Department of Orthopaedics and Trauma Surgery, National Academy of Medical Sciences, National Trauma Center, Kathmandu, Nepal.
J Nepal Health Res Counc. 2022 Jun 2;20(1):225-228. doi: 10.33314/jnhrc.v20i01.4182.
Mucoid degeneration of the anterior cruciate ligament is a rare pathological condition. This is a condition where the anterior cruciate ligament becomes bulky and seems like a celery stalk appearance. The most common symptom is a pain in the posterior aspect of the knee and consistent clinical finding is a mechanical block to an extension of the knee. This study aims to find out the functional outcome of arthroscopic debridement of this entity.
This is a prospective observational study from Jan 1st 2021 to Dec 31st 2021 done in 17 patients. The outcome was measured in terms of preoperative and postoperative visual analogue scale, Tegner Lysholm score and International Knee Documentation Committee score.
Eleven females and six males were included in this study. The mean age of the patients was 51.41 years. Arthroscopic debridement of mucoid degeneration of the anterior cruciate ligament was done. Preoperative and 6 months postoperative VAS score was 8.12 and 2.00 respectively (p<0.05), preoperative and 6 months postoperative Tegner Lysholm score was 44.00 and 86.29 respectively (p<0.05), and preoperative and 6 months postoperative IKDC score was 29.06 and 79.94 respectively (p<0.05) Conclusions: Arthroscopic debridement serves as an effective way of treatment of mucoid degeneration of the anterior cruciate ligament.
前交叉韧带黏液样变性是一种罕见的病理状况。这种情况是前交叉韧带变得肿大，看起来像芹菜茎的外观。最常见的症状是膝关节后部疼痛，一致的临床发现是膝关节伸展时出现机械性阻挡。本研究旨在探讨关节镜下清创术治疗这种病变的功能结果。
这是一项前瞻性观察研究，于 2021 年 1 月 1 日至 2021 年 12 月 31 日在 17 名患者中进行。结果通过术前和术后视觉模拟评分、Tegner Lysholm 评分和国际膝关节文献委员会评分进行测量。
本研究纳入 11 名女性和 6 名男性患者。患者的平均年龄为 51.41 岁。对前交叉韧带黏液样变性进行了关节镜下清创术。术前和术后 6 个月的 VAS 评分分别为 8.12 和 2.00（p<0.05），术前和术后 6 个月的 Tegner Lysholm 评分分别为 44.00 和 86.29（p<0.05），术前和术后 6 个月的 IKDC 评分分别为 29.06 和 79.94（p<0.05）。结论：关节镜下清创术是治疗前交叉韧带黏液样变性的有效方法。
