Anterior cruciate ligament mucoid degeneration: Selecting the best treatment option

Lintz, François; Pujol, Nicolas; Dejour, David; Boisrenoult, Philippe; Beaufils, Philippe

doi:10.1016/j.otsr.2010.02.008

Cited by 43 publications

(97 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The arthroscopic features include an intact but fibrillated, yellowish and hypertrophied ACL1457 with interspersed yellowish mucinous material along the fibers exposed on probing,7 lack of smooth synovial lining78142627 and absent ligamentum mucosum 5. The otherwise normal ACL looks smooth with a thin synovial lining covering it and presence of ligamentum mucosum is quite a consistent finding.…”

Section: Discussionmentioning

confidence: 86%

“…demonstrated increased anterior translation (Mean: 8 mm) on Telos examination. However, only two out of 29 required ACL reconstruction 2-5 years after the index procedure 27. However, authors did not clarify that whether these two patients had developed instability due to chronic stretching after partial resection or due to subtotal or total resection of mucoid ACL.…”

Section: Discussionmentioning

confidence: 99%

“…Lintz et al . performed two notchplasties out of 29 patients but not routinely 27. We performed a meticulous and judicious debridement of the mucoid ACL with the aim of reducing the volume, achieving removal of the mucoid mass and decompression of the bulky pathological ACL.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Mucoid degeneration of the anterior cruciate ligament: Management and outcome

Pandey

Suman

Sharma

et al. 2014

IJOO

View full text Add to dashboard Cite

Background:Mucoid degeneration (MD) is a rare pathological affection of the anterior cruciate ligament (ACL). Mucinous material within the substance of ACL produces pain and limited motion in the knee. This series describes the clinicoradiological presentation of patients with mucoid ACL, partial arthroscopic debridement of ACL and outcomes.Materials and Methods:During a period of 3 years, 11 patients were included based upon the clinical suspicion, magnetic resonance imaging (MRI) findings, arthroscopic features and histopathologic confirmation of MD of ACL.Result:Six patients were male and five were female with median age of 40 years (range 21-59 years). All patients complained of knee pain with median duration of 5 months (range 1-24 months). All patients had painful deep flexion with 63.6% (N = 7) reporting trivial trauma before the onset of symptoms. MRI revealed MD of ACL in all with associated cyst in three patients. Partial debridement of ACL was done in ten and complete in one patient. None of them required notchplasty. Histopathology confirmed the diagnosis in all of them. At the mean followup of 13.81 months (range 6-28 months), all patients regained complete flexion and none complained of instability.Conclusion:Prior knowledge of condition with high index of suspicion and careful interpretation of MRI can establish the diagnosis preoperatively. It responds well to partial debridement of ACL and mucinous material without development of instability.

show abstract

Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Mucoid degeneration of the anterior cruciate ligament: Management and outcome

Pandey

Suman

Sharma

et al. 2014

IJOO

View full text Add to dashboard Cite

show abstract

“…The injury or loss of functional synovial lining protecting the ACL is the primary lesion causing mucoid degeneration of ACL though there was no significant preceding trauma that patients can relate to current symptoms 1. But the symptomatology, MRI findings, and arthroscopy appearance are consistent 2.…”

Section: Introductionmentioning

confidence: 98%

Arthroscopic management of mucoid degeneration of anterior cruciate ligament

Chudasama

Prabhakar

2012

IJOO

View full text Add to dashboard Cite

Background:Mucoid degeneration of the anterior cruciate ligament (ACL) is a less understood entity. 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 Methods:Between December 2007 and November 2011, 20 patients were diagnosed to be suffering from mucoid degeneration of anterior cruciate ligament (ACL) on the basis of magnetic resonance imaging (MRI), histopathology, and arthroscopy findings. 12 patients were males and 8 patients were females, with mean age of 42.2 years for males (range 28-52 years) and 39.4 years for females (range 30–54 years). They presented with pain on terminal extension (n=10) and on terminal flexion (n=2) without history of significant preceding trauma. MRI showed an increased signal in the substance of the ACL both in the T1- and T2-weighted images, with a mass-like configuration that was reported as a partial or complete tear of the ACL by the radiologist. At arthroscopy, the ACL was homogenous, bulbous, hypertrophied, and taut, occupying the entire intercondylar notch. A debulking of the ACL was performed by a judicious excision of the degenerated mucoid tissue, taking care to leave behind as much of the intact ACL as possible. Releasing it and performing a notchplasty treated impingement of the ACL to the roof and lateral wall. In one patient, we had to replace ACL due to insufficient tissue left behind to support the knee.Results:Good to excellent pain relief on terminal flexion–extension was obtained in 19 of 20 knees. The extension deficit was normalized in all knees. Lachman and anterior drawer test showed a firm endpoint in all, and 85% (n=17) showed good to excellent subjective satisfaction.Conclusions:Mucoid hypertrophy of the ACL should be suspected in elderly persons presenting pain on terminal extension or flexion without preceding trauma, especially when there is no associated meniscal lesion or ligamentous insufficiency. They respond well to a judicious arthroscopic release of the ACL with notchplasty.

show abstract

“…The balance between scaffold structure necessary to ensure the function of the tissue and the place took by this structure, which can in some cases slow down the growth of neo-tissue or induce pain, is a real challenge. Indeed, for anterior cruciate ligament (ACL) in knee, the augmentation of ACL volume can cause pain and block the flexion of the knee [4]. During the last two decades, many biodegradable structures were elaborated and proposed as scaffold for replacing tissues such as ligaments and tendons [3,[5][6][7][8].…”

mentioning

confidence: 99%

Mechanical properties evolution of a PLGA-PLCL composite scaffold for ligament tissue engineering under static and cyclic traction-torsionin vitroculture conditions

Kahn

Ziani

Zhang

et al. 2012

Journal of Biomaterials Science, Polymer Edition

View full text Add to dashboard Cite

This study aims to investigate the in vitro degradation of a poly(L-lactic-co-glycolic acid)-poly(L-lactic-co-ϵ-caprolactone) (PLGA-PLCL) composite scaffold's mechanical properties under static culture condition and 2 h period per day of traction-torsion cyclic culture conditions of simultaneous 10% uniaxial strain and 90° of torsion cycles at 0.33 Hz. Scaffolds were cultured in static conditions, during 28 days, with or without cell seeded or under dynamic conditions during 14 days in a bioreactor. Scaffolds' biocompatibility and proliferation were investigated with Alamar Blue tests and cell nuclei staining. Scaffolds' mechanical properties were tested during degradation by uniaxial traction test. The PLGA-PLCL composite scaffold showed a good cytocompatibility and a high degree of colonization in static conditions. Mechanical tests showed a competition between two process of degradation which have been associated to hydrolytic and enzymatic degradation for the reinforce yarn in poly(L-lactic-co-glycolic acid) (PLGA). The enzymatic degradation led to a decrease effect on mechanical properties of cell-seeded scaffolds during the 21st days, but the hydrolytic degradation was preponderant at day 28. In conclusion, the structure of this scaffold is adapted to culture in terms of biocompatibility and cell orientation (microfiber) but must be improved by delaying the degradation of it reinforce structure in PLGA.

show abstract

Anterior cruciate ligament mucoid degeneration: Selecting the best treatment option

Abstract: IV (retrospective cohort study).

Cited by 43 publications

References 16 publications

Mucoid degeneration of the anterior cruciate ligament: Management and outcome

Mucoid degeneration of the anterior cruciate ligament: Management and outcome

Arthroscopic management of mucoid degeneration of anterior cruciate ligament

Mechanical properties evolution of a PLGA-PLCL composite scaffold for ligament tissue engineering under static and cyclic traction-torsionin vitroculture conditions

Contact Info

Product

Resources

About