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


Online ISSN : 2347 - 3215
Issues : 12 per year
Publisher : Excellent Publishers
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Mucoid Degeneration of Anterior Cruciate Ligament – Management and Functional Outcome of 18 Cases
Amit Srivastava1, Subhash Pateliya2, Harjoban Singh3, Shekhar Aggarwal4 and Shekhar Srivastava5
1Clinical Fellow, 2Junior resident, 3Consultant, 4Senior Consultant and Head, 5Senior Consultant, Department of Orthopaedics, Sant Parmanand hospital, Delhi, India
 
*Corresponding author
Abstract:

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.

Keywords: Anterior cruciate ligament,mucoid degeneration,cyst
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How to cite this article:

Amit Srivastava, Subhash Pateliya, Harjoban Singh, Shekhar Aggarwal and Shekhar Srivastava. 2016. Mucoid Degeneration of Anterior Cruciate Ligament – Management and Functional Outcome of 18 Cases.Int.J.Curr.Res.Aca.Rev. 4(11): 18-24
doi: http://dx.doi.org/10.20546/ijcrar.2016.411.003