Anterior cruciate ligament mucoid degeneration with ganglion

Case contributed by Domenico Nicoletti
Diagnosis certain

Presentation

Pain localized mainly in the posterolateral aspect of the knee with reduction of terminal flexion and extension range of motion.

Patient Data

Age: 45 years
Gender: Male
This study is a stack
Sagittal
STIR
This study is a stack
Sagittal
PD
This study is a stack
Coronal
T1
This study is a stack
Coronal
STIR
This study is a stack
Axial
T2
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Info

Mucoid degeneration of ACL and a pluriconcamerate ganglion with extra-articular extension into the popliteal fossa. The remaining objectivity is normal.

Case Discussion

Thickening of the anterior cruciate ligament from mucoid degeneration or the presence of ganglion cysts causes flexion deficit while the interfering tibial insertion ganglion causes extension deficit. Anterior cruciate ligament mucoid degeneration and ganglion cyst are two distinct non-traumatic injuries of the anterior cruciate ligament (ACL) that occasionally coexist.

They are usually asymptomatic and discovered incidentally. Occasionally, they may be responsible for chronic nonspecific pain, painful limitation of flexion and extension, and mechanical block.

Radiographer: TSRM Nunzio Bianco

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