Discoid meniscus is a well-known meniscal dysmorphia affecting more often the lateral meniscus of the knee. Familial series are exceptional with only two reported instances. A new series of three bilateral symptomatic cases of lateral discoid menisci was reported in a family of three brothers and sisters, whom parents had never suffered from their knees. During operative procedure four complete and two incomplete types were found. Two complete and four partial meniscectomies have been performed followed by four good results in the five with sufficient follow-up. The origin of this malformation is unknown. The phylogenetic and ontogenetic studies give no explanation and genetic factors seem to have a minor role.
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Cureus
December 2024
Department of Orthopedic Sports Medicine, Seifu Hospital, Sakai, JPN.
To the best of our knowledge, there are no reports on the results of the repair of radial tears of the midbody of the complete discoid lateral meniscus (DLM). A 14-year-old female underwent meniscal replacement with autologous tendon transplantation for early re-tear after repair of the radial tear in the midbody of complete DLM. Two years after the tendon transplantation, there was no effusion or swelling, and the patient was able to exercise completely without symptoms.
View Article and Find Full Text PDFArthrosc Tech
November 2024
Department of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.
An incomplete discoid lateral meniscus is often associated with radial tears, which cause meniscal extrusion and result in poor healing outcomes. Centralization has recently been used as a surgical method to reduce extrusion. However, various repair techniques use single point of fixation sutures exclusively on the femoral side, potentially hindering healing.
View Article and Find Full Text PDFInsights Imaging
December 2024
Department of Musculoskeletal Radiology, Fleury Medicina e Saúde Higienópolis, São Paulo, Brazil.
The reported incidence of meniscal tears in the pediatric age group has increased because of increased sports participation and more widespread use of MRI. Meniscal injury is one of the most commonly reported internal derangements in skeletally immature knees and can be associated with early degenerative joint disease leading to disability. The pediatric meniscus has particularities, and knowledge of normal anatomy, anatomical variations, and the patterns of meniscal injury in the pediatric age group is essential to provide a correct diagnosis.
View Article and Find Full Text PDFSports Med Arthrosc Rev
December 2024
Department of Orthopaedic Surgery, Helen DeVos Children's Hospital, Grand Rapids, MI.
As pediatric youth sports involvement has increased, there has been an increase in meniscus tears associated with acute pediatric knee injuries. The meniscus of pediatric patients has a more robust blood supply which may help its healing potential. The discoid meniscus is an anatomical variant that is more prone to meniscal tears in pediatric patients.
View Article and Find Full Text PDFOrthop Traumatol Surg Res
November 2024
Paediatric Surgery Department, Hôpital de Hautepierre, Avenue Molière, 67098 Strasbourg, France. Electronic address:
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