The extracted data were heterogeneous in terms of outcome assessment. The knee is a complex synovial joint that can be affected by a range of pathologies: Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. 6. 2001;17(9):E37. [16]. Every time when patient flexes the knee, thickened ACL impinges over posterior cruciate ligament (PCL) in the knee, causing knee pain and limited motion. Would you like email updates of new search results? It results in postoperative laxity, but rarely in frank instability. 2011. In this systematic review we found that arthroscopic debridement resulted in good pain relief and improved range of motion and clinical outcome scores. Disclaimer. -. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity that has been found in patients with pain and limited range of motion of the knee in association with a bulky ACL shown on magnetic resonance imaging (MRI). Treatment for MDACL usually starts non-surgically with anti-inflammatory drugs and physiotherapy. Arthroscopic findings. Loreto v. Kijakazi, 1:22-CV-1404-JDG | Casetext Search + Citator 2022 Mar;14(1):76-89. doi: 10.4055/cios20163. 1. The appearance can mimic acute or chronic interstitial partial tears of the ACL. . The mean age of patients ranged from 31 to 78years. J Bone Joint Surg Br. Ayurvedic treatment for complete acl tear - Practo [3] and in 1% of patients (3 of 106 knees) in the study of Kim et al. Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P. Anterior cruciate ligament mucoid degeneration: selecting the best treatment option. The purpose of this study was to diagnose mucoid degeneration of anterior cruciate ligament and to assess the effectiveness of arthroscopic treatment in these patients.Materials and MethodsBetween December 2007 and November 2011, 20 patients were diagnosed to be suffering from mucoid degeneration of anterior cruciate ligament (ACL) on the basis . Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. Hamdaoui and others published Le signe de la branche de cleri | Find, read and cite all the research you need on ResearchGate 2007;15 (1): 73-86. Physical therapy typically begins 7-10 days after the procedure. Khanna et al. 2001;30(6):312315. ACL tears don't heal as such. Bookshelf Mucoid degeneration, is the irreversible degeneration of the tissue with the infiltration of mucin(glycosaminoglycans) within the fibers[1][2]. government site. Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. (2018) Radiology. Pan African Medical Journal. Due to the heterogeneity of data, a meta-analysis was not possible, and a narrative review was deemed most appropriate. AJR Am J Roentgenol. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Meniscectomy was undertaken in 11 cases (41%). CAS J Orthop. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Keywords: Does Femoral Intercondylar Notch Volume Differ in Anterior Cruciate Ligament-Injured Adult Patients Compared to the Uninjured? Arthroscopic debridement of the ACL results in satisfactory pain relief and improvement in knee outcome scores. Both anterior cruciate ligament ganglion cysts and mucoid degeneration have a high association with intraosseous cysts [3] (figures 1 and 2). 2021 Sep;50(9):1837-1843. doi: 10.1007/s00256-021-03750-7. https://www.physio-pedia.com/index.php?title=Anterior_Cruciate_Ligament_(ACL)_Mucoid_Degeneration&oldid=253974, Difficulty in climbing stairs, cross-leg sitting, squatting, Primary condition- Osteoarthritis, degenerative menisci, meniscal tear, Impingement of the soft tissue in the vicinity. Please enable it to take advantage of the complete set of features! Twelve partial and 17 total resections were performed. . Partial Anterior Cruciate Ligament - ACL - Tears - Howard J. Luks, MD J Chin Med Assoc. ACL (anterior cruciate ligament) mucoid degeneration means the lesion of the ACL. Arthroscopic diagnostic criteria [7] are (1) continuous ACL fibres, (2) increased ACL volume, (3) yellowish-coloured material expressed on palpation and (4) loss of ACL synovial lining. The retrospective study by Kim et al. 4. Correlations between degree of knee instability and SIR were assessed for each bundle, each time point, and each sequence. Score: 4.7/5 (45 votes) . Methodological quality of the studies was assessed using the Methodological Index for Non-Randomized Studies (MINORS) criteria [11] (Table1). Complete resection of the ACL without ACL reconstruction is a reliable treatment for symptomatic cases of mucoid degenerated ACL. Characteristic: "celery stalk" appearance. Multiple theories have been put forth that explains the pathological disorganization in the collagen fibers of the Anterior Cruciate Ligament, such as synovial, traumatic, and degenerative, "Synovial theory- states that there is accumulation of synovial fluid inside the substance of ACL in a herniated pouch of synovium. 42 Mucoid degeneration of the anterior cruciate ligament with erosion of the lateral femoral condyle P. Melloni, R. Valls, M. Yuguero, A. Saez Medicine Management of mucoid degeneration of the anterior cruciate ligament: a systematic review. The cruciate ligament have mechanoreceptors, which are responsible to detect any change in position of the knee, direction, speed and tension. Initially, partial weightbearing is allowed. Sagittal proton density-weighted magnetic resonance image shows ill-defined anterior cruciate ligament with increased signal intensity and a celery stalk appearance of intact fibers. Mucoid Degeneration Of Acl Treatment? The 140 Top Answers All nine studies were case series; six were retrospective and three were prospective studies. AJR Am J Roentgenol. Sometimes, it is mislead as ACL tear on MRI findings, hence requires probing and histopathology for definitive diagnosis. eCollection 2022 May-Jun. official website and that any information you provide is encrypted Four studies reported only postoperative scores, which were comparable to those in other studies. Radiologic findings associated with mucoid degeneration of the anterior cruciate ligament. Each study was scored 02 on each question, with a global ideal score of 16. Answer (1 of 2): Most of the time mucoid degenrative changes in the ACL does not cause any problemonly if u have sign of ACL instability or the bending of the knee is reduced you may need a arthroscopic evaluation usually u may skip without ACL reconstruction but some of us will need AcL recons. Knee Surgery & Related Research Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a 2022 Apr 11;31:67-71. doi: 10.1016/j.jor.2022.04.004. It results in postoperative laxity, but rarely in frank instability. Online ahead of print. Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) flowchart illustrating the selections of trials included in the systematic review. However, in the case of mucoid degeneration secondary signs of an ACL injury are usually absent. We report a case of mucoid degeneration of the ACL in a 50-year-old female with knee pain of 18 months duration. An official website of the United States government. Bookshelf Exclusion criteria were (1) case reports, literature reviews and conference abstracts and (2) studies written in languages other than English. Arthroscopy. A historical cohort of patients who underwent arthroscopic total or partial excision of the anterior cruciate ligament due to mucoid degeneration between 2011 and 2014 were reviewed. Rajani AM, Shah UA, Mittal ARS, Gupta S, Garg R, Punamiya M. Knee Surg Relat Res. Its signal is increased on all sequences. PMC Before PDF Anterior Cruciate Ligament Ganglion Cyst and Mucoid Degeneration: A Review Ahuja A, Parekh C, Salomon A, Lawande M, Daftary A. Skeletal Radiol. All studies focused on the outcome of arthroscopic debridement of MDACL, with no studies on conservative treatment. Before All nine studies assessed the outcome of arthroscopic debridement of MDACL. This series describes the clinicoradiological presentation of patients with mucoid ACL, partial arthroscopic debridement of ACL and outcomes. Copyright 2010 Elsevier Masson SAS. An official website of the United States government. There was strong association between MDACL and chondral lesions (82%) and between MDACL and meniscal tears (69%). Clin Orthop Surg 10(3):307314. Please enable it to take advantage of the complete set of features! ACL ganglion cyst at arthroscopy may appear as a cystic mass with . Unauthorized use of these marks is strictly prohibited. in this condition your acl (anterior cruciate ligament) filled with jelly like material and it thickened so space in intercondylar resion of knee joint is reduced. Introduction Mucoid degeneration of the anterior cruciate ligament (MDACL) is a rare entity, first described by Kumar et al. For treatment of this, partial removing of bulky ACL is generally done, which causes weakness of the ACL. Shimasaki K, Yoshioka T, Kanamori A, Yamazaki M. Case Rep Orthop. Questions just answered: mucoid degeneration of acl physiotherapy. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. 2010 Jun 1;96(4):400-6. The review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines and registered in the PROSPERO database (CRD42018087782). Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases. -osis is a suffix denoting a process, condition, or state, the histology of the Achilles tendon and in ACL injuries(24-26). Another theory is the synovial theory whereby a pouch of synovium herniates and is subsequently filled with synovium [2]. Sasaki R, Nagashima M, Takeshima K, Otani T, Okada Y, Aida S, Ishii K. J Int Med Res. Arthroscopically ACL is intact but fibrillated, yellowish and hypertrophied,with interspersed yellowish mucinous material along the fibers, lack of synovial linning of the ACL. MDACL is differentiated from synovial cysts of the anterior cruciate ligament (ACL) where, in MDACL, mucoid tissue intermingles within ACL fibres and is not contained within a cyst [3]. Kim TH, Lee DH, Lee SH, Kim JM, Kim CW, Bin SI. I have multiple issues - spondylolisthesis in L4/L5 and L5/S1, osteopenia and osteoarthritis. 2022 Mar;50(3):3000605221084865. doi: 10.1177/03000605221084865. This site needs JavaScript to work properly. Anterior Cruciate Ligament (ACL) Mucoid Degeneration - Physiopedia official website and that any information you provide is encrypted The site is secure. Mucoid change or mucoid degeneration refers to the irreversible tissue degeneration due to the accumulation of mucin within the fibers of tendons, ligaments, and fibrocartilage. Study record managers: refer to the Data Element Definitions if submitting registration or results information.. Search for terms I have persistent pain in the back of that knee that is exacerbated by walking and bending it. Later studies reported that changes consist of mucoid Results degeneration, neovascularisation, and tendon sheath hyper- Nineteen patients met the inclusion criteria and were inclu- trophy. Sweed, T., Mussa, M., El-Bakoury, A. et al. A long duration of non-specific knee pain in a patient should be evaluated with MRI. Anterior cruciate ligament mucoid degeneration: Selecting the best official website and that any information you provide is encrypted #radiologycpd #medicalimaging #imaging #radcme #rheumatology #arthritis #rheumatologist #orthopaedic #painphysician #physiotherapy #sportsmed #orthopaedic #mskmri. Papadopoulou P. The celery stalk sign. Tissue biopsy was performed in 85% of patients (58 of 68) in the study of Cha et al. Bookshelf Springer Nature. A Retrospective Comparison of ACL Tear and Mucoid Degeneration MRI National Library of Medicine How to Treat ACL Mucoid Degeneration? - HTQ The anterior cruciate ligament (ACL) is one of the more vital and more easily injured ligaments within our knee. Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament. Bergin et al. -, Hsu CJ, Wang SC, Fong YC, Huang CY, Chiang IP, Hsu HC. Mucoid degeneration of the anterior cruciate ligament. (61years), which was the largest study and represented more than one third of the total patients included in this review. However, MDACL is asymptomatic in most patients. Anterior cruciate ligament mucoid degeneration: Selecting the best 2022 Nov 24. doi: 10.1007/s00402-022-04659-z. Mucoid degeneration,: like degenerative arthritis of a joint, generally occurs as a results of aging. HHS Vulnerability Disclosure, Help If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. What Is Mucoid Degeneration of the ACL? The anterior cruciate ligament (ACL) is the most commonly injured of the major knee ligaments. An official website of the United States government. Anatomopathology samples were collected in 18 cases. The quality of methodology was excellent in one study, good in five studies, low in two studies and very low in one study (Tables 1 and 2). Arthroscopic debridement may help relieve the anterior knee pain. What are the treatment options for anterior cruciate ligament mucoid The https:// ensures that you are connecting to the Case report: intra-tendinous ganglion of the anterior cruciate ligament All patients (100%, n=11) reported an improvement in pain. The presence of intraligamentous mucoid degeneration in the ACL is demonstrated as a source of knee pain without instability and partial ACL debridement did not preclude adequate knee stability. Manage cookies/Do not sell my data we use in the preference centre. Mucoid degeneration of A C L is more common and literature has also reported many cases, but for PCL only few cases have been reported in English literature. How is mucoid degeneration treated? - Sdnimik.bluejeanblues.net This makes it difficult to relate the improvement of symptoms to ACL debridement. [Diagnosis and treatment of anterior cruciate ligament cysts]. Intact fibers are best seen on T2WI. proposed a different intervention called reduction plasty, whereby the hypertrophic ACL is reduced to normal size without excision of all mucoid substance [17]. reported total resection of the ACL in 68% of patients: one young patient had disabling instability and subsequent ACL reconstruction. There is strong association between MDACL and chondral and meniscal lesions, which may support the theory that MDACL is a degenerative process. 5. In these studies, the total number of patients with a postoperative positive Lachman test was 40% (77 of 194 patients). It is lined by the synovial fluid, which provides the nutrition and plays an integral part in healing. These appearances must be differentiated from mucoid degeneration of the intact ACL. Risk factors Predisposing factors include the following 1: aging Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation. This was lowest in the study of Cha et al. Introduction: With cruciate ligament ganglia, intact ACL fibers can often be visualized coursing through or around the cyst. We report a case of mucoid degeneration of the anterior cruciate ligament (ACL). CAS The lesion may manifest as an elongated cyst along the long axis of the ACL, or as an enlarged ACL. https://doi.org/10.1302/0301-620X.81B2.0810304, Article 2012 Sep;46(5):561-5. doi: 10.4103/0019-5413.101037. official website and that any information you provide is encrypted Physiotherapy. Unauthorized use of these marks is strictly prohibited. Conclusions. This is a characteristic appearance of ACL mucoid degeneration where the ACL is expanded and hyperintense but is still continuous with normal alignment. A positive Lachman test and a negative pivot shift were noted after surgery in all cases. 2006 Sep;69(9):449-52. doi: 10.1016/S1726-4901(09)70290-4. 2019 Jun;32(6):577-583. doi: 10.1055/s-0038-1660514. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Quadriceps and hamstring weakness are common features of people with symptomatic degenerative meniscal tears Surgery may address the structural injury, but . 2. Background: Mucoid degeneration of the anterior cruciate ligament (ACL) is an uncommon non-traumatic cause of knee pain and motion restriction, typically seen in a middle-aged population. Mucoid degeneration of ACL | Mayo Clinic Connect Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. CONFLICT OF INTEREST: No potential conflict of interest relevant to this article was reported. Clin Orthop Surg. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. Mucoid degeneration of the anterior cruciate ligament: Partial Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a well-recognized pathology characterized by the degradation of collagen fibers and infiltration of a mucoidlike substance, [1,2 . What is myxoid degeneration treatment? . The aim of this study was to detail the clinical, radiological, arthroscopic, and pathological findings of mucoid degeneration of the anterior cruciate ligament and report the clinical outcomes following arthroscopic treatment. Loganathan D, Soma Sundar S, Sundar S, Sahanand S, Rajan DV. Treatment of ACL mucoid degeneration by arthroscopic resection is effective for posterior pain and flexion limitation. (A) Bulging of, Fig. Results: Therefore, Anterior Cruciate Ligament tear is more susceptible during any injury to the knee. Magnetic Resonance Imaging is the most useful tool for differentiating mucoid degeneration of the ACL from an intraligamentous ganglion or other lesions in the knee joint and if this disease is considered preoperatively, it can be diagnosed easily based on characteristic findings. There was no mention in the other three studies [13, 15, 18] of whether other procedures were performed simultaneously. Signal intensity of the anteromedial bundle (AMB) or posterolateral bundle (PLB) graft standardized to the intensity of the PCL was defined as signal intensity ratio (SIR). Not really known: Mucoid degeneration of the ACL is seen most commonly in adults (35-55 years of age). Eight studies reported postoperative instability. Anterior cruciate ligament ganglia and mucoid degeneration: Coexistence and clinical correlation. Typically patients present with knee pain or restricted movement, although often other potential causes for the patient's symptoms are found. The site is secure. It is a chronic degenerative change of a bulky ACL that may lead to notch . Partial resection of the anterior cruciate ligament was done in seven cases and a complete resection in 18 cases. This site needs JavaScript to work properly. 2013 Oct;99(6):693-7. doi: 10.1016/j.otsr.2013.04.010. The .gov means its official. Mucoid Degeneration of the Anterior Cruciate Ligament: A Case Report Sixty-one patients underwent T2*WI and PDWI at 3, 6, and 12 months postoperatively. Mucoid degeneration of the anterior cruciate ligament: Management and outcome.. Orthop Traumatol Surg Res 99(6):693697, Khanna G, Sharma R, Bhardwaj A, Gurdutta HS, Agrawal DK, Rathore AS (2016) Mucoid degeneration of the anterior cruciate ligament: partial arthroscopic debridement and outcomes. Symptomatic ACL mucoid degeneration in middle-age athletes. On MRI, the ligament is thickened and ill-defined with a "celery stalk" appearance. Mucoid degeneration of the anterior cruciate ligament (MD-ACL) was first described in the literature in 1999.1 Since then, MD-ACL has been recognized as a pathology present on between 0.7% and 5.3% of magnetic resonance images performed for knee pain.2 MD-ACL is thought to be part of a spectrum of ACL disease that can range from ganglion cysts to MD.3 MD-ACL can either be primary (idiopathic . It is characterized by infiltration of mucoid like substance (glycosaminoglycans) interspersed within the substance of ACL causing knee pain and limited motion. National Library of Medicine In the nine included studies, four different scores were used for outcome assessment. What causes mucoid degeneration of ACL? 2013 Jun 20;15:59. doi: 10.11604/pamj.2013.15.59.2534. HHS Vulnerability Disclosure, Help Preoperative magnetic resonance imaging (MRI) scan. Discussion: government site. Sep 2017 - Feb 20186 months. Arthroscopic debridement of the ACL resulted in good pain relief and improved range of movement in all studies, with postoperative improvement in the knee scores. Keywords: mucoid degeneration, anterior cruciate ligament, acl reconstruction, arthroscopy, knee 1999;81(2):304305. did not report on this. https://doi.org/10.1007/s00167-011-1433-0, Article -Evaluated and planned treatment protocol in accordance with physician. 2004 Feb;20(2):141-6. doi: 10.1016/j.arthro.2003.11.030. Patient having mucoid degeneration of ACL seeks multiple orthopedic consultation and most of the time treating orthopedican miss its diagnosis either because of lack of experience or rare cause of pain unless doctor sought magnetic resonance imaging (MRI) of knee. 2 ). Ever since mucoid degeneration of the anterior cruciate ligament (MD-ACL) was named by Kumar et al. Only nine studies met our inclusion criteria and they were all case series. This bicentric, retrospective cohort study with an average follow-up of 6years involved 27 patients (29 knees) presenting with symptomatic ACL mucoid degeneration validated by magnetic resonance imaging (MRI). 2013 Oct;99(6):693-7. doi: 10.1016/j.otsr.2013.04.010. 2021 Oct 21;2021:5879121. doi: 10.1155/2021/5879121. Arthroscopic treatment of mucoid degeneration of the anterior cruciate Bethesda, MD 20894, Web Policies Epub 2013 Aug 27. Morice et al. Symptomatic instability was highest in the study of Lintz et al. Unable to load your collection due to an error, Unable to load your delegates due to an error. National Library of Medicine Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. Indian J Orthop 46(5):561565. Postoperative ACL laxity is a common finding after ACL arthroscopic debridement, however, symptomatic instability is not. 2018. http://journals.sagepub.com/doi/10.1177/2325967118786930, Pandey V, Suman C, Sharma S, Rao SP, Kiran Acharya K, Sambaji C (2014) Mucoid degeneration of the anterior cruciate ligament: management and outcome. Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of anterior knee pain (AKP). ACL debridement was partial in all studies except for those by Lintz et al. It often presents with progressive knee pain, restriction in range of motion without a significant history of trauma, and without knee instability. Arthroscopic debridement of the mucoid degeneration of the ACL was safe and effective in the patient. In the Lintz study, total resection of the ACL was performed in 17 out of 29 knees, while in the Ventura study total resection was performed in 17 out of 25 patients. Conclusions: Mucoid degeneration of the ACL is a clinical condition afflicting active middle-aged people without a single significant traumatic episode with a specific MRI picture. Preoperative and postoperative results of eleven patient were compared. Level of evidence: This is a rare pathological condition, in which, there is increased signal from within the ligament. Ventura et al. Joshita Poojary - Sports Physical Therapist - Padmanabhan's - Linkedin Unable to load your collection due to an error, Unable to load your delegates due to an error. Management of mucoid degeneration of the anterior cruciate ligament: a systematic review, https://doi.org/10.1186/s43019-021-00110-6, https://doi.org/10.1302/0301-620X.81B2.0810304, https://doi.org/10.1007/s00167-011-1433-0, https://doi.org/10.2214/ajr.182.5.1821283, https://doi.org/10.1007/s00167-012-1991-9, https://doi.org/10.1016/j.arthro.2003.11.030, https://doi.org/10.1016/j.jclinepi.2009.06.005, http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42018087782, https://doi.org/10.1046/j.1445-2197.2003.02748.x, http://journals.sagepub.com/doi/10.1177/2325967118786930, http://www.ijcrar.com/abstractview.php?ID=228&vol=4-11-2016&SNo=3, https://doi.org/10.1016/j.arthro.2008.02.004, https://doi.org/10.1016/j.jajs.2015.12.001, https://doi.org/10.4055/cios.2018.10.3.307, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/. Preoperative magnetic resonance imaging (MRI), Fig. Knee Surg Sports Traumatol Arthrosc. Before As there was no control group in any of the studies and the natural history of MDACL is not known, the postoperative improvement may have been attributed to the placebo effect, simultaneous arthroscopic procedures or the postoperative rehabilitation, or may be due to the pain having resolved without treatment at all. An official website of the United States government. Federal government websites often end in .gov or .mil. Mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of knee pain. Bone and joint imaging. Clipboard, Search History, and several other advanced features are temporarily unavailable. Please enable it to take advantage of the complete set of features! Symptoms included limited range of motion (ROM) and posterior knee pain. Two patients uderwent secondary ligamentoplasty. [17] do not mention whether any patients underwent biopsy (Table 3). ADVERTISEMENT: Supporters see fewer/no ads. Patients and methods: Mucoid degeneration of the anterior cruciate ligament. Before No treatment is usually required. PMC The site is secure. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. and transmitted securely. Mucoid degeneration of the anterior cruciate ligament. This site needs JavaScript to work properly. Anterior Cruciate Ligament (ACL) Mucoid Degeneration Anatomy Anterior Cruciate Ligament, is an important structure of the knee joint. All patients with a preoperative limited ROM (100%, n=9) reported a return to a normal (subjective) ROM. 2008;24(6):642649. Mucoid degeneration of acl (anterior cruciate ligament) is not a common problem and mostly it is found in female patients. Rehabilitation, speech therapy, crenotherapy. The main MRI finding of ACL mucoid degeneration is a celery stalk appearance [26, 27]. Unable to process the form. -, Makino A, Pascual-Garrido C, Rolon A, Isola M, Muscolo DL. When refering to evidence in academic writing, you should always try to reference the primary (original) source. Mucoid degeneration of the ACL is suspected when an apparently thickened and ill-defined ligament with increased signal intensity on all sequences in MRI is identified in a patient with physically intact ligament and no obvious trauma history.