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. Every time when patient flexes the knee, thickened ACL impinges over posterior cruciate ligament (PCL) in the knee, causing knee pain and limited motion. Once considered a rare disease, it is probably a less diagnosed condition of knee pain.
Signs and symptoms: It usually affects middle aged and elderly people. Main symptoms are pain during terminal knee flexion (as in squatting) feeling of heaviness/tiredness in the knee. Some patient may also complain of pain with full knee extension. “My knee pains while I sit on the floor” or “its difficult for me to stand or walk for a long time” or I find its difficult to descend the stairs” or “ my knee gets tired easily these days” are the usual complaints.
Usually there is no history of any significant trauma.
Diagnosis is usually made on the MRI. It can be misdiagnosed a partial ACL tear.
Treatment: For symptomatic knees surgical debulking /debridement in which thickened part of the ACL is shaved off, is the treatment of choice. This is done arthroscopically (arthroscopic/key hole surgery). After surgery patient is allowed to walk from the next day. Patient is advised to do exercises to get movement and strength again following surgery.
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मेरा दाए पैर में चोट लगने के कारण टेढ़ा हो गया था जिसकी वजह से मुझे चलने में भी परेशानी हो रही थी. डॉ जितेश ने ऑपरेशन कर के इसे सीधा किया. में बिलकुल ठीक हूँ .
मेरी बेटी के घुटने में इन्फेक्शन होने के कारण वो दर्द की वजह से सो भी नहीं पाती थी. डॉ जितेश ने ऑपरेशन कर के इसे ठीक किया. बहुत धन्यवाद।
I remember that Dr. Jain came out from his clinic to see my mother because my mother was not able walk a single step. He did total knee replacement on both side and now my mother is walking without aid.
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