Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is a less common entity. The primary pathology is the damage to the functional synovial lining protecting the ACL with no significant preceding trauma. Two types are described i.e., cystic (synovial and mucoid cysts) and infiltrating (mucoid degeneration). These lesions can be asymptomatic. When symptomatic, the patient complained of posterior knee pain with restriction of flexion in the knee. The diagnosis is confirmed by Magnetic Resonance Imaging of the Knee. Recent trends include arthroscopic procedures, including ACL debridement, i.e. partial resection. Total resection can be required in a few cases with ACL reconstruction. Inclusion Criteria: Diagnosed cases of ACL mucoid degeneration on MRI. Exclusion Criteria: Post-traumatic knee injuries-meniscal or ligamentous or bony, ACL synovial or mucoid cysts. Materials and Methods: A total of 18 patients diagnosed with ACL mucoid degeneration were included in the study. The study was conducted from August 2019-August 2021. The patients were assessed clinically with history and clinical examination. MRI was advised in patients with clinical suspicion of ACL mucoid degeneration. Results:The study sample consisted of 18 patients (7 females and 11 males) with ages ranging from 30 to 55 years (mean age, 43.2 years) in males and 35 to 55 years (mean age, 41.5 years) in females. On clinical assessment, exacerbation of pain was more commonly related with terminal flexion in 10 patients (58.8%) as compared to terminal extension (7 patients, 41%). No motion-related exacerbation of pain was seen in 1 case. 17 patients had an extension deficit. No complaint of instability was seen except for 2 cases. Postoperatively an average improvement of the Visual analogue scale by 4 was seen. No flexion or extension deformity was noted. No patient had any major complication. On follow up Anterior Lachman test was grade 1 in 16 cases and in others it was same as opposite non-affected knee. A complete resection of ACL with reconstruction using hamstring graft was done in 1 patient. The same patient showed a pain improvement of 4 scales on VAS. The patient however had episodes of instability. Conclusion: A clinical suspicion of mucoid degeneration of ACL with confirmatory classical appearance on MRI are key to diagnosis. Symptomatic pain relief is better provided with ACL debridement with mild laxity in upcoming future.
Background and Objectives: Platelet rich plasma has been used in sports medicine, for cartilage degeneration and chronic enthesopathies like plantar fasciitis. Platelet-rich plasma exhibited the biological healing capacity. Methods: The study was conducted from December 2019 to December 2021, patients at the department of orthopedics at Navodaya Medical College and Research Center, Raichur. Approval taken from ethical committee. 30 patients selected based on the inclusion criteria and exclusion criteria. platelet rich plasma injection intraleisionally given to all patients. All patients are evaluated with use of numerical pain score. Results: The numerical pain scоre wаs аssessed at the time of injection. The mean numerical pain score of all patients was 8.52 in plantar fasciitis. The mean numerical pain score for plantar fasciitis at 0, 1, 2, 4, and 6 months was 8.52, 4.15, 2.38, 0.61, and 0.33, respectively. From the аbоvе dаtа, it can be concluded that раtient receives mаximum relief оf sуmрtоms аt fourth month аnd is sustained until sixth mоnth. Conclusion:In this study we observed platelet rich plasma has got significantly better results in plantar fascitis safe and effective. This was observed maximum at 4 months and sustained for atleast 6 months.
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