Mucoid degeneration of the ACL

Case contributed by Mohammad A. ElBeialy
Diagnosis certain

Presentation

60 years old male with chronic knee pain. No history of trauma.

Patient Data

Age: 60 Years
Gender: Male

  • mucoid degeneration of the ACL with increased signal intensity alternating with its normal hypointense fibers giving the characteristic "celery stalk appearance".
  • mild degenerative changes of the articular cartilage with mild subchondral degenerative marrow changes.
  • degenerative tear of the PHMM with increased intra-meniscal signal with disruption of the articular surface. Intact AHMM and lateral meniscus .
  • intact PCL and collateral ligaments.
  • mild joint effusion.

Case Discussion

Features consistent of mucoid degeneration of the ACL. There is also degenerative joint disease with mild joint effusion as well as  degenerative tear of the PHMM.

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