Google Scholar, Lee JW, Ahn JT, Gwak HG, Lee SH (2021) Clinical outcomes of arthroscopic notchplasty and partial resection for mucoid degeneration of the anterior cruciate ligament. CAS DOI: 10.1016/J.JAJS.2015.12.001 Corpus ID: 74774556; Mucoid degeneration of the anterior cruciate ligament: Partial arthroscopic debridement and outcomes @article{Khanna2016MucoidDO, title={Mucoid degeneration of the anterior cruciate ligament: Partial arthroscopic debridement and outcomes}, author={Gagan Khanna and Rajan Sharma and Aditya Bhardwaj and Harjot S. Gurdutta and Deepak Agrawal and . Knee 27(5):13321342. Knee Surgery, Sports Traumatology, Arthroscopy Grade 1: The ligament is intact, and the joint is stable, but there is minimal stretching and some microscopic tearing of the ACL. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. ACL injury - Symptoms and causes - Mayo Clinic Mucoid degeneration of ACL. Pre-operatively, patients were examined and clinicoradiologically confirmed for MD-ACL and medial compartment osteoarthritis (MCOA) of the affected knee. Did you hear a loud pop or feel a "popping" sensation? Subsequently, controlled debulking of the posterolateral fibers was done using a 15-number blade until it was possible to tug at the ACL by passing a hook between the lateral femoral condyle and the posterolateral fibres of the ACL (Fig. A June 2018 MRI of the cervical spine found multilevel degenerative changes of the cervical spine, . Arthroscopic surgeries are key hole surgeries for joint disorders. A total of 442 patients (226 patients underwent debulking, 216 patients did not undergo debulking) were included. The cause is not really known, but patients usually do not complain of instability. Connect with thousands of patients and caregivers for support and answers. Anterior cruciate ligament injury. . As previously reported, typical symptoms of mucoid degeneration of the ACL include knee pain during deep flexion and painful limitation of motion. (wikipedia.org)Rarely, intraosseous ganglion cysts occur, sometimes in . Advertising revenue supports our not-for-profit mission. Plain radiographs of all the patients taken in anteroposterior and lateral views (in standing) at 2years follow-up showed no signs of implant failure in any patient. Do Men Still Wear Button Holes At Weddings? Although arthroscopic resection of the degenerated ACL is the treatment of choice following the failure of conservative management, the extent of the excision and subsequent ACL reconstruction for . Autologous PRP, prepared by double spin protocol, was injected into the remaining ACL after partial debridement was done. Histopathological confirmation of mucoid degeneration was obtained in all 442 patients. These patients were included in group A (na=216). fibroid degeneration degeneration of a leiomyoma with subsequent fibrosis. Anterior Cruciate Ligament (ACL) Rehabilitation - Physiopedia This is a 79-year old woman with recently found asymptomatic left hydronephrosis. Non-traumatic thickening of the ACL was associated with osteoarthritis and meniscal tears in almost all cases and showed increased signal intensity and ill-defined borders simulating acute ligamentous tears. This allows the doctor to see the knee structures more clearly. Justamom21. A steeper PTS angle, decreased notch width index, and transverse notch angle are significantly associated with the presence of mucoid degeneration of the anterior cruciate ligament in symptomatic MD-ACL patients. #radiologycpd #medicalimaging #imaging #radcme #rheumatology #arthritis #rheumatologist #orthopaedic #painphysician #physiotherapy #sportsmed #orthopaedic #mskmri. UTE-T2* versus conventional T2* mapping to assess posterior cruciate American Journal of Sports Medicine. The most common cysts in the knee region are popliteal also called Bakers cysts. 18 Apr 2021. No writing assistance was utilized in the production of this manuscript. Truncation means that the . 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). Exclusion criteria was as follows: (1) patients with a previous history of having undergone reconstruction, repair or debulking of the ACL in the ipsilateral knee; (2) patients with a history of any surgery in and around the ipsilateral or contralateral knee, or ipsilateral hip or ankle joints; (3) patients with inflammatory arthritis; (4) patients with musculoskeletal and learning disorders and (5) patients diagnosed with mucoid degeneration of the PCL radiologically. [21] and Ventura etal. [4]showed high percentages of laxity post debulking of MD-ACL, a finding which would not allow a surgeon to carry out a UKA after the debulking. Imagination. This study used PRP to augment the weakened ACL and followed patients for 1 year to assess outcomes. Home | About | Contact | Copyright | Report Content | Privacy | Cookie Policy | Terms & Conditions | Sitemap. If present in a patient undergoing unicompartmental knee arthroplasty, it can deteriorate the final outcome. Mucoid degeneration of ACL is a disease affecting ACL in which mucoid like substance (glycosaminoglycans) gets interspersed within the substance of ACL and as a result ACL gets thickened. Google Scholar, Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D (2011) Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines. He or she may also move your knee into a variety of positions to assess range of motion and overall function of the joint. Friedberg RP. J Comput Assist Tomogr 1996 Jan-Feb; 20(1): 80-4. PubMedGoogle Scholar. If your activities do not involve making pivoting movements on the knee, physical therapy rehabilitation may be all you need. A surgical procedure that involves replacing a damaged, worn or diseased knee with an artificial joint to restore knees movement. Functional assessment was done by the same clinician using patient-related outcome measures (PROMs) using the self-questionnaire-based International Knee Documentation Committee (IKDC) score, Knee Society score (KSS), VAS score (for rest pain) and subjective satisfaction level. With debulking of MD-ACL being a relatively newer concept and insufficient data backing the eventual stability of the ACL, the surgeons primarily performed UKA without debulking in MD-ACL, until December 2018. A painful injury where the upper arm bone dislocates out of its normal position with significant damage to the surrounding soft tissues. PDF Outcome of Arthroscopic Treatment of Mucoid Degeneration of the Your 3-year nephew sta News comes out day after day about sexual harassment. There have been only some reported cases of mucoid degeneration of the ACL in the English literature. Does mucoid degeneration of ACL require surgery? - TimesMojo All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation and with the Helsinki Declaration of 1975, as revised in 2008 (5). anterior cruciate ligament mucoid degeneration; mucoid degeneration of the triangular . This content does not have an English version. Terms and Conditions, Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is a very rare cause of knee pain. Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a rare pathological entity with disputed theories of origin. On exposure of the joint, ACL was looked for in terms of integrity and any degenerative changes. However, a predetermined list of criteria has been compiled over the years based on findings in published reports within which a patient needs to fall so as to be eligible to undergo a UKA. Discussion: Treatment of ACL mucoid degeneration by arthroscopic resection is effective for . Freedom from war and natural disaster. Background. It can be misdiagnosed a partial ACL tear. MUCOID DEGENERATION OF ACL - ARTHROSCOPIC TREATMENT - YouTube interval progression at C5-6. https://orthoinfo.aaos.org/en/diseases--conditions/anterior-cruciate-ligament-acl-injuries/. It can be misdiagnosed a partial ACL tear. Methods From January 2012 to August 2013, 32 knees (24 females and 8 males with left knee of 14 and 18 of right) were diagnosed with mucoid degeneration of the ACL and underwent arthroscopic treatment, all of whom with a mean age of 58.817.97 years (42-74 years). UKA by itself improves the functional and clinical outcome of patients with medial compartment osteoarthritis. 2001. Treatment is only required if there are otherwise unexplained symptoms. Introduction: Mucoid degeneration of the anterior cruciate ligament (ACL) is commonly treated with arthroscopic debridement of the ACL. Platelet-rich plasma (PRP) is known to influence musculoskeletal healing through multiple growth factors. The MR-findings of mucoid degeneration of the ACL include: an ill-defined ACL; an increased ligamentous girth 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. Acta Orthop Scand 63(5):497501. Anatomy. Physiotherapy. . : any of various mucoproteins that occur especially in secretions of mucous membranes. As per study population statistics, the prevalence of medial meniscus tears (29.64%) in this study were congruent to the rates found in studies by Srivastava etal. One MRI was reported as a possible ganglion cyst or mucoid degeneration of the ACL, whereas all others were reported as either partial or complete tears of the ACL. The ACL graft (arrow) is abnormally lax and demonstrates abnormally increased signal intensity, likely secondary to degeneration from chronic mechanical stress. American Academy of Orthopaedic Surgeons. Corroborating these findings were the improvements and the final PROMs of both the groups which corresponded with the findings of the literature review by Sweed etal. https://doi.org/10.4103/0019-5413.101037, Ventura D, Nuez JH, Joshi-Jubert N, Castellet E, Minguell J (2018) Outcome of arthroscopic treatment of mucoid degeneration of the anterior cruciate ligament. A Systematic Summary of Systematic Reviews on the Topic of the Anterior Investigation, data curation, validation, writing original draft was done by U.S., A.M., S.G. and R.G. Mucoid degeneration of anterior cruciate ligament (ACL) Mucoid degeneration of ACL is a disease affecting ACL in which mucoid like substance (glycosaminoglycans) gets interspersed within the substance of ACL and as a result ACL gets thickened. Considering a dearth of studies that evaluates the effect of debulking an ACL with mucoid degeneration, more prospective studies with larger sample size and longer follow-up period are encouraged to corroborate the findings of this study. https://www.uptodate.com/contents/search. https://doi.org/10.3109/17453679209154722, Gibson PH, Goodfellow JW (1986) Stress radiography in degenerative arthritis of the knee. Demographic, radiological, and histological findings, type of surgery, and clinical pre- and postoperative data were analyzed. The anterior cruciate ligament (ACL) is a key structure in the knee joint kinematics, as it resists anterior tibial translation and rotational loads. Anterior Cruciate Ligament (ACL) Injury or Tear - Hopkins Medicine Ghanasingh Fine Jewels, next to Dharam Palace, Gamdevi, Mumbai, Maharashtra, 400007, India, Galaxy Hospital, Kolar Road, Bhopal, Madhya Pradesh, 462042, India, Canadian Hospital, Abu Hail, Dubai, United Arab Emirates, You can also search for this author in Mucoid degeneration of the anterior cruciate ligament (ACL) is mostly observed in middle-aged patients with knee pain and limited range of motion. On inter-group comparison, the group in which debulking was done had better mean KSS and mean IKDC score at 2years of follow-up (p<0.05). The portal can access those files and use them to remember the user's data, such as their chosen settings (screen view, interface language, etc. Reeducation. All 5 patients under- went arthroscopic surgery. Treatment Notes prior to January 29, 2019 . ACL Mucoid Degeneration in Knee - Diagnosis & Treatment | Dr. Hemendra The rest of the surgery remained the same and all patients underwent mobile-bearing Oxford UKA. 2014;42:1567. Get your query answered 24*7 only on | Practo Consult . (8a) Intraosseous extension of an ACL ganglion. Finally, the patients who underwent debulking had a better mean subjective patient satisfaction (9.830.37 versus 8.680.71) at the final follow-up at 2years (p<0.05) (Table 2). Mucinous material within the substance of ACL produces pain and limited motion in the knee. An ACL sprain is when the ACL is overstretched (but not torn). Ganglion cysts are filled with gelatinous and viscous fluid in the neighbourhood of joints or tendon sheaths. Clinical History: 37 year-old male with no known injury, complaining of diffuse knee pain and stiffness, worsening over the last 3 months. CAS Often the diagnosis can be made on the basis of the physical exam alone, but you may need tests to rule out other causes and to determine the severity of the injury. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Setback to comeback: Twin sisters return to the basketball court after ACL tears, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition, NSF Certified for Sport Nutritional Supplements. They were segregated into two groups matched for all demographic and pre-operative values: group A did not undergo debulking; group B underwent open debulking by a 15-number blade prior to UKA. The demographic data of the study population is presented in Table 1. PubMed Central J Orthop Traumatol. They are frequently seen at joints and tendons of the wrist but are rare in the region of knee joint. This denoted adequate release of the impinging fibers against the lateral femoral condyle, femoral notch and PCL. I saw this news report on CNN politics and somehow I find Mr. Trumps theory on human energy really interesting, so he Its Christmas day, and everything should have gone just in its right way, except it doesnt. Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study, https://doi.org/10.1186/s43019-022-00169-9, https://doi.org/10.1302/0301-620X.81B2.0810304, https://doi.org/10.2214/ajr.182.5.18212835, https://doi.org/10.1007/s00167-011-1433-0, https://doi.org/10.1007/s00167-012-1991-9, https://doi.org/10.1186/s43019-021-00110-6, https://doi.org/10.1016/j.knee.2020.06.004, https://doi.org/10.1302/0301-620X.73B4.2071640, https://doi.org/10.1016/j.knee.2010.05.003, https://doi.org/10.3109/17453679209154722, https://doi.org/10.1302/0301-620X.93B4.25562, https://doi.org/10.1186/s10195-020-00551-x, https://doi.org/10.1177/03635465010290051301, https://doi.org/10.1016/j.eats.2017.11.006, https://doi.org/10.20546/ijcrar.2016.411.003, https://doi.org/10.4055/cios.2018.10.3.307, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/. Amyn M. Rajani. https://doi.org/10.1016/j.knee.2010.05.003, Keyes GW, Carr AJ, Miller RK, Goodfellow JW (1992) The radiographic classification of medial gonarthrosis. The ACL appears on MRI to be enlarged with cystic changes throughout, however it is intact. b Open debulking of mucoid ACL under direct vision using 15-number blade. Laskowski ER (expert opinion). My MRI done in June states that I have very severe mucoid degeneration/partial thickness tearing of the ACL with the tibial spine tractional marrow edema. I know what the words mean. (7a) Intra-articular extension of a cruciate ligament ganglion. Part of Correlation with operation methods in 200 knees. mucoid degeneration of acl mri. Mucoid degeneration of anterior cruciate ligament (ACL) All authors contributed to the study conception and design. https://doi.org/10.1177/03635465010290051301, Insall JN, Dorr LD, Scott RD, Scott WN (1989) Rationale of the Knee Society clinical rating system. Papadakis MA, et al., eds. fatty degeneration deposit of fat globules in a tissue. Hence, study objectives included determining the role and effects of debulking MD-ACL in a patient undergoing UKA as compared with those who do not undergo debulking, by clinical and functional analysis at 2years post-operatively. Please check your URL or use the search form below. Mucoid degeneration of the anterior cruciate ligament: Partial They are relatively uncommon, and their exact aetiopathogenesis is still not clear. Various techniques have been proposed for the debulking of MD-ACL including arthroscopic debridement using shaver or radiofrequency ablation, with or without notchplasty, that have shown to give good clinical results [8, 19]. What happens if you dont get surgery on a torn ACL? Make a donation. This site complies with the HONcode standard for trustworthy health information: verify here. Su Chan Lee, Kyung Won . Proton density-weighted sagittal demonstrates a diffusely increased size of the ACL with ill-defined increased signal and interspersed intact ACL fibers. Subsequently, the final sample included 442 patients who were followed-up for at least 2years after surgery (Fig. 2). Am J Sports Med 29(5):600613. Clin Radiol. Mucoid degeneration of the anterior cruciate ligament: can platelet-rich plasma combined with reductionplasty provide better results? Discrete intraosseous ganglia are observed in 3/4 of the cases with mucoid degeneration of the ACL. The authors acknowledge some limitations to this study. Manage cookies/Do not sell my data we use in the preference centre. Both groups showed overall improvement after surgery, however, patients who underwent debulking performed better at 2years follow-up in terms of Knee Society functional score, International Knee Documentation Committee scores, range of motion, rest pain and overall patient satisfaction (p<0.05) as compared with their counterparts. Am J . They assessed the stability of the joint with the Lachman test intra-operatively, confirming it to be either grade zero or one, with firm end point, before commencing with the UKA [16]. Mucoid degeneration,: like degenerative arthritis of a joint, generally occurs as a results of aging. Arthroscopic Treatment of Mucoid Degeneration of the Anterior Cruciate Ligament Clinics in Orthopedic Surgery Vol. A longer recovery period may reduce the risk of re-injury. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). In these patients, when UKA is coupled with debulking of the MD-ACL with a predetermined end point, a significant improvement in the overall ROM, rest pain, functional outcome scores and subjective satisfaction of the patient can be achieved. Usually there is no history of any significant trauma. The cruciate ligaments control the back and forth motion of your knee. This replacement tissue is called a graft. A few studies have shown direct correlation between the presence of meniscus tear in patients with MD-ACL. What is thickening of the ACL? - AnswersAll CIOS :: Clinics in Orthopedic Surgery All rights reserved. The results found improved functional scores and pain scores compared with preoperative levels. The portal can access those files and use them to remember the user's data, such as their chosen settings (screen view, interface language, etc. 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. . Background: There has been a substantial increase in the amount of systematic reviews and meta-analyses published on the anterior cruciate ligament (ACL). Medical Definition of mucoid degeneration. The abnormal sliding within the knee also can hurt cartilage. Accessed Nov. 21, 2018. 5 Stoller DW: Magnetic Resonance Imaging in Orthopaedics and Sports Medicine . (3a) A proton density-weighted sagittal image at the same level demonstrates increased signal within the enlarged anterior cruciate ligament (arrows) with faintly identified ACL fibers. A physical therapist will teach you exercises that you will perform either with continued supervision or at home. Our study provides further evidence that arthroscopic total or partial excision of anterior cruciate ligament is a safe and effective treatment for mucoid degeneration of the anterior cruciate ligament, improving patient satisfaction and function without causing clinical instability in daily activities. By continuing to browse this site, you accept our, International Journal of Endocrine Oncology, International Journal of Hematologic Oncology, Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration: clinical and knee laxity outcomes in 23 cases, Salvati F, Rossi F, Limbucci N, Pistoia ML, Barile A, Masciocchi C, Mucoid metaplastic-degeneration of anterior cruciate ligament, Bergin D, Morrison WB, Carrino JA, Nallamshetty SN, Bartolozzi AR, Anterior cruciate ligament ganglia and mucoid degeneration: coexistence and clinical correlation, Makino A, Pascual-Garrido C, Roln A, Isola M, Muscolo DL, Mucoid degeneration of the anterior cruciate ligament: MRI, clinical, intraoperative, and histological findings, Kumar A, Bickerstaff DR, Grimwood JS, Suvarna SK, Mucoid cystic degeneration of the cruciate ligament, Mucoid degeneration of the anterior cruciate ligament, Arthroscopic management of mucoid degeneration of anterior cruciate ligament, Pandey V, Suman C, Sharma S, Rao S, Kiran Acharya K, Sambaji C, Mucoid degeneration of the anterior cruciate ligament: management and outcome, Mucoid degeneration of the anterior cruciate ligament: a case report and review of literature, Lintz F, Pujol N, Boisrenoult P, Bargoin K, Beaufils P, Dejour D, Anterior cruciate ligament mucoid degeneration: a review of the literature and management guidelines, Ventura D, Nuez JH, Joshi-Jubert N, Castellet E, Minguell J, Outcome of arthroscopic treatment of mucoid degeneration of the anterior cruciate ligament, Kim T-H, Lee D-H, Lee S-H, Kim J-M, Kim C-W, Bin S-I, Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament, Foster TE, Puskas BL, Mandelbaum BR, Gerhardt MB, Rodeo SA, Platelet-rich plasma: from basic science to clinical applications, Southworth T, Naveen N, Tauro T, Leong N, Cole B, The use of platelet-rich plasma in symptomatic knee osteoarthritis, Vogrin M, Rupreht M, Crnjac A, Dinevski D, Krajnc Z, Renik G, The effect of platelet-derived growth factors on knee stability after anterior cruciate ligament reconstruction: a prospective randomized clinical study, Partial anterior cruciate ligament ruptures: advantages by intraligament autologous conditioned plasma injection and healing response technique midterm outcome evaluation, Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears, Rating systems in the evaluation of knee ligament injuries, Hensen JJ, Coerkamp EG, Bloem JL, Schepper AMD, Association of mucoid degeneration of anterior cruciate ligament with knee meniscal and cartilage damage, Lintz F, Pujol N, Dejour D, Boisrenoult P, Beaufils P, Anterior cruciate ligament mucoid degeneration: selecting the best treatment option, Zicaro JP, Yacuzzi C, Garcia-Mansilla I, Costa-Paz M, Nonsurgical treatment of partial ACL tears: intraarticular injection of platelet-rich plasma did not change the progression rate to knee instability, Seijas R, Ares O, Cusc X, lvarez P, Steinbacher G, Cugat R, Partial anterior cruciate ligament tears treated with intraligamentary plasma rich in growth factors, Long-term outcomes of primary repair of the anterior cruciate ligament combined with biologic healing augmentation to treat incomplete tears, McRobb J, Kamil KH, Ahmed I, Dhaif F, Metcalfe A, Influence of platelet-rich plasma (PRP) analogues on healing and clinical outcomes following anterior cruciate ligament (ACL) reconstructive surgery: a systematic review. [2]. Its function is to stabilize the knee while bending and rotating; the ACL also keeps the knee from shifting out of place or moving anteriorly (toward the front) with pivoting activities. K Kunal: Substantial contributions to the conception, drafting the work, interpretation of data for the work, agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work. Mucoid degeneration of acl (anterior cruciate ligament) is not a common problem and mostly it is found in female patients. Injury prevention. Your surgeon will use a piece of tendon from another part of your knee or a tendon from a deceased donor. What is the meaning of mucoid degeneration? Debulking of mucoid ACL in patients undergoing unicompartmental knee arthroplasty significantly reduces the rest pain and improves the final range of motion of the knee joint, subsequently improving the overall functional and clinical outcome of the patient and resulting in greater patient satisfaction. 1st ed. The minimum follow-up was 3 years. Remote ligamentous trauma as well as mucinous degeneration associated with aging likely play a role in the development of cruciate cysts. Ventura etal. maude adverse event report: genzyme biosurgery (ridgefield) synvisc one intra-articular hyaluronic acid The pathogenesis of mucoid degeneration is unclear, but injury, ganglion cysts, and degenerative process have been implicated as the most likely etiologic factors in the production of this change. Sixty-one patients underwent T2*WI and PDWI at 3, 6, and 12 months postoperatively. J Sports Med Phys Fit 48(4):483487, CAS A Retrospective Comparison of ACL Tear and Mucoid Degeneration MRI With an increasing trend of UKA being performed worldwide, the role of addressing concomitant MD-ACL is vital in improving the overall outcome of the patient without causing any instability or implant failure, as shown in this study. It results in postoperative laxity, but rarely in frank instability. This course of physical therapy may successfully treat an ACL injury for individuals who are relatively inactive, engage in moderate exercise and recreational activities, or play sports that put less stress on the knees. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Two characteristic MR appearances have been described for ganglion cysts of the ACL. Instrumental treatment. An ACL injury is a tear or sprain of the anterior cruciate (KROO-she-ate) ligament (ACL) one of the strong bands of tissue that help connect your thigh bone (femur) to your shinbone (tibia).ACL injuries most commonly occur during sports that involve sudden stops or changes in direction, jumping and landing such as soccer, basketball, football and downhill skiing. All authors read and approved the final manuscript. A common sports injury whichusually happens over time from normal wear and tear ofmuscles and tendons. https://doi.org/10.1016/j.eats.2017.11.006, Srivastava A, Pateliya S, Singh H, Aggarwal S, Srivastava S (2016) Mucoid degeneration of anterior cruciate ligamentmanagement and functional outcome of 18 cases. In: Current Medical Diagnosis & Treatment 2019. Seung Ho Chang - Articles - Scientific Research Publishing The outcome analysis of both groups was done using the same follow-up protocol in terms of time (2years post-operatively), clinical tests (Lachmans test), functional scoring systems [IKDC score, KSS, rest pain by visual analogue scale (VAS)] and subjective patient satisfaction.