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That is usually the journal article where the information was first stated. Indian J Orthop 46(5):561565. MeSH Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. -, Makino A, Pascual-Garrido C, Rolon A, Isola M, Muscolo DL. [3] and in 1% of patients (3 of 106 knees) in the study of Kim et al. Epidemiology The likelihood of mucoid change within ligaments and tendons increases with age 1. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Anterior Cruciate Ligament (ACL) Mucoid Degeneration Anatomy Anterior Cruciate Ligament, is an important structure of the knee joint. (A) Bulging of, Fig. With cruciate ligament ganglia, intact ACL fibers can often be visualized coursing through or around the cyst. Average postoperative differential laxity on the Telos device was 8.3 mm (5 to 13 mm). 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 . The pathogenesis remains controversial. A September 2018 MRI of the left knee showed anterior cruciate ligament and mucoid degeneration with intra cruciate ganglion . Shimasaki K, Yoshioka T, Kanamori A, Yamazaki M. Case Rep Orthop. J Orthop. proposed a different intervention called reduction plasty, whereby the hypertrophic ACL is reduced to normal size without excision of all mucoid substance [17]. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. -, Fealy S, Kenter K, Dines JS, Warren RF. Quality was assessed using the Methodological Index for Non-Randomized Studies (MINORS) criteria. 3. A posterior approach will allow for the detection of changes by probing the ligament and mucoid material can be expressed. The anterior cruciate ligament (ACL) is the most commonly injured of the major knee ligaments. Knee Surg & Relat Res 33, 26 (2021). Complete resection of the ACL without ACL reconstruction is a reliable treatment for symptomatic cases of mucoid degenerated ACL. Postoperative Lachman test was positive in 40% of patients, and 6% of patients had symptomatic instability. Association between magnetic resonance imaging characteristics and pathological findings in entire posterior cruciate ligament with mucoid degeneration. Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) flowchart illustrating the selections of trials included in the systematic review. NCI CPTC Antibody Characterization Program. However, young patients should be forewarned about the risk of instability, and an anterior cruciate ligament reconstruction could be necessary. The prevalence of MDACL on magnetic resonance imaging (MRI) ranges from 1.8 to 5.3% [4, 5]. Therefore, Anterior Cruciate Ligament tear is more susceptible during any injury to the knee. 2022 Jun 2;20(1):225-228. doi: 10.33314/jnhrc.v20i01.4182. Initially, partial weightbearing is allowed. The extracted data were assessed for meta-analysis. Anterior knee pain is the more common complaint. A positive Lachman test and a negative pivot shift were noted after surgery in all cases. Bookshelf The mean age at the time of surgery was 57 years (range, 31 to 78 years). Epub 2011 Feb 18. Cookies policy. Patients with symptomatic MDACL commonly present with posterior knee pain and limitation of knee flexion or extension [2, 6]. Unable to load your collection due to an error, Unable to load your delegates due to an error. Fig. https://doi.org/10.1007/s00167-011-1433-0, Article Symptomatic ACL mucoid degeneration in middle-age athletes. 2. Morice et al. -Evaluated and planned treatment protocol in accordance with physician. 1173185. Coronal T2 weighted fat suppressed fast spin echo image showed complex anterior cruciate ligament ganglion cyst arising from superior aspect of ligament. Would you like email updates of new search results? Seven of the nine studies reported using the Lachman test to check postoperative ACL laxity. Would you like email updates of new search results? Before Accessibility ACL mucoid degeneration is present on ~10% (range 9-12%) of 3 T MRI examinations and 2% of 1.5 T MRI examinations 6. Rehabilitation, speech therapy, crenotherapy. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. 1. 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. Twelve partial and 17 total resections were performed. We report a case of mucoid degeneration of the ACL in a 50-year-old female with knee pain of 18 months duration. It often presents with progressive knee pain, restriction in range of motion without a significant history of trauma, and without knee instability. The purpose of this study was to investigate the outcome of management of MDACL by performing a systematic review of methods of treatment that have been reported. Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. 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. Arthroscopic debridement of the ACL results in satisfactory pain relief and improvement in knee outcome scores. 2019 Jun;32(6):577-583. doi: 10.1055/s-0038-1660514. Arthroscopy 20(2):141146. 8600 Rockville Pike Skeletal Radiol. For treatment of this, partial removing of bulky ACL is generally done, which causes weakness of the ACL. 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. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Pan African Medical Journal. 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. The https:// ensures that you are connecting to the Physiotherapy. 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. Knee Surgery & Related Research HHS Vulnerability Disclosure, Help Please enable it to take advantage of the complete set of features! Therefore, indications for ACL resection must be carefully selected. HHS Vulnerability Disclosure, Help It results in postoperative laxity, but rarely in frank instability. Sagittal proton density-weighted magnetic resonance image shows ill-defined anterior cruciate ligament with increased signal intensity and a celery stalk appearance of intact fibers. Only nine studies met our inclusion criteria and they were all case series. 2018 Sep;10(3):307-314. doi: 10.4055/cios.2018.10.3.307. 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. Papadopoulou P. The celery stalk sign. The appearance can mimic acute or chronic interstitial partial tears of the ACL. Before PMC Post-debridement arthroscopic view showing yellowish, Post-debridement arthroscopic view showing yellowish lesion of the anterior cruciate ligament which was, MeSH Cite this article. This did not appear to affect the postoperative rate of clinically detectable laxity, which was comparable to that in other studies. 2013 Jun 20;15:59. doi: 10.11604/pamj.2013.15.59.2534. Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first characterized by Kumar et al. Individuals with mucoid degeneration of the ACL were excluded. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). ACL (anterior cruciate ligament) mucoid degeneration means the lesion of the ACL. Anterior cruciate ligament ganglia and mucoid degeneration: Coexistence and clinical correlation. PubMed 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. In this review, the mean age of patients ranged from 31 to 78years; mean age was highest in the study of Kim et al. The prevalence of mucoid degeneration of the ACL has been reported to be 0.43% [ 5 ]. Open Grey database was searched for grey literature using the same keywords. Arthroscopic findings. Results: Chudasama et al. Mucoid degeneration of A C L is more common and literature has also reported many cases, but for PCL only few cases have been reported in English literature. Effects of pre-operative knee laxity on clinical outcomes after partial anterior cruciate ligament reconstruction. 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 . 2023 BioMed Central Ltd unless otherwise stated. Physical therapy typically begins 7-10 days after the procedure. The mean MINORS score was 9.5 out of 16 (412). Arthroscopic debridement may help relieve the anterior knee pain. 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 ]. . Correlations between degree of knee instability and SIR were assessed for each bundle, each time point, and each sequence. Questions just answered: mucoid degeneration of acl physiotherapy. The rate of association between meniscal tears and MDACL ranged from 9 to 96%. what causes mucoid degeneration of acl. J Bone Joint Surg Br. in 1999 [1]. 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. Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. We report a case of mucoid degeneration of the anterior cruciate ligament (ACL). statement and Epub 2018 Aug 22. Conclusions. https://doi.org/10.1016/j.jajs.2015.12.001, Ventura D, Nuez JH, Joshi-Jubert N, Castellet E, Minguell J (2018) Outcome of arthroscopic treatment of mucoid degeneration of the anterior cruciate ligament. FOIA Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. On physical exam, the Lachman test for ACL instability is negative with an ACL ganglion. Knee Surg Sports Traumatol Arthrosc 21(3):658663. MRI is better at detecting mucoid degeneration than arthroscopy, as the surface of the ligament is often intact. 2011 Mar;25(3):262-5. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Unable to load your collection due to an error, Unable to load your delegates due to an error. sharing sensitive information, make sure youre on a federal Knee Surg Sports Traumatol Arthrosc. sharing sensitive information, make sure youre on a federal The origin of MDACL may be degenerative or traumatic. PubMedGoogle Scholar. 2011. J Bone Joint Surg Ser B 81(2):304305. Hide glossary Glossary. An official website of the United States government. This site needs JavaScript to work properly. IV (retrospective cohort study). 1992;159(2):35760. However, in the case of mucoid degeneration secondary signs of an ACL injury are usually absent. Postoperative symptomatic instability was not common in eight studies, but was observed in 48% of patients in the study of Lintz et al., with two patients having a delayed ACL reconstruction. Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Knee Surg Relat Res. Patients and methods: 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. All nine included studies utilized MRI of the knee to establish a radiological diagnosis as an inclusion criterion. Resnick D, Kransdorf MJ. All nine studies assessed the outcome of arthroscopic debridement of MDACL. Hsu CJ, Wang SC, Fong YC, Huang CY, Chiang IP, Hsu HC. Conclusion: Treatment of ACL mucoid degeneration by this modality is effective in preventing recurrence, post-operative laxity and provides better functional outcome compared to the classical partial resection of the degenerated ACL. Arthroscopy. Mucoid degeneration of the anterior cruciate ligament: Management and outcome.. 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. No reconstruction was performed at the same time. 5. J Arthrosc Joint Surg 3(1):2833. Ligaments are very tough, fibrous tissue structures. Preoperative assessment included a questionnaire, clinical examination (Lachman and pivot shift tests), MRI and standard radiography. Role of ultrasound-guided decompression in management of mucoid degeneration of the anterior cruciate ligament. Bone and joint imaging. Categories were determined in accordance with the study of Ekhtiari et al. This study hypothesized that arthroscopic debridement of MDACL would provide patients with improvement in pain, range of movement and functional outcome scores. 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. Bethesda, MD 20894, Web Policies Truncation means that the . This ligament consists of two fibers, mainly, the anterio-medial and postero-lateral fibers, respectively. Mucoid degeneration, is the irreversible degeneration of the tissue with the infiltration of mucin(glycosaminoglycans) within the fibers[1][2]. Unable to process the form. Epub 2010 May 8. Arthroscopy. Arthroscopic debridement of the anterior cruciate ligament (ACL) results in satisfactory pain relief and improvement in knee outcome scores. It is lined by the synovial fluid, which provides the nutrition and plays an integral part in healing. 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). JBR-BTR. 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. Meniscectomy was undertaken in 11 cases (41%). 2022 Apr 11;31:67-71. doi: 10.1016/j.jor.2022.04.004. Level of evidence: Conclusions: Unauthorized use of these marks is strictly prohibited. National Library of Medicine In this systematic review we found that arthroscopic debridement resulted in good pain relief and improved range of motion and clinical outcome scores. They reported that a biopsy indicated mucoid degeneration and a relief of symptoms could be obtained through arthroscopic partial resection of the ligament. https://doi.org/10.4103/0019-5413.101037, Srivastava A, Pateliya S, Singh H, Aggarwal S, Srivastava S (2016) Mucoid degeneration of anterior cruciate ligament management and functional outcome of 18 cases. Bergin et al. Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study. Mucoid degeneration of both ACL and PCL. [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%). Ligaments hold our bones together and allow us to bend, twist, pivot and rapidly accelerate and decelerate and yet maintain the stability of our joints. Anterior Cruciate Ligament, is an important structure of the knee joint. Pandey, Vivek et al. (B) Partial resection, MeSH Arthroscopy. Sixty-one patients underwent T2*WI and PDWI at 3, 6, and 12 months postoperatively. 2. as very low (04 points), low (58 points), good (912 points) or excellent (1316 points) [12]. At the time the article was last revised Dai Roberts had no recorded disclosures. The cruciate ligament have mechanoreceptors, which are responsible to detect any change in position of the knee, direction, speed and tension. Pre-debridement arthroscopic view showing yellowish content in the anterior cruciate ligament. Check for errors and try again. 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. (48.2% (14/29 patients) with symptomatic instability), which may be due to the large number of patients with total resection of the ACL (58.6% (17 out of 29 patients)) (Table 4). This was lowest in the study of Cha et al. 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. Unable to load your collection due to an error, Unable to load your delegates due to an error. 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). Postoperative ACL laxity is a common finding after ACL arthroscopic debridement, however, symptomatic instability is not. Fourteen knees (48%) had limited flexion, on average 97 degrees. https://doi.org/10.4103/0019-5413.128765, Article 1. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. -, Hsu CJ, Wang SC, Fong YC, Huang CY, Chiang IP, Hsu HC. Bethesda, MD 20894, Web Policies : A Meta-Analysis. MM and A performed the literature search, and data analysis. 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. Radiology. . Coronal proton density-weighted magnetic resonance imaging shows a thickening of the anterior cruciate ligament. Federal government websites often end in .gov or .mil. Noninfiltrating synovial cysts of the ACL were excluded. First, our literature search revealed a heterogeneous group of studies dominated by case reports and case series, with no randomised controlled trials. Treatment of ACL mucoid degeneration by arthroscopic resection is effective for posterior pain and flexion limitation. Multiple theories have been put forth that explains the pathological disorganization in the collagen fibers of the Anterior Cruciate Ligament, such as synovial, traumatic, and degenerative, "Synovial theory- states that there is accumulation of synovial fluid inside the substance of ACL in a herniated pouch of synovium. ADVERTISEMENT: Supporters see fewer/no ads. In contrast to the tear, mucoid degeneration of the ACL characteristically does not cause knee instability [20, 21, 22]. 2004 Feb;20(2):141-6. doi: 10.1016/j.arthro.2003.11.030. Its prevalence in magnetic resonance imaging (MRI) is 1.8 to 5.3%, but not all lesions are symptomatic. Khanna et al. 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. 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. All patients (100%, n=11) reported an improvement in pain. Clipboard, Search History, and several other advanced features are temporarily unavailable. Four studies reported only postoperative scores, which were comparable to those in other studies. J Clin Epidemiol 62(10):10061012. ACL debridement was partial in all studies except for those by Lintz et al. The mean MINORS score was 9.5 (range 412). See this image and copyright information in PMC. The lesion may manifest as an elongated cyst along the long axis of the ACL, or as an enlarged ACL. Association between magnetic resonance imaging characteristics and pathological findings in entire posterior cruciate ligament with mucoid degeneration. 1). Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. -, 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. However, in most studies a proportion of patients simultaneously underwent other arthroscopic procedures for associated pathological knee conditions (44% meniscectomies in the study of Cha et al.). HHS Vulnerability Disclosure, Help Introduction Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. official website and that any information you provide is encrypted 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. The total number of patients with symptomatic instability was 18 out of 288 (6%). mucoid degeneration acl symptoms. ANZ J Surg 73(9):712716. The site is secure. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. 2008 Jun;24(6):642-9. doi: 10.1016/j.arthro.2008.02.004. Level of Evidence: Level IV. PubMed Central https://doi.org/10.1007/s002560100336, Narvekar A, Gajjar S (2004) Mucoid degeneration of the anterior cruciate ligament. . Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. 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. Download Citation | On Feb 1, 2023, O.R. All patients (100%, n=11) reported a good to very good surgery satisfaction. Demographic, radiological, and histological findings, type of surgery, and clinical pre- and postoperative data were analyzed. Surgical treatment involves arthroscopic debridement of ACL, with partial or total resection, occasionally combined with ACL reconstruction. 2022 Apr 11;31:67-71. doi: 10.1016/j.jor.2022.04.004. 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). Before 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. -Delivered Pre-rehab care for breast cancer and thoracic cancer cases. The ACL appears on MRI to be enlarged with cystic changes throughout, however it is intact. Mucoid degeneration,: like degenerative arthritis of a joint, generally occurs as a results of aging. Preoperative and postoperative results of eleven patient were compared. 2010 Jun;96(4):400-6. doi: 10.1016/j.otsr.2010.02.008. The extracted data were heterogeneous in terms of outcome assessment. California Privacy Statement, 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 in 1999 [ 1 ]. ACL mucoid degeneration is an uncommon pathological condition; the pathogenesis, prevalence, and . There is no consensus on treatment and evidence is scarce. 2018. http://journals.sagepub.com/doi/10.1177/2325967118786930, Pandey V, Suman C, Sharma S, Rao SP, Kiran Acharya K, Sambaji C (2014) Mucoid degeneration of the anterior cruciate ligament: management and outcome. 2013 Oct;99(6):693-7. doi: 10.1016/j.otsr.2013.04.010. Every time when patient flexes the knee, thickened ACL impinges over posterior cruciate ligament (PCL) in the knee, causing knee pain and limited motion. A 48-year-old-male patient presented with knee pain and limitation of motion. Disclaimer. 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. government site. 2009. sharing sensitive information, make sure youre on a federal This series describes the clinicoradiological presentation of patients with mucoid ACL, partial arthroscopic debridement of ACL and outcomes. Typically patients present with knee pain or restricted movement, although often other potential causes for the patient's symptoms are found. 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 ). 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. Epub 2010 May 8. Arthroscopic treatment may include ACL resection, which raises the questions about the harmlessness of this procedure and the risk of anterior instability. https://doi.org/10.1186/s43019-021-00110-6, DOI: https://doi.org/10.1186/s43019-021-00110-6. Orthop Traumatol Surg Res. 2011. Careers. Unable to load your collection due to an error, Unable to load your delegates due to an error. Anterior cruciate ligament mucoid degeneration. Arthroscopy. Symptomatic ACL mucoid degeneration in middle-age athletes. 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). Young and active patients should be warned about the risk of requiring secondary ligamentoplasty. http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42018087782. Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is a little-known entity. Knee. Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of anterior knee pain (AKP). Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. Its function is to stabilize the knee while bending and rotating; the ACL also keeps the knee from shifting out of place or moving anteriorly (toward the front) with pivoting activities. Would you like email updates of new search results? Google Scholar, Salvati F, Rossi F, Limbucci N, Pistoia ML, Barile A, Masciocchi C (2008) Mucoid metaplastic-degeneration of anterior cruciate ligament. Case report: 2013 Oct;99(6):693-7. doi: 10.1016/j.otsr.2013.04.010. Skelet Radiol 30(6):312315. Bergin et al. Average patient age was 49 (22 to 68) years. There was no mention in the other three studies [13, 15, 18] of whether other procedures were performed simultaneously. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. Six studies reported using the pivot shift test; unsurprisingly, Lintz et al. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2009 checklist [9]. 1999;81(2):304305. Nowadays, orthobiologics such as platelet-rich plasma (PRP) are increasingly used in ligament surgeries to improve healing. We herein describe a case of PCL mucoid degeneration presented with secondary ACL . . Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. 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. Orthopedics; anterior cruciate ligament; arthoscopy. Recent studies have reported that the prevalence of ACL mucoid degeneration is approximately 2-14% [20, 23, 24, 25]. Keywords: This may support the theory that it is a degenerative process. Physiotherapy. If arthroscopy is performed, the ligament may appear entirely normal, especially using the standard anterior portal approach.