This association has not yet been proven. [] found the incidence of mucoid degeneration in their study population to be 1.0%.Most of their reported cases were incidental findings without contributory symptoms. It included all patients who were diagnosed with mucoid degeneration of ACL and underwent mobile-bearing Oxford partial knee arthroplasty between January 2017 and February 2020, by consecutive sampling method. They are frequently seen at joints and tendons of the wrist but are rare in the region of knee joint. https://doi.org/10.1016/j.knee.2010.05.003, Keyes GW, Carr AJ, Miller RK, Goodfellow JW (1992) The radiographic classification of medial gonarthrosis. Conclusion: PRP can be used to improve the healing and strength ofa weakened ACL after partial debridement, but further research is needed to demonstrate its efficacy. Injury prevention. Google Scholar, Salvati F, Rossi F, Limbucci N, Pistoia ML, Barile A, Masciocchi C (2008) Mucoid metaplastic-degeneration of anterior cruciate ligament. Purpo. Mumbai, Maharashtra, India. just over two decades ago [1], the interest in this condition has quickly gathered pace in the orthopaedic community. et al. While both the groups showed improvements in the functional scores post-surgery, which could be attributed to the UKA primarily, the finding that patients in whom debulking was done had better mean IKDC and mean KSS at 2years follow-up confirmed the study hypothesis that debulking improves the long-term outcome in patients with MD-ACL undergoing UKA. Int J Sports Phys Ther 10(1):5261, PubMed All authors contributed to the study conception and design. Once considered a rare disease, it is probably a less diagnosed condition of knee pain. Google Scholar, Irrgang JJ, Anderson AF, Boland AL (2001) Development and validation of the international knee documentation committee subjective knee form. Subsequently, from January 2019, the surgeons started debulking the MD-ACL. The samples collected from the five hospitals were 122 (group A: 58; group B: 64), 68 (group A: 35; group B: 33), 94 (group A: 46; group B: 48), 83 (group A: 41; group B: 42) and 75 (group A: 36; group B: 39), respectively. This course of physical therapy may successfully treat an ACL injury for individuals who are relatively inactive, engage in moderate exercise and recreational activities, or play sports that put less stress on the knees. By continuing to browse this site, you accept our, International Journal of Endocrine Oncology, International Journal of Hematologic Oncology, Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases, Salvati F, Rossi F, Limbucci N, Pistoia ML, Barile A, Masciocchi C, Mucoid metaplastic-degeneration of anterior cruciate ligament, Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR, Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation, Makino A, Pascual-Garrido C, Roln A, Isola M, Muscolo DL, Mucoid degeneration of the anterior cruciate ligament: MRI, clinical, intraoperative, and histological findings, Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK, Mucoid cystic degeneration of the cruciate ligament, Mucoid degeneration of the anterior cruciate ligament, Arthroscopic management of mucoid degeneration of anterior cruciate ligament, Pandey V, Suman C, Sharma S, Rao S, Kiran Acharya K, Sambaji C, Mucoid degeneration of the anterior cruciate ligament: management and outcome, Mucoid degeneration of the anterior cruciate ligament: a case report and review of literature, 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, Ventura D, Nuez JH, Joshi-Jubert N, Castellet E, Minguell J, Outcome of arthroscopic treatment of mucoid degeneration of the anterior cruciate ligament, Kim T-H, Lee D-H, Lee S-H, Kim J-M, Kim C-W, Bin S-I, Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament, Foster TE, Puskas BL, Mandelbaum BR, Gerhardt MB, Rodeo SA, Platelet-rich plasma: from basic science to clinical applications, Southworth T, Naveen N, Tauro T, Leong N, Cole B, The use of platelet-rich plasma in symptomatic knee osteoarthritis, Vogrin M, Rupreht M, Crnjac A, Dinevski D, Krajnc Z, Renik G, The effect of platelet-derived growth factors on knee stability after anterior cruciate ligament reconstruction: a prospective randomized clinical study, Partial anterior cruciate ligament ruptures: advantages by intraligament autologous conditioned plasma injection and healing response technique midterm outcome evaluation, Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears, Rating systems in the evaluation of knee ligament injuries, Hensen JJ, Coerkamp EG, Bloem JL, Schepper AMD, Association of mucoid degeneration of anterior cruciate ligament with knee meniscal and cartilage damage, Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P, Anterior cruciate ligament mucoid degeneration: selecting the best treatment option, Zicaro JP, Yacuzzi C, Garcia-Mansilla I, Costa-Paz M, Nonsurgical treatment of partial ACL tears: intraarticular injection of platelet-rich plasma did not change the progression rate to knee instability, Seijas R, Ares O, Cusc X, lvarez P, Steinbacher G, Cugat R, Partial anterior cruciate ligament tears treated with intraligamentary plasma rich in growth factors, Long-term outcomes of primary repair of the anterior cruciate ligament combined with biologic healing augmentation to treat incomplete tears, McRobb J, Kamil KH, Ahmed I, Dhaif F, Metcalfe A, Influence of platelet-rich plasma (PRP) analogues on healing and clinical outcomes following anterior cruciate ligament (ACL) reconstructive surgery: a systematic review. Anterior cruciate ligament ganglion cyst with intraosseous extension. The authors state that they have obtained appropriate institutional review board approval or have followed the principles outlined in the Declaration of Helsinki for all human or animal experimental investigations. Mucoid degeneration of the anterior cruciate ligament: can platelet-rich plasma combined with reductionplasty provide better results? https://orthoinfo.aaos.org/en/diseases--conditions/anterior-cruciate-ligament-acl-injuries/. Knee Surg & Relat Res 34, 40 (2022). These include pristine lateral and patellofemoral compartments, correctable varus deformity, less than 1015 of fixed flexion deformity, flexion of more than 100, and functionally intact collateral ligaments and cruciates [10,11,12,13,14,15]. On physical exam, the Lachman test for ACL instability is negative with an ACL ganglion. The authors declare that they have no competing interests. Lippincott-Raven; 1997. PubMed Your knee may become more and more unstable and may give out more often. A total of 442 patients (na=216; nb=226) fulfilled the inclusion criteria and were followed up until a minimum of 2years post-surgery (mean: 252.46months; range: 2427.5months). 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. Although asymptomatic in most cases, MD-ACL has been associated with posterior knee pain and restriction of terminal flexion or extension, in addition to pain and discomfort after sitting for a prolonged period of time [4, 5]. A proton density-weighted coronal view from the same patient as seen in (A) and (B) reveals intraosseous ganglia (arrows) communicating with the ACL ganglion cyst (short arrow). Any use of this site constitutes your agreement to the Terms of Use and Privacy Policy and Conditions of Use linked below. Hence, study objectives included determining the role and effects of debulking MD-ACL in a patient undergoing UKA as compared with those who do not undergo debulking, by clinical and functional analysis at 2years post-operatively. Close. This study holds clinical significance in terms of the very limited literature available on the role of MD-ACL in outcomes of patients undergoing UKA. With an increasing trend of UKA being performed worldwide, the role of addressing concomitant MD-ACL is vital in improving the overall outcome of the patient without causing any instability or implant failure, as shown in this study. When the arthroscopy hook was attempted to be passed between the lateral femoral condyle and the lateral aspect of the ACL, it was noticed that the impinging fibers of the mucoid ACL blocked its passage, thereby not allowing the hook to be passed between the lateral femoral condyle and the lateral aspect of the ACL, which is otherwise possible in cases with normal ACL. Physiotherapy and yoga based exercises will help you. The end point was ascertained to be when the surgeon could pass a hook between the medial cortex of the lateral femoral condyle and the lateral border of the remaining ACL. 2 Kaplan PA, Helms CA, Dussault R, Anderson MW, Major NM: Musculoskeletal MRI. https://doi.org/10.4103/0019-5413.128765, Article Informed written consent was obtained from all individual participants included in the study. Google Scholar, Cha JR, Lee CC, Cho SD, Youm YS, Jung KH (2013) Symptomatic mucoid degeneration of the anterior cruciate ligament. Anatomy. On table, the extent of impingement caused by the mucoid degeneration was gauged using an arthroscopy hook. Get your query answered 24*7 only on | Practo Consult . When considering a UKA in such a patient, a plethora of dilemmas may arise in the mind of an orthopaedic surgeon vis a vis preserving the MD-ACL at the cost of functional limitation, or debulking it and predisposing the UKA to failure owing to instability. It is postulated that intraosseous extension may be a finding more often associated with pain (8a). J Sports Med Phys Fit 48(4):483487, CAS Discussion: Treatment of ACL mucoid degeneration by arthroscopic resection is effective for . [4]showed high percentages of laxity post debulking of MD-ACL, a finding which would not allow a surgeon to carry out a UKA after the debulking. If present in a patient undergoing unicompartmental knee arthroplasty, it can deteriorate the final outcome. . Truncation means that the . The treatment alternatives, indications for the planned procedure and risks were discussed with her in detail and an informed consent was obtained. DOI: 10.1016/J.JAJS.2015.12.001 Corpus ID: 74774556; Mucoid degeneration of the anterior cruciate ligament: Partial arthroscopic debridement and outcomes @article{Khanna2016MucoidDO, title={Mucoid degeneration of the anterior cruciate ligament: Partial arthroscopic debridement and outcomes}, author={Gagan Khanna and Rajan Sharma and Aditya Bhardwaj and Harjot S. Gurdutta and Deepak Agrawal and . Conclusions: Our study provides further evidence that arthroscopic total or partial excision of anterior cruciate ligament is a safe and effective treatment for mucoid degeneration of the anterior cruciate ligament, improving patient satisfaction and function without causing clinical instability in daily activities. https://doi.org/10.1186/s10195-020-00551-x, Mulligan EP, McGuffie DQ, Coyner K, Khazzam M (2015) The reliability and diagnostic accuracy of assessing the translation endpoint during the lachman test. What are the findings? Skeletal Radiol 2001 Jun; 30(6): 312-5. [5] and Chudasama etal. PubMed Central The Infona portal uses cookies, i.e. Follow us on social media for the latest updates, Future Medicine Ltd, Unitec House, 2 Albert Place, London, N3 1QB, UK, We use cookies to improve your experience. mucoid degeneration acl symptoms. In terms of treatment, doctors mostly recommend an arthroscopy, a minimally invasive surgical procedure which examines and sometimes . Dr. Anil K. Sharma. Correlation with operation methods in 200 knees. ), or their login data. Management of mucoid degeneration of the anterior cruciate ligament: a systematic . As we age, the connections between the collagen fibers that make up the meniscus begin to deteriorate, causing failure of the structure and tears due to stresses in the joint. https://link.springer.com/10.1007/s00590-021-03198-4. The minimum follow-up was 3 years. J Orthop Traumatol. https://www.uptodate.com/contents/search. Hence, the improvement in ROM, attenuation of rest pain and better long term functional outcome measures supported the hypothesis regarding the positive effect of debulking a MD-ACL in patients undergoing UKA. The excised ACL tissue was sent for histopathological confirmation of mucoid degeneration. 2). Remote ligamentous trauma as well as mucinous degeneration associated with aging likely play a role in the development of cruciate cysts. Patient-related outcome measures, rest pain, clinical outcomes, and subjective patient satisfaction were recorded and compared at 2years follow-up. You can read more if you want. Main symptoms are pain during terminal knee flexion (as in squatting) feeling of heaviness/tiredness in the knee. Quadriceps and hamstring weakness are common features of people with symptomatic degenerative meniscal tears Surgery may address the structural injury, but Knee Surg Sports Traumatol Arthrosc 19(8):13261333. anterior cruciate ligament mucoid degeneration; mucoid degeneration of the triangular . American Academy of Orthopaedic Surgeons. Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is commonly treated with arthroscopic debridement of the ACL. ACL ganglion cyst occurs more frequently among relatively younger patients compared to mucoid degeneration. Medical Definition of mucoid degeneration. It can cause pain and to a meniscal tear. Discrete intraosseous ganglia are observed in 3/4 of the cases with mucoid degeneration of the ACL. PubMed Central For treatment of this, partial removing of bulky ACL is generally done, which causes weakness of the ACL. Most older patients with meniscus tears can obtain relief from symptoms such as pain, swelling and decreased range of motion, and improve function, without surgery. Answered . My knee pains while I sit on the floor or its difficult for me to stand or walk for a long time or I find its difficult to descend the stairs or my knee gets tired easily these days are the usual complaints. The portal can access those files and use them to remember the user's data, such as their chosen settings (screen view, interface language, etc. Terms and Conditions, Platelet-rich plasma (PRP) is known to influence musculoskeletal healing through multiple growth factors. The patients clinical history and symptoms do not support an ACL injury. 1). What happens if you dont get surgery on a torn ACL? On exposure of the joint, ACL was looked for in terms of integrity and any degenerative changes. (2a) T1-weighted sagittal image demonstrates an enlarged, club-shaped anterior cruciate ligament (arrows). But many studies have reported the weakening and laxity of ACL postoperatively and on follow-up. Manage cookies/Do not sell my data we use in the preference centre. They are relatively uncommon, and their exact aetiopathogenesis is still not clear. However, young patients . A physical therapist will teach you exercises that you will perform either with continued supervision or at home. Exclusion criteria was as follows: (1) patients with a previous history of having undergone reconstruction, repair or debulking of the ACL in the ipsilateral knee; (2) patients with a history of any surgery in and around the ipsilateral or contralateral knee, or ipsilateral hip or ankle joints; (3) patients with inflammatory arthritis; (4) patients with musculoskeletal and learning disorders and (5) patients diagnosed with mucoid degeneration of the PCL radiologically. The outcome analysis of both groups was done using the same follow-up protocol in terms of time (2years post-operatively), clinical tests (Lachmans test), functional scoring systems [IKDC score, KSS, rest pain by visual analogue scale (VAS)] and subjective patient satisfaction. (wikipedia.org)Rarely, intraosseous ganglion cysts occur, sometimes in . Although arthroscopic resection of the degenerated ACL is the treatment of choice following the failure of conservative management, the extent of the excision and subsequent ACL reconstruction for . Patients were followed up post-surgery for rehabilitation. 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 . To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. 373) A September 2018 MRI of the left knee showed anterior cruciate ligament and mucoid degeneration with intra cruciate ganglion and pericruciate synovitis . Modalities such as icing, joint mobilization, and massage can provide short-term pain relief and reduce swelling. At the time of the injury, a "pop" or "snap . They were however, supplemented by other objective methods such as comparison of pre-operative, post-operative and follow-up status of lateral view of plain radiograph in standing position, to look for any posterior translation of the femur which would suggest instability. (Tr. . But many studies have reported the weakening and laxity of ACL postoperatively and on follow-up. Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is commonly treated with arthroscopic debridement of the ACL. Clin Radiol. By using this website, you agree to our Proton density-weighted sagittal demonstrates a diffusely increased size of the ACL with ill-defined increased signal and interspersed intact ACL fibers. How do you treat degenerative meniscus tear? Signs and symptoms: It usually affects middle aged and elderly people. Predetermined inclusion and exclusion criteria were used for sample collection. statement and S Banerjee: Substantial contributions to the conception, drafting the work interpretation of data for the work, agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. Anterior cruciate ligament (ACL) injury.Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018. I saw this news report on CNN politics and somehow I find Mr. Trumps theory on human energy really interesting, so he Its Christmas day, and everything should have gone just in its right way, except it doesnt. Although a few studies such as the one by Lee etal. During ACL reconstruction, the surgeon removes the damaged ligament and replaces it with a segment of tendon tissue similar to a ligament that connects muscle to bone. 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. The severity of the ACL injury is graded from 1 to 3. This replacement tissue is called a graft. . The second most common complaint in patients with MD-ACL, namely rest pain, also showed statistically significant reduction at 2years follow-up in patients who underwent debulking as compared with their counterparts, as measured by VAS score. 58th ed. Very minor tears (sprains) may heal with non-surgical treatments and regenerative medicine therapy. This is a 79-year old woman with recently found asymptomatic left hydronephrosis. Diet therapy and various other treatments (general aspects) Discipline Radiotherapy. 1st ed. I get PT and acupuncture, have had several epidural injections, and am trying hard to avoid osteoporosis meds (was on bisphosphonates for many years many years ago) as well as spinal fusion. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Rehabilitation, speech therapy, crenotherapy. cystic degeneration degeneration with formation of cysts. The soft-tissue thickening and increased signal intensity along the course of the ligament with either form of cyst may be confused with the appearance of an ACL tear. In patients undergoing UKA and diagnosed with mucoid degeneration of the ACL, controlled debulking of the ACL provides better functional outcomes as compared with non-debulking of the mucoid ACL. Since the ACL is an extrasynovial structure, irritation or trauma to the synovium covering the ACL may initiate the release of hyaluronic acid and the production of mucin causing the development of a ganglion cyst within or adjacent to the cruciate ligament . Love. 2nd ed. They assessed the stability of the joint with the Lachman test intra-operatively, confirming it to be either grade zero or one, with firm end point, before commencing with the UKA [16]. Details on the top journals, universities, and authors on t. TimesMojo is a social question-and-answer website where you can get all the answers to your questions. The cruciate ligaments control the back and forth motion of your knee. Autologous PRP, prepared by double spin protocol, was injected into the remaining ACL after partial debridement was done. A common sports injury whichusually happens over time from normal wear and tear ofmuscles and tendons. It is commonly associated with characteristic clinical findings such as progressive knee pain and discomfort on prolonged sitting or standing in a fixed posture, without history of a significant trauma or instability preceding the symptoms. The power of the study for the corrected model was estimated to be 92% for the aforementioned sample size when keeping the value of as 0.05, the degree of freedom (df) as 1, and adjusted R2 as 0.023. 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. It can trap and damage the menisci in the knee and can also lead to early osteoarthritis. PubMed 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. These ganglia consist of myxoid material. There is little evidence investigating the effect of MD-ACL in patients undergoing a UKA in the orthopaedic literature. . Arthroscopic surgeries are key hole surgeries for joint disorders. 2015;23:283. Some patient may also complain of pain with full knee extension. Pre-operative and follow-up lateral radiographs of the patients who underwent debulking were analysed by a blinded radiologist and no posterior translation of the femur was noted, thereby confirming no instability caused by the debulking (Fig. Physical therapy typically begins 7-10 days after the procedure. Often the diagnosis can be made on the basis of the physical exam alone, but you may need tests to rule out other causes and to determine the severity of the injury. Sagittal T1-weighted (1a) and fat-suppressed proton density-weighted (1b) images are provided. 10, No. Background: The anterior cruciate ligament (ACL) is the most commonly operated ligament of the knee. https://doi.org/10.1186/s43019-022-00169-9, DOI: https://doi.org/10.1186/s43019-022-00169-9. Make a donation. Connect with thousands of patients and caregivers for support, practical information, and answers. All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation and with the Helsinki Declaration of 1975, as revised in 2008 (5). Accessed Nov. 21, 2018. https://doi.org/10.1007/s00167-012-1991-9, Pandey V, Suman C, Sharma S, Rao SP, Kiran Acharya K, Sambaji C (2014) Mucoid degeneration of the anterior cruciate ligament: management and outcome. Mayo Clinic is a not-for-profit organization. Freedom from war and natural disaster. 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. Successful ACL reconstruction paired with rigorous rehabilitation can usually restore stability and function to your knee. EMMY NOMINATIONS 2022: Outstanding Limited Or Anthology Series, EMMY NOMINATIONS 2022: Outstanding Lead Actress In A Comedy Series, EMMY NOMINATIONS 2022: Outstanding Supporting Actor In A Comedy Series, EMMY NOMINATIONS 2022: Outstanding Lead Actress In A Limited Or Anthology Series Or Movie, EMMY NOMINATIONS 2022: Outstanding Lead Actor In A Limited Or Anthology Series Or Movie. maude adverse event report: genzyme biosurgery (ridgefield) synvisc one intra-articular hyaluronic acid This was a prospective, cohort, multicentric study conducted in five centres. Enter your email address below and we will send you the reset instructions. There have been only some reported cases of mucoid degeneration of the ACL in the English literature. The main MRI finding of ACL mucoid degeneration is a celery stalk appearance [26, 27]. With cruciate ligament ganglia, intact ACL fibers can often be visualized coursing through or around the cyst. 3, 2018 www.ecios.org Mucoid degeneration (MD . It can be misdiagnosed a partial ACL tear. 4 McIntyre J, Moelleken S, Tirman P: Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears . Another theory states that it is a consequence of herniation of a synovial pouch in the substance of the anterior cruciate ligament (ACL), and the subsequent synovial filling inside it; however, the major aetiology of MD-ACL still remains an enigma [4]. All Rights Reserved. Demographic, radiological, and histological findings, type of surgery, and clinical pre- and postoperative data were analyzed. Wilcoxon signed rank test was used for longitudinal intra-group comparison of ROM and PROMs between pre-operative and follow-up scores, whereas Mann Whitney U test was used to compare ROM and PROMs between the two groups at 2years follow-up. Unicompartmental knee arthroplasty (UKA) has rapidly emerged as a superior surgical option to total knee arthroplasty for bone-on-bone osteoarthritis owing to less trauma to the surrounding soft tissue, more conservative bone cuts, minimal bleeding, smaller incision, a better range of motion (ROM), faster recovery, preserved kinematics, higher rate of implant survival and decreased chances of major complications such as thromboembolism, cardiac arrest and stroke [9]. 1998-2023 Mayo Foundation for Medical Education and Research. Treatment: For symptomatic knees surgical debulking /debridement in which thickened part of the ACL is shaved off, is the treatment of choice. Usually there is no history of any significant trauma. The pain and disability associated with an ACL injury prompt many people to seek immediate medical attention. Despite integrity and status of cruciates being paramount in a UKA, no study has evaluated the effect of debulking MD-ACL in this procedure. : tissue degeneration marked by conversion of cell substance into a glutinous substance like mucus. In most cases, consideration of the clinical history, careful evaluation of the MR appearance, including the lack of ancillary findings of an ACL tear, and physical examination allow confident differentiation of a ganglion cyst from a cruciate ligament tear. Ever since mucoid degeneration of the anterior cruciate ligament (MD-ACL) was named by Kumar etal. (4a) 3D rendering of an ACL ganglion viewed from the medial side with the medial femoral condyle removed. These patients were included in group A (na=216). Mucoid degeneration of ACL. Enter your email address below and we will send you your username, If the address matches an existing account you will receive an email with instructions to retrieve your username, Additional Professor, Department of Orthopaedics, AIIMS Jodhpur, Jodhpur, Rajasthan, 342005, India, Senior Resident, Department of Orthopaedics, AIIMS Jodhpur, Jodhpur, Rajasthan, 342005, India. https://doi.org/10.1302/0301-620X.81B2.0810304, Article As previously reported, typical symptoms of mucoid degeneration of the ACL include knee pain during deep flexion and painful limitation of motion. AskMayoExpert. To summarize, debulking of mucoid ACL in patients undergoing unicompartmental knee arthroplasty significantly reduces the rest pain and improves the final range of motion of the knee joint, subsequently improving the overall functional and clinical outcome of the patient and resulting in greater patient satisfaction. model of self-care at home: Medical treatment for an ACL injury begins with several weeks of rehabilitative therapy. The cause is not really known, but patients usually do not complain of instability. Knee 27(5):13321342. This article belongs to the Special Issue on Radiation Therapy in the Treatment of Cancer < 1 2 3. (6a) "Celery stalk" form of ACL ganglion cyst. After collecting their demographic details, the ROM of the affected knee was noted, following which they were planned for surgery in the form of mobile-bearing UKA. Patient having mucoid degeneration of ACL seeks multiple orthopedic consultation and most of the time treating orthopedican miss its diagnosis either because of lack of experience or rare cause of pain unless doctor sought magnetic resonance imaging (MRI) of knee.