Management of mucoid degeneration of anterior cruciate ligament
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 8, Issue 2
Abstract
Background: Mucoid Degeneration of ACL, a rare pathological condition occurring due to deposition of mucinous substance is one of the poorly understood clinical condition affecting the knee joint. This study explains about the clinical assessment and management of patients with Mucoid Degeneration of ACL. Materials and Methods: Twelve patients with a mean age of 33 years were included in this study of which 11 had a clinical history of trivial injury and one patient had a significant injury to knee joint. MRI finding interpreted the presence of thickened and hypertrophied ACL which was confirmed upon Arthroscopy. Debulking was done for ten patients and remaining two underwent ACL reconstruction as one already had torn ACL fibres while other had to be reconstructed due to complete resection while debulking. Notchplasty was not done to any of our patients. Result: Mean follow up of 12 months, ten patients with Debulking of ACL had a pain free terminal flexion. The follow up laxity tests for ACL was good. Conclusion: Mucoid Degeneration of the Anterior Cruciate Ligament should be suspected in patients who had pain on terminal flexion of the knee joint. It was mostly found to be preceded by trivial injury to knee joint. MRI is the most useful investigation to identify the diagnosis which can be confirmed by Diagnostic Arthroscopy. Debulking is the best way of managing the Mucoid Degeneration of ACL to achieve the pain free full ROM.
Authors and Affiliations
P Saravanan, T Sundararajan
Keywords
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- EP ID EP465707
- DOI 10.26611/1020825
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