Characteristics and Outcomes of Operatively Treated Discoid Lateral Meniscus in Pediatric and Young Adult Patients: A Multicenter Study.

Background: Discoid lateral meniscus (DLM) is the most common congenital abnormality of the meniscus. Tears are common; treatment is frequently not definitive, often requiring reoperation.

Purpose: To report the clinical manifestations, physical characteristics, operative treatments and findings, complications, and reoperations of DLM in pediatric patients from multiple centers across North America.

Reliability of MRI Interpretation of Discoid Lateral Meniscus: A Multicenter Study.

Background: Discoid lateral meniscus (DLM) has a varied and complex morphology that can be challenging to assess and treat. Preoperative magnetic resonance imaging (MRI) is frequently used for diagnosis and surgical planning; however, it is not known whether surgeons are reliable and accurate in their interpretation of MRI findings when defining the pathomorphology of DLM.

Hypothesis: Surgeons experienced in treating DLM are able to reliably interpret DLM pathology using MRI.

Medial Discoid Meniscus in Children: A Multicenter Case Series of Clinical Features and Operative Results.

Background: The discoid medial meniscus is a rare congenital anomaly of the knee. The literature is limited to small case series.

Purpose/hypothesis: Our purpose is to report the clinical manifestations and operative treatments of discoid medial menisci in children from multiple centers in North America.

Discoid Meniscus.

Discoid meniscus is the most common congenital variant of the meniscus. Its variability in pathology leads to a spectrum of clinical presentations in patients. Treatment must be tailored to the specific pathology of the discoid meniscus.

Reliability of a New Arthroscopic Discoid Lateral Meniscus Classification System: A Multicenter Video Analysis.

Background: The discoid lateral meniscus (DLM) is one of the most common congenital anomalies of the knee. The pathomorphology of DLM varies. Current classification systems are inadequate to describe the spectrum of abnormality.

Predictors of Arthrofibrosis After Pediatric Anterior Cruciate Ligament Reconstruction: What Is the Impact of Quadriceps Autograft?

Background: Recent literature on arthrofibrosis after anterior cruciate ligament reconstruction (ACLR) in children and adolescents is limited, especially with regards to quadriceps tendon (QT) autograft. The purpose of this study was to identify predictors of arthrofibrosis after ACLR, with attention to the impact of graft type.

Methods: Patients that underwent primary ACLR at a tertiary children's hospital were reviewed for this retrospective case-control study.

Pediatric discoid meniscus: can magnetic resonance imaging features coupled with clinical symptoms predict the need for surgery?

Background: Magnetic resonance imaging (MRI) criteria for evaluating discoid meniscus is limited in the pediatric population.

Objective: To assess MRI features of intact discoid meniscus and correlate with clinical outcomes.

Materials And Methods: In this institutional review board (IRB)-approved retrospective cohort study, knee MRIs at our institution from 2008 to 2019 were reviewed.

Knee injuries in the young athlete.

The rate and severity of knee injuries in the pediatric population are on the rise. In addition to more generalized knee injuries, the pediatric knee is at risk for unique injuries secondary to the rapid growth and biomechanical properties of the pediatric skeleton. Given the common nature of knee injuries, the pediatrician must be aware of these injury patterns and possess the skills to effectively evaluate the pediatric knee.

Arthrofibrosis after anterior cruciate ligament reconstruction in children and adolescents.

Introduction: Arthrofibrosis is a known complication after anterior cruciate ligament (ACL) reconstruction. ACL reconstruction is being performed with increased frequency in the pediatric population. The purpose of this study was to determine the prevalence of arthrofibrosis in children and adolescents and to identify risk factors for arthrofibrosis.

Kyphectomy in children with myelomeningocele.

Background: Patients with myelomeningocele and rigid lumbar and thoracolumbar kyphosis face substantial functional difficulties with sitting and lying supine and are prone to skin breakdown over the gibbus and risk of infection. Kyphectomy, along with cordotomy and segmental spinal instrumentation down to the pelvis, is one alternative that can provide reliable correction of the deformity but also can maintain that correction over a period of time.

Questions/purposes: We determined the fusion rates, deformity correction and maintenance, and perioperative complications of kyphectomy with long segmental spinal instrumentation using the Warner and Fackler technique.

Current Concepts of Diagnosis and Management of ACL Injuries in Skeletally Immature Athletes.

Anterior cruciate ligament (ACL) injuries in skeletally immature athletes are encountered with increasing frequency. The management of such injuries is controversial. Nonsurgical management often results in functional instability and a higher risk of meniscal and chondral injury to the knee.