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Abstract. Unlike meniscal tears and chondral defects, the mucoid degeneration of the anterior cruciate ligament (ACL) is a rare cause of knee pain and there have been no case reports of mucoid degeneration of both the ACL and the posterior cruciate ligament (PCL).t was thought that this patient had knee pain due to mucoid degeneration of the PCL as well as the ACL. MRI is the most useful examination for differentiating between mucoid degeneration of the ACL and intraligamentous ganglion, as well as other lesions in the knee joint. McIntyre et al.