mucoid degeneration of acl physiotherapy mucoid degeneration of acl physiotherapy

Postoperative pain relief was reported in seven studies. Level of evidence: (2018) Radiology. Clin Orthop Surg. Palmer W, Bancroft L, Bonar F, Choi JA, Cotten A, Griffith JF, Robinson P, Pfirrmann CW. -Evaluated and planned treatment protocol in accordance with physician. Another theory is the synovial theory whereby a pouch of synovium herniates and is subsequently filled with synovium [2]. Google Scholar, Salvati F, Rossi F, Limbucci N, Pistoia ML, Barile A, Masciocchi C (2008) Mucoid metaplastic-degeneration of anterior cruciate ligament. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. Arthroscopic treatment may include ACL resection, which raises the questions about the harmlessness of this procedure and the risk of anterior instability. Google Scholar, Cha JR, Lee CC, Cho SD, Youm YS, Jung KH (2013) Symptomatic mucoid degeneration of the anterior cruciate ligament. Its prevalence in magnetic resonance imaging (MRI) is 1.8 to 5.3%, but not all lesions are symptomatic. volume33, Articlenumber:26 (2021) Learn how we can help 704 views Reviewed >2 years ago Thank I have multiple issues - spondylolisthesis in L4/L5 and L5/S1, osteopenia and osteoarthritis. Before Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Orthop Traumatol Surg Res. This study concerns complete ACL resection as a treatment of mucoid degenerated ACL. . 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). Despite the low rate of complications in all studies, there was a high incidence of postoperative knee laxity, demonstrated by a positive Lachman test, in most studies. Two patients uderwent secondary ligamentoplasty. 8600 Rockville Pike 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. PubMed Central 2010 Jun;96(4):400-6. doi: 10.1016/j.otsr.2010.02.008. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 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]. Reeducation. 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. bling. 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. in 1999 [ 1 ]. official website and that any information you provide is encrypted There was strong association between MDACL and chondral lesions (82%) and between MDACL and meniscal tears (69%). Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. Arthroscopy. 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. 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. . . Please enable it to take advantage of the complete set of features! Manage cookies/Do not sell my data we use in the preference centre. Anterior cruciate ligament mucoid degeneration. reported total resection of the ACL in 68% of patients: one young patient had disabling instability and subsequent ACL reconstruction. Postoperative follow-up included standard radiography and dynamic examination, measuring laxity with a Telos device. The authors declare that they have no competing interests. Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Functional Outcome of Arthroscopic Debridement of Mucoid Degeneration of the Anterior Cruciate Ligament. All nine included studies utilized MRI of the knee to establish a radiological diagnosis as an inclusion criterion. #radiologycpd #medicalimaging #imaging #radcme #rheumatology #arthritis #rheumatologist #orthopaedic #painphysician #physiotherapy #sportsmed #orthopaedic #mskmri. Conclusions: The site is secure. J Orthop. Online ahead of print. Mucoid degeneration of the anterior cruciate ligament: a case report. The rate of simultaneous meniscectomy ranged from 13 to 44%. 2011. Seven of the nine studies reported using the Lachman test to check postoperative ACL laxity. 2004;182(5):12831287. Along with that, it also controls the internal rotation. Before Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Knee Surg Relat Res. However, in the case of mucoid degeneration secondary signs of an ACL injury are usually absent. Postoperative Lachman test was positive in 40% of patients, and 6% of patients had symptomatic instability. The primary intervention was arthroscopic ACL debridement in eight studies; this was combined with notchplasty in cases of impingement with the lateral wall of the notch in five studies [6, 14, 16,17,18] (Table 3). 2013 Oct;99(6):693-7. doi: 10.1016/j.otsr.2013.04.010. Mucoid degeneration (MD) is a rare pathological affection of the anterior cruciate ligament (ACL). Mucoid degeneration of the anterior cruciate ligament. 2013 Jun 20;15:59. doi: 10.11604/pamj.2013.15.59.2534. Preoperative and postoperative KOOS questionnaires were compared and showed improvement in all categories. In this systematic review we found that arthroscopic debridement resulted in good pain relief and improved range of motion and clinical outcome scores. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. Unable to process the form. At last follow-up, the mean visual analogue scale score, International Knee Documentation Committee score, and Tegner Lysholm Knee score improved (p < 0.01). This study concerns complete ACL resec 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). Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a well-recognized pathology characterized by the degradation of collagen fibers and infiltration of a mucoidlike substance, [1,2 . Introduction Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known pathology. Four studies reported only postoperative scores, which were comparable to those in other studies. Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. However, young patients should be forewarned about the risk of instability, and an anterior cruciate ligament reconstruction could be necessary. PubMedGoogle Scholar. Hide glossary Glossary. Possible etiologies include: It is postulated that mucoid degeneration may be a predisposing factor in the formation of ACL ganglion cysts. Accessibility 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 ]. Postoperative clinical laxity was common, however, symptomatic instability was not. The .gov means its official. 6. Knee. Preoperative and postoperative results of eleven patient were compared. Bone and joint imaging. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2009 checklist [9]. 2009. Mucoid degenerated anterior cruciate ligament (ACL) managed by arthroscopic ACL reconstruction: A case series. -, Hodler J, Haghighi P, Trudell D, Resnick D. The cruciate ligaments of the knee: Correlation between MR appearance and gross and histologic findings in cadaveric specimens. Mucoid degeneration of the anterior cruciate ligament (ACL) is a very rare cause of knee pain. https://doi.org/10.1016/j.arthro.2008.02.004, Morice A, Coupry A, Lintz F, Robert H (2013) Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. -, Hsu CJ, Wang SC, Fong YC, Huang CY, Chiang IP, Hsu HC. -Provided skilled hands on in post-op rehabilitation to various population including Head and neck cancers, Lymph edema management, Bone cancers. This was lowest in the study of Cha et al. 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. The aetiology of MDACL is not clearly understood. Hsu CJ, Wang SC, Fong YC, Huang CY, Chiang IP, Hsu HC. Epub 2011 Feb 18. ACL (anterior cruciate ligament) mucoid degeneration means the lesion of the ACL. Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first characterized by Kumar et al. 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. government site. Instrumental treatment. Presentation Patients usually present with nonspecific posterior knee pain with restriction of flexion. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Orthop Traumatol Surg Res. 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). J Arthrosc Joint Surg 3(1):2833. 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 knee pain. -. The appearance can mimic acute or chronic interstitial partial tears of the 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. An official website of the United States government. ACL mucoid degeneration is present on ~10% (range 9-12%) of 3 T MRI examinations and 2% of 1.5 T MRI examinations 6. Methodological quality of the studies was assessed using the Methodological Index for Non-Randomized Studies (MINORS) criteria [11] (Table1). Epub 2011 Feb 18. 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. No treatment is usually required. 2022 Apr 11;31:67-71. doi: 10.1016/j.jor.2022.04.004. Accessibility Arthroscopic debridement of the anterior cruciate ligament (ACL) results in satisfactory pain relief and improvement in knee outcome scores. Epub 2013 Aug 27. 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 . Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Mucoid degeneration of ACL. Cho SD, Youm YS, Lee CC et-al. Anterior cruciate ligament; Arthroscopy; Knee; Mucoid degeneration. . The cause is not really known, but patients usually do not complain of instability. 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. The mean MINORS score was 9.5 (range 412). Hamdaoui and others published Le signe de la branche de cleri | Find, read and cite all the research you need on ResearchGate Physiotherapy. Patients with symptomatic MDACL commonly present with posterior knee pain and limitation of knee flexion or extension [2, 6]. Arthroscopic debridement may help relieve the anterior knee pain. Clipboard, Search History, and several other advanced features are temporarily unavailable. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. Before The ACL appears on MRI to be enlarged with cystic changes throughout, however it is intact. Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. The author(s) read and approved the final manuscript. Anterior knee pain is the more common complaint. 2011. Recent studies have reported that the prevalence of ACL mucoid degeneration is approximately 2-14% [20, 23, 24, 25]. Would you like email updates of new search results? Patients in all studies presented with central or posterior knee pain, mainly with terminal extension in three studies [14, 16, 17]. There is no consensus on treatment and evidence is scarce. 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. 2018 Apr;34(4):1054-1059. doi: 10.1016/j.arthro.2017.10.039. http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42018087782. Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). ACL mucoid degeneration is an uncommon pathological condition; the pathogenesis, prevalence, and association with other intra-articular knee structural damage are still poorly understood. After arthroscopic debridement of the lesion, the patient regained full range of motion of the knee and were pain-free at follow-up. Knee Surg Sports Traumatol Arthrosc 21(3):658663. When refering to evidence in academic writing, you should always try to reference the primary (original) source. Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. IV (retrospective cohort study). MUCOID DEGENERATION OF ACL - ARTHROSCOPIC TREATMENT 2,375 views Sep 15, 2019 23 Dislike Dr. Prateek Joshi- Ortho 1.02K subscribers Notice Age-restricted video (based on Community Guidelines). Introduction: Imaging: Plain radiographs Preoperative assessment included a questionnaire, clinical examination (Lachman and pivot shift tests), MRI and standard radiography. Diet therapy and various other treatments (general aspects) Discipline Radiotherapy. https://doi.org/10.1186/s43019-021-00110-6, DOI: https://doi.org/10.1186/s43019-021-00110-6. The mean follow up ranged from 13 to 72months. 2021 Aug 21;33(1):26. doi: 10.1186/s43019-021-00110-6. Partial resection of the anterior cruciate ligament was done in seven cases and a complete resection in 18 cases. 2. A long duration of non-specific knee pain in a patient should be evaluated with MRI. eCollection 2013. 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. Keywords: mucoid degeneration, anterior cruciate ligament, acl reconstruction, arthroscopy, knee sharing sensitive information, make sure youre on a federal 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. Introduction Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. Skeletal Radiol. Each study was scored 02 on each question, with a global ideal score of 16. Ever since mucoid degeneration of the anterior cruciate ligament (MD-ACL) was named by Kumar et al. Second, methodological quality assessment showed that three studies had low methodological quality. This study hypothesized that arthroscopic debridement of MDACL would provide patients with improvement in pain, range of movement and functional outcome scores. 3. Mucoid degeneration itself is described as a yellow or brown substance which can be either seen through the most anterior fibers of the ACL or found by probing between them [ 19, 35] (Fig. I have persistent pain in the back of that knee that is exacerbated by walking and bending it. The need for delayed ACL reconstruction should be discussed preoperatively, especially if complete resection of the ACL is to be performed. This did not appear to affect the postoperative rate of clinically detectable laxity, which was comparable to that in other studies. The clinical presentation is one of posterior pain with limited flexion. We report a case of mucoid degeneration of the ACL in a 50-year-old female with knee pain of 18 months duration. 2021 Aug 21;33(1):26. doi: 10.1186/s43019-021-00110-6. Hotchen AJ, Demetriou C, Edwards D, Melton JTK. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. This is a rare pathological condition, in which, there is increased signal from within the ligament. Young and active patients should be warned about the risk of requiring secondary ligamentoplasty. Generally, we know little about this condition. government site. 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. Bookshelf PMC https://doi.org/10.4103/0019-5413.128765, Article Bilateral Symptomatic Mucoid Degeneration of the Anterior Cruciate Ligament with Anterior Knee Pain but No Limited Knee Flexion. Any discrepancy was resolved by the senior author. . All nine studies assessed the outcome of arthroscopic debridement of MDACL.