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
Related Articles
- EP ID EP465707
- DOI 10.26611/1020825
- Views 97
- Downloads 0
Distal femoral locking compression plate fixation in distal femoral fractures: Early results
We conducted a retrospective review on eleven patients who were treated for Type A and C distal femoral fractures (based on AO classification) between January 2017 and December 2017. All fractures were fixed with titaniu...
Clinical profile of patients with complex proximal femur fractures
In young and healthy individuals, the injury results from high energy trauma, whereas in the elder age group, most of the fractures are osteoporotic, resulting from a trivial fall. Aim: To study the clinical profile of p...
A Comparative study of postoperative pain after open versus endoscopic carpel tunnel release at tertiary health care centre
Background: The carpal tunnel syndrome (CTS) is a common problem since half of century. Carpal tunnel syndrome (CTS) is caused by compression of the median nerve at the wrist resulting in hand numbness, loss of dexterity...
A study of functional outcomes following cemented bipolar hemiarthroplasty for fracture neck of femur at Kodagu
Background: Fractures neck femurs are the most devastating injuries sustained by elderly population. The treatment goals for femoral neck fractures are early return to a satisfactory functional status. Bipolar hemiarthro...
Comparative study of outcome of multidirectional locked nailing and plating for distal tibial fractures
Background: Distal tibial fractures are very commonly encountered by orthopaedic surgeons. Our aim is to study and compare clinical and radiological outcome in extra articular fractures of distal tibia treated by multidi...