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Role of ultrasound-guided decompression in management of mucoid degeneration of the anterior cruciate ligament

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Abstract

Objective

To assess the effectiveness of ultrasound-guided decompression in managing symptomatic mucoid degeneration of the anterior cruciate ligament (ACL).

Materials and methods

Retrospective analysis of 55 patients who underwent ultrasound-guided ACL mucoid degeneration decompression between July 2013 and August 2019. Subjective satisfaction scores were gathered immediately post-procedure for all 55 patients; follow-up satisfaction scores (scale of 0–10, 10 being excellent) were gathered telephonically for 46 patients (83.6%) up to 63 months post-procedure. Follow-up duration of each patient was classified as short (1–6 months), intermediate (7–12 months), or long (more than 12 months) post-procedure. Forty-five patients (81.8%) MRI were retrospectively analyzed and classified into cystic (n = 13, 28.9%), mucoid (n = 11, 24.4%), or mucoid-cystic (21, 46.7%) types. Multivariate logistic regression was used to identify associations between follow-up satisfaction score, follow-up duration, patient age, and type of ACL degeneration.

Results

All patients had immediate marked post-procedure improvement, with excellent (>7/10) satisfaction scores. Forty-six of 55 patients were telephonically followed up: 21 (45.6%) short-term interval, 18 (39.1%) intermediate term, and 7 (15.2%) long-term. Thirty (65.22%) patients had excellent and eight (17.4%) patients had average satisfaction scores at follow-up. Eight (17.4%) patients had poor post-procedure satisfaction scores within six months. There were no significant associations between immediate or follow-up satisfaction score and duration of follow-up, age of patient, or type of ACL degeneration.

Conclusion

Ultrasound-guided aspiration, fenestration, and injection are an effective, safe, minimally invasive and radiation-free technique for management of mucoid degeneration of ACL with excellent immediate- and long-term results.

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Authors and Affiliations

  1. Innovision Imaging, 210 Doctor House, 14 Pedder Road, Mumbai, Maharashtra, 400026, India

    Ankita Ahuja, Chaitali Parekh, Malini Lawande & Aditya Daftary

  2. Queen’s University School of Medicine, 15 Arch Street, Kingston, Ontario, K7L 3N6, Canada

    Angela Salomon

  3. Sir H N Reliance Foundation Hospital and Research Centre, Mumbai, India

    Malini Lawande & Aditya Daftary

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  1. Ankita Ahuja
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  2. Chaitali Parekh
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  3. Angela Salomon
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  4. Malini Lawande
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  5. Aditya Daftary
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Correspondence to Ankita Ahuja.

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Ahuja, A., Parekh, C., Salomon, A. et al. Role of ultrasound-guided decompression in management of mucoid degeneration of the anterior cruciate ligament. Skeletal Radiol 50, 1837–1843 (2021). https://doi.org/10.1007/s00256-021-03750-7

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  • DOI: https://doi.org/10.1007/s00256-021-03750-7

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