Mucoid Degeneration of Anterior Cruciate Ligament—A Systematic Approach for Debulking

IF 1.2 Q3 ORTHOPEDICS Arthroscopy Techniques Pub Date : 2024-09-01 DOI:10.1016/j.eats.2024.103053
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Abstract

Anterior cruciate ligament (ACL) mucoid degeneration is an underdiagnosed condition that occurs when mucinous material develops in the ACL in the absence of synovial lining. Several authors have diagnosed this condition, discussed their own personal observations, and put forward their own suggestions for management. When diagnosed, one important strategy for management entails “debulking” the ACL using an arthroscopic debridement. No protocol has been described on the sequence of steps for ACL debridement during arthroscopy. We present our own in this Technical Note, with the addition of video footage that describes our arthroscopic technique for ACL mucoid degeneration debridement using radiofrequency ablation and the sequence of steps. This Technical Note aims to demonstrate the procedure needed for arthroscopic debulking of a mucoid ACL, which will lessen ACL impingement while maintaining a stable knee.

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前十字韧带粘液性变性--系统性切除方法
前交叉韧带(ACL)粘液变性是一种诊断率较低的病症,当前交叉韧带内没有滑膜衬垫时,就会出现粘液状物质。多位作者对这种病症进行了诊断,讨论了他们的个人观察,并提出了自己的治疗建议。一旦确诊,一个重要的治疗策略就是使用关节镜清创术 "剥离 "前交叉韧带。目前还没有关于在关节镜下进行前交叉韧带清创的步骤顺序的协议。我们在本技术说明中介绍了我们自己的技术,并添加了视频录像,描述了我们使用射频消融术进行前交叉韧带粘液变性清创的关节镜技术和步骤顺序。本技术说明旨在展示在关节镜下清除前交叉韧带粘液所需的程序,这将减轻前交叉韧带撞击,同时保持膝关节稳定。
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来源期刊
Arthroscopy Techniques
Arthroscopy Techniques ORTHOPEDICS-
CiteScore
2.10
自引率
33.30%
发文量
291
审稿时长
29 weeks
期刊最新文献
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