Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 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. 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. Average patient age was 49 (22 to 68) years. Mucoid degeneration of the anterior cruciate ligament (ACL) is a very rare cause of knee pain. The mean MINORS score was 9.5 out of 16 (412). -, Fealy S, Kenter K, Dines JS, Warren RF. The need for simultaneous or delayed ACL reconstruction should be discussed with patients in case total resection of the ACL is to be performed, particularly in young active patients. 2011 Aug;19(8):1326-33. doi: 10.1007/s00167-011-1433-0. Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of anterior knee pain (AKP). Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first characterized by Kumar et al. Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. Twelve partial and 17 total resections were performed. Symptomatic ACL mucoid degeneration in middle-age athletes. We herein describe a case of PCL mucoid degeneration presented with secondary ACL . Clin Orthop Surg. Coronal proton density-weighted magnetic resonance imaging shows a thickening of the anterior cruciate ligament. Conclusions: (Table 3). -osis is a suffix denoting a process, condition, or state, the histology of the Achilles tendon and in ACL injuries(24-26). See this image and copyright information in PMC. -, Makino A, Pascual-Garrido C, Rolon A, Isola M, Muscolo DL. Due to the lack of specific symptoms and signs, its diagnosis is often delayed or even misdiagnosed in clinical practice [ [1] , [2] ]. Magnetic Resonance Imaging is the most useful tool for differentiating mucoid degeneration of the ACL from an intraligamentous ganglion or other lesions in the knee joint and if this disease is considered preoperatively, it can be diagnosed easily based on characteristic findings. Arthroscopic debridement of the ACL was the intervention in eight studies, whereas Morice et al. 2. Background: Mucoid degeneration of the anterior cruciate ligament (ACL) is an uncommon non-traumatic cause of knee pain and motion restriction, typically seen in a middle-aged population. Anterior knee pain is the more common complaint. . The aetiology of MDACL is not fully understood, hence, there are multiple theories on this. The review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines and registered in the PROSPERO database (CRD42018087782). The https:// ensures that you are connecting to the Tissue biopsy was performed in 85% of patients (58 of 68) in the study of Cha et al. This study hypothesized that arthroscopic debridement of MDACL would provide patients with improvement in pain, range of movement and functional outcome scores. Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first characterized by Kumar et al. Some case reports have been published; however, it is difficult to diagnose and is often underdiagnosed or misdiagnosed because of its pathophysiological ambiguity. and transmitted securely. All nine included studies utilized MRI of the knee to establish a radiological diagnosis as an inclusion criterion. PROSPERO. . Mucoid cystic degeneration of the cruciate ligament. Postoperative ACL laxity is common after arthroscopic ACL debridement, however, symptomatic instability is not. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Its interstitial nature within the ACL structure contrasts with synovial cyst of the ACL. Discussion: It may lead to knee pain. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. 287 (3): 912-921. Due to the heterogeneity of data, a meta-analysis was not possible, and a narrative review was deemed most appropriate. Epidemiology The likelihood of mucoid change within ligaments and tendons increases with age 1. Rehabilitation, orthophony, crenotherapy. You can read more if you want. Clipboard, Search History, and several other advanced features are temporarily unavailable. In most cases Physiopedia articles are a secondary source and so should not be used as references. 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. The anterior cruciate ligament (ACL) is the most commonly injured of the major knee ligaments. This study concerns complete ACL resection as a treatment of mucoid degenerated ACL. By using this website, you agree to our Second, methodological quality assessment showed that three studies had low methodological quality. Arthroscopic debridement of the anterior cruciate ligament (ACL) results in satisfactory pain relief and improvement in knee outcome scores. 2011 Jun;25(6):650-2. Hypothesis: All patients (100%, n=11) reported a good to very good surgery satisfaction. -, Hensen JJ, Coerkamp EG, Bloem JL, De Schepper AM. The clinical presentation is one of posterior pain with limited flexion. Finally, partial meniscectomy was commonly performed simultaneously with ACL debridement in all studies, which arguably could be the reason for the postoperative improvement. Any discrepancy was resolved by the senior author. Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK (1999) Mucoid cystic degeneration of the cruciate ligament. IV (retrospective cohort study). Please enable it to take advantage of the complete set of features! Mucoid degeneration of ACL Justamom21 Feb 17, 2023 7:27 AM Among other conditions - osteoarthritis, osteopenia, spondylolisthesis- an MRI report showed "severe mucoid degeneration of the ACL" in my left knee. Clin Orthop Surg 10(3):307314. 2022 Mar;14(1):76-89. doi: 10.4055/cios20163. 2004;182 (5): 1283-7. Mucoid degeneration of acl (anterior cruciate ligament) is not a common problem and mostly it is found in female patients. The mean follow up ranged from 13 to 72months. 1999;81(2):304305. Secondary signs include bone bruising, meniscal tears, anterior subluxation of the tibia and other ligamentous injuries. . J Chin Med Assoc. Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Management of mucoid degeneration of the anterior cruciate ligament: a systematic . After arthroscopic debridement of the lesion, the patient regained full range of motion of the knee and were pain-free at follow-up. Effects of pre-operative knee laxity on clinical outcomes after partial anterior cruciate ligament reconstruction. 8600 Rockville Pike The .gov means its official. 2021 Sep;50(9):1837-1843. doi: 10.1007/s00256-021-03750-7. [6], in 62% of patients (18 of 29) in the study of Lintz et al. Young and active patients should be warned about the risk of requiring secondary ligamentoplasty. 2011. 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). 1 Its prevalence in magnetic resonance imaging (MRI) is 1.8-5.3%, but not all lesions are symptomatic.2, 3 It is characterized by infiltration of mucoid-like substance (glycosaminoglycans) interspersed within the Risk factors Predisposing factors include the following 1: aging Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. What is Anterior Cruciate Ligament Mucoid Degeneration? Arthroscopic debridement of the ACL resulted in good pain relief and improved range of movement in all studies, with postoperative improvement in the knee scores. Methods: Mucoid degeneration (MD) is a rare pathological affection of the anterior cruciate ligament (ACL). No treatment is usually required. Epub 2018 Aug 22. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. Anterior cruciate ligament; Arthroscopy; Knee; Mucoid degeneration. The success of treatment for MDACL and the subsequent risk of instability is not known. Mucinous material within the substance of ACL produces pain and limited motion in the knee. There was a high rate of association between degenerative lesions and MDACL, ranging from 39 to 96%. Therefore, indications for ACL resection must be carefully selected. in this condition your acl (anterior cruciate ligament) filled with jelly like material and it thickened so space in intercondylar resion of knee joint is reduced. sharing sensitive information, make sure youre on a federal Clinical Outcomes, Return to Sports, and Patient Satisfaction After Anterior Cruciate Ligament Reconstruction in Young and Middle-Aged Patients in an Asian Population-A 2-Year Follow-up Study. Signal intensity of the anteromedial bundle (AMB) or posterolateral bundle (PLB) graft standardized to the intensity of the PCL was defined as signal intensity ratio (SIR). 2022 Apr 11;31:67-71. doi: 10.1016/j.jor.2022.04.004. J Bone Joint Surg Br. Epub 2021 Mar 8. Before Preoperative and postoperative KOOS questionnaires were compared and showed improvement in all categories. Disclaimer. The rate of association between meniscal tears and MDACL ranged from 9 to 96%. 1992;159(2):35760. We report a case of mucoid degeneration of the ACL in a 50-year-old female with knee pain of 18 months duration. Methodological quality of the studies was assessed using the Methodological Index for Non-Randomized Studies (MINORS) criteria [11] (Table1). The reported restriction of range of movement was flexion deficit in four studies [3, 13, 15, 17], extension deficit in one study [14] and combined flexion and extension deficit in four studies [6, 16, 18, 19] (Table4). Mucoid degeneration of the anterior cruciate ligament. Cite this article. 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. mucoid degeneration acl symptoms. 1. 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. Unauthorized use of these marks is strictly prohibited. An official website of the United States government. The aetiology of MDACL is not clearly understood. Eight patients (72.7%, n=8) reported an improvement of knee instability, while three patients (27.3%, n=3) experienced an unchanged knee stability. This site needs JavaScript to work properly. 2022 Mar;50(3):3000605221084865. doi: 10.1177/03000605221084865. https://doi.org/10.1186/s43019-021-00110-6, DOI: https://doi.org/10.1186/s43019-021-00110-6. Unable to load your collection due to an error, Unable to load your delegates due to an error. Bergin D, Morrison WB, Carrino JA et-al. 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. Noninfiltrating synovial cysts of the ACL were excluded. The inclusion criteria for this study were (1) studies including symptomatic patients with mucoid degeneration of the ACL, (2) studies of 10 or more patients, (3) a minimum of 6months follow up and (4) patients treated conservatively or surgically (arthroscopic debridement with or without simultaneous ACL reconstruction). Epub 2011 Feb 18. Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. 2011. The extracted data were heterogeneous in terms of outcome assessment. This did not appear to affect the postoperative rate of clinically detectable laxity, which was comparable to that in other studies. Therefore, indications for ACL resection must be carefully selected. The pathogenesis remains controversial. Sep 2017 - Feb 20186 months. Three reviewers (an experienced librarian and two of the authors) independently searched these databases. ACL mucoid degeneration is an uncommon pathological condition; the pathogenesis, prevalence, and . Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Epub 2021 Nov 24. 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 ). The cause is not really known, but patients usually do not complain of instability. proposed reduction plasty, which is reduction of the ACL to normal volume without excision of all mucoid tissue. bling. However, MDACL is asymptomatic in most patients. Chudasama CH, Chudasama VC, Prabhakar MM. This study concerns complete ACL resec Slim K, Nini E, Forestier D, Kwiatkowski F, Panis Y, Chipponi J (2003) Methodological index for non-randomized studies (MINORS): development and validation of a new instrument. No reconstruction was performed at the same time. Ligaments and tendons are accumulated by mucoid change might display a thickened and/or hypertrophied appearance, with an increase in signal intensity. Results: 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. Hotchen AJ, Demetriou C, Edwards D, Melton JTK. A posterior approach will allow for the detection of changes by probing the ligament and mucoid material can be expressed. 2007;15 (1): 73-86. (A) Bulging of the hypertrophied anterior cruciate ligament. Anterior cruciate ligament mucoid degeneration. This site needs JavaScript to work properly. An official website of the United States government. Sweed T, Mussa M, El-Bakoury A, Geutjens G, Metcalfe A. Knee Surg Relat Res. 2004;182(5):12837. Would you like email updates of new search results? Bookshelf Truncation means that the . Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. The .gov means its official. [Diagnosis and treatment of anterior cruciate ligament cysts]. Rajani AM, Shah UA, Mittal ARS, Gupta S, Garg R, Punamiya M. Knee Surg Relat Res. Federal government websites often end in .gov or .mil. All patients (100%, n=11) reported an improvement in pain. Careers. The mean follow up ranged from 13 to 72months. Mucoid degeneration of the anterior cruciate ligament: a case report. PubMed Keywords: There was strong association between degenerative changes and MDACL (82% having chondral and 69% meniscal lesions), which might suggest that MDACL is a degenerative process. Eight studies showed postoperative improvement in range of motion, whereas Khanna et al. Arthroscopy 24(6):642649. Ligaments are very tough, fibrous tissue structures. Bethesda, MD 20894, Web Policies What causes mucoid degeneration of ACL? MDACL is differentiated from synovial cysts of the anterior cruciate ligament (ACL) where, in MDACL, mucoid tissue intermingles within ACL fibres and is not contained within a cyst [3]. report that one patient had ACL reconstruction simultaneously after the ACL debridement. Arch Orthop Trauma Surg. Open Grey database was searched for grey literature using the same keywords. Online ahead of print. First, our literature search revealed a heterogeneous group of studies dominated by case reports and case series, with no randomised controlled trials. This makes it difficult to relate the improvement of symptoms to ACL debridement. https://doi.org/10.2214/ajr.182.5.1821283, Article All rights reserved. Int J Curr Res Aca Rev 4(11):1824 http://www.ijcrar.com/abstractview.php?ID=228&vol=4-11-2016&SNo=3, Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI (2008) Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. in 1999 [ 1 ]. Accessibility Arthroscopy 20(2):141146. eCollection 2013. The site is secure. Role of ultrasound-guided decompression in management of mucoid degeneration of the anterior cruciate ligament. Google Scholar, Salvati F, Rossi F, Limbucci N, Pistoia ML, Barile A, Masciocchi C (2008) Mucoid metaplastic-degeneration of anterior cruciate ligament. 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). 2011. FOIA Federal government websites often end in .gov or .mil. AJR Am J Roentgenol. PubMed Arthroscopy. What is myxoid degeneration treatment? http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42018087782. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. 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 . [Effectiveness of bone-anterior cruciate ligament-bone allograft in reconstruction of anterior cruciate ligament under arthroscope]. Complete resection of the ACL without ACL reconstruction is a reliable treatment for symptomatic cases of mucoid degenerated ACL. Unauthorized use of these marks is strictly prohibited. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. -, McIntyre J, Moelleken S, Tirman P. Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears. Disclaimer. Federal government websites often end in .gov or .mil. The ACL appears on MRI to be enlarged with cystic changes throughout, however it is intact. MEDLINE, Embase, Google Scholar, Cochrane, ISI web of science and Scopus were comprehensively searched from the earliest year of indexing until 10 July 2020. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. https://doi.org/10.1007/s002560100336, Narvekar A, Gajjar S (2004) Mucoid degeneration of the anterior cruciate ligament. PMC Ahuja A, Parekh C, Salomon A, Lawande M, Daftary A. Skeletal Radiol. Characteristic: "celery stalk" appearance. AJR Am J Roentgenol. 2013 Oct;99(6):693-7. doi: 10.1016/j.otsr.2013.04.010. Careers. government site. Despite the low rate of complications in all studies, there was a high incidence of postoperative knee laxity, demonstrated by a positive Lachman test, in most studies. A long duration of non-specific knee pain in a patient should be evaluated with MRI. We report a case of mucoid degeneration of the anterior cruciate ligament (ACL). ACL mucoid degeneration is an uncommon pathological condition; the pathogenesis, prevalence, and association with other intra-articular knee structural damage are still poorly understood. Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D. Knee Surg Sports Traumatol Arthrosc. FOIA Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. 6. Quadriceps and hamstring weakness are common features of people with symptomatic degenerative meniscal tears Surgery may address the structural injury, but . 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. https://doi.org/10.4103/0019-5413.128765, Article Hsu CJ, Wang SC, Fong YC, Huang CY, Chiang IP, Hsu HC. 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. 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. 2009. Seventeen females (67%) and eight males (33%) were included in the final analysis. HHS Vulnerability Disclosure, Help Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. Does Femoral Intercondylar Notch Volume Differ in Anterior Cruciate Ligament-Injured Adult Patients Compared to the Uninjured? Postoperative pain relief was reported in seven studies. Roberts CC, Towers JD, Spangehl MJ et-al. Its prevalence in magnetic resonance imaging (MRI) is 1.8 to 5.3%, but not all lesions are symptomatic. [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%). Before Reeducation. In these studies, the total number of patients with a postoperative positive Lachman test was 40% (77 of 194 patients). At the time the article was last revised Dai Roberts had no recorded disclosures. 2011;19(3):408411. The .gov means its official. Learn how we can help 704 views Reviewed >2 years ago Thank 2006 Sep;69(9):449-52. doi: 10.1016/S1726-4901(09)70290-4. 2011. It results in postoperative laxity, but rarely in frank instability. There is strong association between MDACL and chondral and meniscal lesions, which may support the theory that MDACL is a degenerative process. A 48-year-old-male patient presented with knee pain and limitation of motion. ACL debridement was partial in all studies except for those by Lintz et al. Tamer Sweed. Epub 2018 Apr 21. Seven of the nine studies reported using the Lachman test to check postoperative ACL laxity. Initially, partial weightbearing is allowed. 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 ]. 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. Mucoid degeneration of the ACL is a rare cause of knee pain.1-8) This lesion of the ACL was first reported by Kumar et al.3) in 1999. 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. Knee Surg Sports Traumatol Arthrosc. The authors declare that they have no competing interests. Two reviewers independently screened the titles and abstracts of the retrieved records for eligibility. reported on the co-existence of mucoid degeneration and ganglia of the ACL. Introduction Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. Arthroscopic findings. Case report: official website and that any information you provide is encrypted Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Every time when patient flexes the knee, thickened ACL impinges over posterior cruciate ligament (PCL) in the knee, causing knee pain and limited motion. Anatomically, it is arranged in a crossed pattern with the Posterior Cruciate Ligament, forming an 'X', therefore, it is also known as cruciform ligament. Epub 2018 Jan 2. FOIA Histological diagnosis was established by tissue biopsy in all patients in five studies, with a total of 87 knees. official website and that any information you provide is encrypted 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. Physical Therapy. Eight studies reported postoperative instability. Furthermore, this raises the question as to whether the symptoms (pain and diminished range of movement) were solely due to MDACL and not secondary to other associated pathological conditions. (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). eCollection 2022 May-Jun. sharing sensitive information, make sure youre on a federal 8600 Rockville Pike If arthroscopy is performed, the ligament may appear entirely normal, especially using the standard anterior portal approach. -. Several authors have identified this condition, described their experiences, and suggested their own guidelines for management. did not report on this. 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. Only three studies mentioned failed conservative treatment as an inclusion criterion [14, 15, 18]. A September 2018 MRI of the left knee showed anterior cruciate ligament and mucoid degeneration with intra cruciate ganglion . Preoperative magnetic resonance imaging (MRI), Fig. To our knowledge, this is the first systematic review to look into the results of the management of MDACL. The https:// ensures that you are connecting to the Chudasama et al. It is a chronic degenerative change of a bulky ACL that may lead to notch . Unable to process the form. Pre-debridement arthroscopic view showing yellowish content in the anterior cruciate ligament. Functional Outcome of Arthroscopic Debridement of Mucoid Degeneration of the Anterior Cruciate Ligament. We report a case of a patient with mucoid degeneration of the ACL, presenting with posterior knee pain and no history of a major knee trauma. The site is secure. MRI is better at detecting mucoid degeneration than arthroscopy, as the surface of the ligament is often intact. Diet therapy and various other treatments (general aspects) Discipline Radiotherapy. Mucoid Degeneration of the Anterior Cruciate Ligament: Characterization of Natural History, Femoral Notch Width Index, and Patient Reported Outcome Measures. Physical therapy typically begins 7-10 days after the procedure. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. Am J Roentgenol 182(5):12831287. Postoperative follow-up included standard radiography and dynamic examination, measuring laxity with a Telos device. In six of the nine studies [6, 14, 16,17,18], arthroscopic debridement of the ACL was associated with simultaneous partial meniscectomy; this ranged from 13% in the study of Morice et al. A positive Lachman test and a negative pivot shift were noted after surgery in all cases. Download Citation | On Feb 1, 2023, O.R. 2012;4 (2): 167-70. There was an improvement in postoperative range of motion and outcome scores (Lysholm and International Knee Documentation Committee scores and the Knee Injury and Osteoarthritis Outcome Score). Mucoid degeneration,: like degenerative arthritis of a joint, generally occurs as a results of aging. Outcome of Arthroscopic Treatment of Mucoid Degeneration of the Anterior Cruciate Ligament.