Abstract            Volume:4  Issue-11  Year-2016         Original Research Articles

Online ISSN : 2347 - 3215 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcret@gmail.com

Mucoid degeneration of anterior cruciate ligament (ACL) is a rare pathology. It causes terminal restriction of knee flexion and posterior knee pain. The lesion is usually described in degenerative knees. We present here a series of eighteen patients managed with partial resection of ACL with good functional outcome. Eighteen patients were enrolled and followed up in the study over a period of 36 months (12-59 months). All complained of restriction of terminal knee flexion with associated knee pain. The diagnosis was made on the basis of clinical suspicion, MRI and histopathology. Debridement and partial resection of ACL was done and the tissue was sent for histopathology. At final follow up none of the patient complained of knee instability. Five males and thirteen females with mean age of 41 years (27-60 years) were included. All cases complained of knee pain with median duration of 8 months. MRI and arthroscopy revealed features suggestive of mucoid degeneration of ACL. There was associated grade 2, 3 degenerative changes in 10 patients and medial meniscal tear in 4 patients. Partial ACL resection was done in all and histopathology was sent, none required notchplasty. At the mean follow up of 36 months (12-59 months), all patients regained flexion at knee with no complain of instability. Great deal of suspicion and good MRI is diagnosis is required for the diagnosis. Partial resection of ACL can be done with no risk of instability.

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