Skip to main content

Advertisement

Log in

Clinical outcomes of arthroscopic partial resection of mucoid degeneration of anterior cruciate ligament

  • Original Paper
  • Published:
International Orthopaedics Aims and scope Submit manuscript

Abstract

Purpose

Mucoid degeneration of the anterior cruciate ligament is rare condition; mucoid degeneration affects the range of motion of the knee with pain on terminal extension and terminal flexion. Arthroscopic treatment of the mucoid anterior cruciate ligament (ACL) is the treatment of choice. The purpose of this study was to provide demographic and clinical characteristic of mucoid degeneration of ACL and assess the outcomes of partial arthroscopic ACL resection.

Methods

Patients who underwent partial ACL resection for mucoid degeneration between February 2007 and February 2019 were considered for study eligibility. Patients were evaluated for International Knee Documentation Committee (IKDC), The Anterior Cruciate Ligament Return to Sport After Injury (ACL-RSI), The Knee injury and Osteoarthritis Outcome Score (KOOS) and Tegner activity scale.

Results

Sixty patients underwent partial ACL resection for mucoid degeneration of the ACL. Nine patients were lost to follow-up, 43 were males, the average age was 52.12±12.09 and a mean follow-up of 83.55±44.79 months. At final follow-up six patients underwent ACL reconstruction for ACL rupture (11.7%) at an average of 15.66±12 months. Patient satisfaction was at 71%.

Conclusion

Arthroscopic partial resection of the ACL led to good clinical outcome for treating mucoid degeneration of the ACL.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Hsu C-J, Wang S-C, Fong Y-C et al (2006) Mucoid degeneration of the anterior cruciate ligament. J Chin Med Assoc 69:449–452. https://doi.org/10.1016/S1726-4901(09)70290-4

    Article  PubMed  Google Scholar 

  2. Lancaster TF, Kirby AB, Beall DP et al (2004) Mucoid degeneration of the anterior cruciate ligament: a case report. J Okla State Med Assoc 97:326–328

    PubMed  Google Scholar 

  3. Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK (1999) Mucoid cystic degeneration of the cruciate ligament. J Bone Joint Surg Br 81:304–305. https://doi.org/10.1302/0301-620x.81b2.9243

    Article  CAS  PubMed  Google Scholar 

  4. Bergin D, Morrison WB, Carrino JA et al (2004) Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. AJR Am J Roentgenol 182:1283–1287. https://doi.org/10.2214/ajr.182.5.1821283

    Article  PubMed  Google Scholar 

  5. Makino A, Pascual-Garrido C, Rolón A et al (2011) Mucoid degeneration of the anterior cruciate ligament: MRI, clinical, intraoperative, and histological findings. Knee Surg Sports Traumatol Arthrosc 19:408–411. https://doi.org/10.1007/s00167-010-1239-5

    Article  PubMed  Google Scholar 

  6. Salvati F, Rossi F, Limbucci N et al (2008) Mucoid metaplastic-degeneration of anterior cruciate ligament. J Sports Med Phys Fitness 48:483–487

    CAS  PubMed  Google Scholar 

  7. Kim TH, Lee DH, Lee SH et al (2008) Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Arthrosc-J Arthrosc Relat Surg 24:642–649. https://doi.org/10.1016/j.arthro.2008.02.004

    Article  Google Scholar 

  8. Celikyay F, Yuksekkaya R, Bilgic E (2020) A retrospective comparison of ACL tear and mucoid degeneration MRI findings and an emphasis on evaluating of ACL, Blumensaat, and PCL Angles. J Belg Soc Radiol 104:36. https://doi.org/10.5334/jbsr.1654

    Article  PubMed  PubMed Central  Google Scholar 

  9. McIntyre J, Moelleken S, Tirman P (2001) Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears. Skeletal Radiol 30:312–315. https://doi.org/10.1007/s002560100336

    Article  CAS  PubMed  Google Scholar 

  10. Pandey V, Suman C, Sharma S et al (2014) Mucoid degeneration of the anterior cruciate ligament: management and outcome. Indian J Orthop 48:197–202. https://doi.org/10.4103/0019-5413.128765

    Article  PubMed  PubMed Central  Google Scholar 

  11. Kusano M, Horibe S, Tanaka Y et al (2015) Early reconstruction should be considered in younger patients with symptomatic mucoid degeneration of the anterior cruciate ligament. Asia Pac J Sports Med Arthrosc Rehabil Technol 2:95–97. https://doi.org/10.1016/j.asmart.2015.03.001

    Article  PubMed  PubMed Central  Google Scholar 

  12. Lintz F, Pujol N, Dejour D et al (2010) Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. Orthop Traumatol: Surg Res 96:400–406. https://doi.org/10.1016/j.otsr.2010.02.008

    Article  CAS  PubMed  Google Scholar 

  13. Huang J (2017) Arthroscopic treatment of mucoid degeneration of the anterior cruciate ligament. Arthrosc-J Arthrosc Relat Surg 33:e96–e97. https://doi.org/10.1016/j.arthro.2017.08.099

    Article  Google Scholar 

  14. Lee JW, Ahn JT, Gwak HG, Lee SH (2021) Clinical outcomes of arthroscopic notchplasty and partial resection for mucoid degeneration of the anterior cruciate ligament. J Clin Med 10:315. https://doi.org/10.3390/jcm10020315

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Kanakamedala AC, Anderson AF, Irrgang JJ (2016) IKDC Subjective Knee Form and Marx Activity Rating Scale are suitable to evaluate all orthopaedic sports medicine knee conditions: a systematic review. J ISAKOS 1:25–31. https://doi.org/10.1136/jisakos-2015-000014

    Article  Google Scholar 

  16. Webster KE, Feller JA (2021) Evaluation of the responsiveness of the Anterior Cruciate Ligament Return to Sport After Injury (ACL-RSI) Scale. Orthop J Sports Med 9. https://doi.org/10.1177/23259671211031240

  17. Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD (1998) Knee Injury and Osteoarthritis Outcome Score (KOOS)–development of a self-administered outcome measure. J Orthop Sports Phys Ther 28(2):88–96. https://doi.org/10.2519/jospt.1998.28.2.88

    Article  CAS  PubMed  Google Scholar 

  18. Tegner Y, Lysholm J (1985) Rating systems in the evaluation of knee ligament injuries. Clin Orthopaed Relat Res 198:43–49

    Article  Google Scholar 

  19. Zikria B, Johnson A, Hafezi-Nejad N et al (2020) Association between MRI-based tibial slope measurements and mucoid degeneration of the anterior cruciate ligament: a propensity score–matched case-control study. Orthop J Sports Med 8:1–7. https://doi.org/10.1177/2325967120962804

    Article  Google Scholar 

  20. Morice A, Coupry A, Lintz F, Robert H (2013) Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration : clinical and knee laxity outcomes in 23 cases. Orthop Traumatol: Surg Res 99:693–697. https://doi.org/10.1016/j.otsr.2013.04.010

    Article  CAS  PubMed  Google Scholar 

  21. Ventura D, Nuñez JH, Joshi-Jubert N et al (2018) Outcome of arthroscopic treatment of mucoid degeneration of the anterior cruciate ligament. CiOS Clin Orthop Surg 10:307–314. https://doi.org/10.4055/cios.2018.10.3.307

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Contributions

N\A.

Corresponding author

Correspondence to Ibrahim Haidar.

Ethics declarations

Ethical approval

N\A.

Consent to participate

N\A.

Conflict of interest

The authors declare no competing interests.

Social media handles*

*Optional. This will help us promote your published paper on Social Media to reach a wider audience and also for you to re-post the link.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Haidar, I., Hardy, A., Bohu, Y. et al. Clinical outcomes of arthroscopic partial resection of mucoid degeneration of anterior cruciate ligament. International Orthopaedics (SICOT) 47, 2961–2965 (2023). https://doi.org/10.1007/s00264-023-05901-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00264-023-05901-y

Keywords

Navigation