Case: A 4-year-old girl with no relevant medical history presented with left knee swelling. Knee laxity, magnetic resonance imaging findings of anterior cruciate ligament (ACL) deficiency and discoid meniscus, and the chronicity of symptoms prompted arthroscopic ACL reconstruction and meniscal saucerization. Pain and swelling continued, and repeat arthroscopy revealed regeneration of the discoid meniscus at 18-month follow-up.
Conclusion: In this unusual case, a discoid lateral meniscus regenerated after saucerization. Regeneration could be attributed to the robust vascularity of the meniscus in pediatric patients. Surgeons should counsel about the risk of recurrence after treatment of discoid meniscus.
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http://dx.doi.org/10.2106/JBJS.CC.24.00345 | DOI Listing |
Insights Imaging
December 2024
Department of Musculoskeletal Radiology, Fleury Medicina e Saúde Higienópolis, São Paulo, Brazil.
Sports Med Arthrosc Rev
December 2024
Department of Orthopaedic Surgery, Helen DeVos Children's Hospital, Grand Rapids, MI.
Orthop Traumatol Surg Res
November 2024
Paediatric Surgery Department, Hôpital de Hautepierre, Avenue Molière, 67098 Strasbourg, France. Electronic address:
Eur J Orthop Surg Traumatol
November 2024
Department of Orthopaedics, The Royal London Hospital, Barts Health Trust, London, UK.
Purpose: The literature on factors predisposing to meniscal tears in the paediatric population focuses on concomitant injuries such as anterior cruciate ligament rupture (ACL) or abnormal meniscus morphology such as discoid menisci. Patella alta has been associated with ACL ruptures but its association with meniscal tears has not been described. The purpose of our study was to evaluate whether abnormal patella height is associated with isolated meniscus tears in skeletally immature patients METHODS: We retrospectively analysed all patients under 16 years of age who had an isolated meniscal tear diagnosis confirmed on arthroscopic surgery.
View Article and Find Full Text PDFJBJS Case Connect
October 2024
Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Case: A 4-year-old girl with no relevant medical history presented with left knee swelling. Knee laxity, magnetic resonance imaging findings of anterior cruciate ligament (ACL) deficiency and discoid meniscus, and the chronicity of symptoms prompted arthroscopic ACL reconstruction and meniscal saucerization. Pain and swelling continued, and repeat arthroscopy revealed regeneration of the discoid meniscus at 18-month follow-up.
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