Introduction: Abnormalities of the double-layered meniscus are rare and can be difficult to diagnose. The main pathology in this abnormality, which is predominantly seen in the lateral compartment, is an accessory meniscus lying over the normal meniscus. Anatomically, this structure can appear in different forms. Although other meniscal abnormalities associated with a double-layered meniscus have been reported, this case presents a previously undescribed type in the literature.
Case Report: A 12-year-old girl presented to our clinic with complaints of knee locking and pain. When the patient underwent arthroscopy, an accessory incomplete discoid meniscus was found overlying the normal lateral meniscus. We performed an excision of the upper accessory meniscus and the patient had no problems during 3 years of follow-up after surgery.
Conclusion: Abnormalities of the lateral meniscus are rare and can be difficult to diagnose. In cases where we suspect a meniscal abnormality, a proper arthroscopic examination should be performed and if a discoid meniscus is seen, it should be considered that this may be a double-layered meniscus.
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http://dx.doi.org/10.13107/jocr.2024.v14.i03.4324 | DOI Listing |
Arthrosc Tech
December 2024
Department of Orthopaedics, School of Medicine, Jichi Medical University, Shimotsuke, Japan.
Inside-out repair of meniscal tears is the gold standard surgical approach; however, its use is limited by the need for a posterior incision and neurovascular risk. In this Technical Report, we present details of the all-inside arthroscopic tie-grip approach for repairing a radial tear of the midbody of the lateral meniscus using an all-inside device (TRUESPAN) and a slotted cannula. In contrast to the inside-out approach, this technique helps reduce surgical invasiveness and provides stable fixation as the vertical mattress sutures bundle the circumferential fibers and act as rip stops for the horizontal sutures.
View Article and Find Full Text PDFJ Orthop Surg Res
January 2025
Key Laboratory for Biomechanics and Mechanobiology of Ministry of Education, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University, Beijing, 100083, China.
Background: Meniscus tears can change the biomechanical environment of the knee joint and might accelerate the development of osteoarthritis. The aim of this study was to investigate the dynamic biomechanical effects of different medial meniscus tear positions and tear gaps on the knee during walking.
Methods: Seven finite element models of the knee joint were constructed, including the intact medial meniscus (IMM), radial stable tears in the anterior, middle, and posterior one-third regions of the medial meniscus (RSTA, RSTM, RSTP), and the corresponding unstable tears (RUTA, RUTM, RUTP).
Vet Radiol Ultrasound
January 2025
Ospedale Veterinario "I Portoni Rossi", Anicura Italy, Diagnostic Imaging Department (Mattei, Specchi), Surgical Department (Pratesi), Neuroradiology Department (Bernardini), Bologna, Italy.
Cranial cruciate ligament (CCL) disease causes variable stifle instability assessed by specific clinical tests. Radiographs are performed to measure the tibial plateau angle (TPA) for planning tibial plateau leveling osteotomy (TPLO) surgery. Concomitant damage to other intra-articular structures, for which clinical detection is unreliable, may occur and potentially affect the surgical outcome.
View Article and Find Full Text PDFMedicina (Kaunas)
December 2024
Department of Orthopedic Surgery, Chungnam National University Hospital, School of Medicine, Chungnam National University, Munhwa-ro 282, Jung-gu, Daejeon 35015, Republic of Korea.
: This study investigated associated meniscus and ligament injuries in tibial plateau fractures using magnetic resonance imaging (MRI) and assessed soft tissue injuries in relation to the Schatzker classification and Tscherne classification. : The data of 185 patients who sustained tibial plateau fractures from January 2010 to April 2021 were retrospectively reviewed. Fractures were classified according to the Schatzker classification system.
View Article and Find Full Text PDFJ Clin Med
December 2024
Faculty of Biomedical Sciences, Università Della Svizzera Italiana, CH-6900 Lugano, Switzerland.
: The aim of this study was to investigate how meniscal extrusion, assessed either with ultrasounds or magnetic resonance (MR), correlates with clinical symptoms in knee osteoarthritis (OA). One hundred patients with symptomatic knee OA were enrolled (60.3 ± 9.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!