Anterior Cruciate Ligament (ACL) Mucoid Degeneration

Anterior Cruciate Ligament (ACL) Mucoid Degeneration

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What is Anterior Cruciate Ligament (ACL) Mucoid Degeneration?

The Anterior Cruciate Ligament (ACL) is a key structure in the knee, essential for stability. Mucoid degeneration is a rare condition where the ACL's fibres degenerate, becoming infiltrated with mucin, leading to pain and restricted movement.

Anterior Cruciate Ligament (ACL) Mucoid Degeneration Statistics

Mucoid degeneration of the ACL is a rare occurrence, often underdiagnosed due to its subtle presentation on imaging. Source: PubMed

Anterior Cruciate Ligament (ACL) Mucoid Degeneration Anatomy

  • The ACL is located in the center of the knee, forming an 'X' with the Posterior Cruciate Ligament.
  • Consists of two main bundles: anteromedial and posterolateral fibers.
  • Responsible for controlling anterior translation and internal rotation of the knee.

    • Anterior Cruciate Ligament (ACL) Mucoid Degeneration
    Signs & Symptoms

  • Painful terminal knee flexion
  • Stiffness
  • No instability
  • No extension block
  • Joint line tenderness
  • Swelling
  • Posterior knee pain
  • Difficulty in climbing stairs or squatting

    • Causes of Anterior Cruciate Ligament (ACL) Mucoid Degeneration

  • Acute or repeated trauma
  • Aging
  • Primary conditions like osteoarthritis, degenerative menisci

    • Risk Factors for Anterior Cruciate Ligament (ACL) Mucoid Degeneration

  • Middle-aged and older individuals
  • History of knee injuries
  • Engagement in sports that stress the knee

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    Anterior Cruciate Ligament (ACL) Mucoid Degeneration Physio

    Prevalence of Anterior Cruciate Ligament (ACL) Mucoid Degeneration

    Rare in the general population, often underdiagnosed.

    Assessment & Diagnosis of Anterior Cruciate Ligament (ACL) Mucoid Degeneration

  • MRI shows a characteristic "celery stalk" appearance, reflecting ACL degeneration.
  • Arthroscopy reveals an intact but fibrillated ACL with mucinous material.
  • Differentiation from ligament tear or cysts is crucial.

    • Rehabilitation & Physiotherapy for Anterior Cruciate Ligament (ACL) Mucoid Degeneration

  • Strengthening exercises for surrounding muscles.
  • Range of motion exercises.
  • Manual therapy to reduce pain and improve function.

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    Anterior Cruciate Ligament (ACL) Mucoid Degeneration FAQs

    ACL mucoid degeneration is a condition where the ACL's fibers degenerate and fill with a gelatinous substance, leading to knee pain and stiffness.

    It is diagnosed through MRI, which shows a "celery stalk" appearance, and arthroscopy confirming the degeneration.

    Yes, initial treatment often involves physiotherapy and NSAIDs to manage symptoms, with surgery considered for more severe cases.

    Anterior Cruciate Ligament (ACL) Mucoid Degeneration References

  • Palmer W, et al. Skeletal Radiology. 2020
  • el Kadi KI, et al. Pan African Medical Journal. 2013
  • Pandey V, et al. Indian Journal of Orthopaedics. 2014

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