182.5.1821283, Article 2021 Aug 21;33(1):26. doi: 10.1186/s43019-021-00110-6. Mucoid degeneration of the anterior cruciate ligament. Please enable it to take advantage of the complete set of features! Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. Pandey, Vivek et al. Pan African Medical Journal. Please enable it to take advantage of the complete set of features! 2023 BioMed Central Ltd unless otherwise stated. The site is secure. MDACL is diagnosed by MRI, showing a celery stalk sign, and is confirmed by tissue biopsy and histological examination [7]. At last follow-up, the mean visual analogue scale score, International Knee Documentation Committee score, and Tegner Lysholm Knee score improved (p < 0.01). Orthopaedics & Traumatology: Surgery & Research. Copyright 2010 Elsevier Masson SAS. -Provided skilled hands on in post-op rehabilitation to various population including Head and neck cancers, Lymph edema management, Bone cancers. The extracted data were assessed for meta-analysis. No reconstruction was performed at the same time. Reeducation. Mucoid degenerated anterior cruciate ligament (ACL) managed by arthroscopic ACL reconstruction: A case series. 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. Federal government websites often end in .gov or .mil. Keywords: mucoid degeneration, anterior cruciate ligament, acl reconstruction, arthroscopy, knee Every time when patient flexes the knee, thickened ACL impinges over posterior cruciate ligament (PCL) in the knee, causing knee pain and limited motion. Mucoid degeneration (MD) is a rare pathological affection of the anterior cruciate ligament (ACL). 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. the degree of laxity, and the patient's age and willingness to pursue vigorous postoperative physical therapy are other major determinants. The clinical presentation is one of posterior pain with limited flexion. ACL mucoid degeneration is an uncommon pathological condition; the pathogenesis, prevalence, and . Physiotherapy. J Arthrosc Joint Surg 3(1):2833. Each study was scored 02 on each question, with a global ideal score of 16. Therefore, indications for ACL resection must be carefully selected. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Study record managers: refer to the Data Element Definitions if submitting registration or results information.. Search for terms JBR-BTR. The mean age of patients ranged from 31 to 78years. (A) Bulging of the hypertrophied anterior cruciate ligament. Arthroscopic debridement of the ACL results in satisfactory pain relief and improvement in knee outcome scores. PubMed 1. just over two decades ago [], the interest in this condition has quickly gathered pace in the orthopaedic community.Little is known about this condition that affects 1.8-5.3% of the population as per magnetic resonance imaging (MRI) diagnosis [2, 3]. Two reviewers independently screened the titles and abstracts of the retrieved records for eligibility. -, Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR. Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study. Roberts CC, Towers JD, Spangehl MJ et-al. 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. 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. Bethesda, MD 20894, Web Policies Conditions that resembles the clinical findings are: Get Top Tips Tuesday and The Latest Physiopedia updates, The content on or accessible through Physiopedia is for informational purposes only. A total of 313 knees in 292 patients were included in the nine studies. . mucoid degeneration of acl mri. Bilateral Symptomatic Mucoid Degeneration of the Anterior Cruciate Ligament with Anterior Knee Pain but No Limited Knee Flexion. 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). Demographic, radiological, and histological findings, type of surgery, and clinical pre- and postoperative data were analyzed. J Bone Joint Surg Br. : A Meta-Analysis. Ventura D, Nuez JH, Joshi-Jubert N, Castellet E, Minguell J. Clin Orthop Surg. Loss to follow up was not mentioned in the other five studies [3, 6, 15, 17, 19]. Functional Outcome of Arthroscopic Debridement of Mucoid Degeneration of the Anterior Cruciate Ligament. A long duration of non-specific knee pain in a patient should be evaluated with MRI. Hypothesis: Other theories include Degenerative theory- MD could occur due to ageing.[3]. 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. Chudasama et al. 1992;159(2):35760. Data extracted included mean age and gender of the patients, duration of follow up, associated chondral and meniscal lesions, interventions and outcomes. Imaging: Plain radiographs Learn how we can help 704 views Reviewed >2 years ago Thank Arthroscopically ACL is intact but fibrillated, yellowish and hypertrophied,with interspersed yellowish mucinous material along the fibers, lack of synovial linning of the ACL. The author(s) read and approved the final manuscript. 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). Unlike meniscal tears and chondral defects, the mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of knee pain and there have been no case reports of mucoid degeneration of both the ACL and the posterior cruciate ligament (PCL). Rehabilitation, speech therapy, crenotherapy. did not report on this. All patients with a preoperative limited ROM (100%, n=9) reported a return to a normal (subjective) ROM. . {"url":"/signup-modal-props.json?lang=us"}, Gaillard F, Roberts D, Saber M, et al. 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. On MRI, the ligament is thickened and ill-defined with a "celery stalk" appearance. Clipboard, Search History, and several other advanced features are temporarily unavailable. 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). MeSH Loganathan D, Soma Sundar S, Sundar S, Sahanand S, Rajan DV. 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.

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