Meniscoplasty for lateral discoid meniscus tears: Long-term results of 14 cases

Chedal-Bornu, B.; Morin, Vincent; Saragaglia, D.

doi:10.1016/j.otsr.2015.06.017

Cited by 27 publications

(35 citation statements)

References 18 publications

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“…Management of torn discoid meniscus has evolved to more conservative surgery. Partial meniscectomy using the saucerization technique resecting the central portion of the meniscus in order to recreate the shape of a normal meniscus has obtained better results in medial and long-term follow-up for torn discoid meniscus than total meniscectomy [ 12 , 16 ]. Currently, tears in medial discoid menisci are treated with saucerization and suture when the type of lesion allows so [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Symptomatic Bilateral Torn Discoid Medial Meniscus Treated with Saucerization and Suture

Sevillano-Pérez

Espejo-Reina

Espejo-Reina³

2016

Case Reports in Orthopedics

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Discoid meniscus is an anatomical congenital anomaly more often found in the lateral meniscus. A discoid medial meniscus is a very rare anomaly, and even more rare is to diagnose a bilateral discoid medial meniscus although the real prevalence of this situation is unknown because not all the discoid medial menisci are symptomatic and if the contralateral knee is not symptomatic then it is not usually studied. The standard treatment of this kind of pathology is partial meniscectomy. Currently the tendency is to be very conservative so suture and saucerization of a torn discoid meniscus when possible are gaining support. We present the case of a 13-year-old patient who was diagnosed with symptomatic torn bilateral discoid medial meniscus treated by suturing the tear and saucerization. To the best of our knowledge this is the first case reported of bilateral torn discoid medial meniscus treated in this manner in the same patient.

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Section: Discussionmentioning

confidence: 99%

Symptomatic Bilateral Torn Discoid Medial Meniscus Treated with Saucerization and Suture

Sevillano-Pérez

Espejo-Reina

Espejo-Reina³

2016

Case Reports in Orthopedics

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“…Some studies have found no difference between meniscoplasty and total meniscectomy as to shortterm clinical outcomes [36][37][38], but the clinical efficacy of meniscoplasty is better than that of total meniscectomy in the long-term follow-up [3,24,[38][39][40][41][42]. Other studies have shown that the long-term outcomes of meniscoplasty with or without repair are satisfactory, without statistical difference [9,38,39,41,43,44]. Moreover, Perkins et al [45] founded that, for meniscocapsular tears, meniscoplasty with repair is related to low rates of revision surgery and good intermediate-term outcomes.…”

Section: Discussionmentioning

confidence: 99%

Multivariate ordered logistic regression analysis of the postoperative effect of symptomatic discoid lateral meniscus

Yang

et al. 2021

Arch Orthop Trauma Surg

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Introduction The postoperative effect of arthroscopy in the treatment of symptomatic discoid lateral meniscus (DLM) varies greatly among individuals. Therefore, this study aims to investigate the factors affecting the postoperative outcomes of symptomatic DLM. Materials and methods According to the inclusion and exclusion criteria, patients with symptomatic single-knee DLM who underwent arthroscopic surgery at our hospital from 9/2008 to 9/2015 were included. Retrospectively collected 16 factors probably affecting postoperative outcomes. The Ikeuchi grade system was used to evaluate the knee joint function. Univariate analysis was performed by Kruskal–Wallis rank-sum test or Mann–Whitney U test, and multivariate analysis by ordered logistic regression. P < 0.05 was considered statistically significant. Results A sum of 502 patients was included, including 353 females (70.3%) and 149 males (29.7%). Difference between preoperative and postoperative Ikeuchi grade was statistically significant (P < 0.001). Female was bad to obtain a good Ikeuchi grade (P = 0.009, OR 0.458). Outerbridge grade (P = 0.018, OR 0.638) was negatively correlated with Ikeuchi grade. BMI (P = 0.001, OR 0.875) and work intensity (P = 0.020, OR 0.611) were inversely correlated with Ikeuchi grade. Age of onset (P < 0.001, OR 0.956) and symptoms duration (P < 0.001, OR 0.988) were negatively correlated with Ikeuchi grade. Besides, compared to total meniscectomy, meniscoplasty with a repair was an unfavourable factor for Ikeuchi grade (P = 0.044, OR 0.245). Conclusions With the increase of BMI, work intensity, age of onset, duration of symptoms, and the severity of cartilage lesion, the postoperative results become worse. Moreover, female and meniscoplasty with repair are risk factors for the postoperative outcomes.

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“…Although some studies have reported good long-term clinical results, radiographically, many studies showed a high rate of early degenerative changes of the lateral compartment of the knee [16, 17]. Therefore, a recently recommended treatment plan for a symptomatic DLM tear is arthroscopic meniscal reshaping using partial meniscectomy, with or without meniscal repair [18, 19]. None of the patients in our study with inverted-type DLM tears had a posterior peripheral rim tear or instability of the posterior horn, but the inverted portion of the central discoid body was torn.…”

Section: Discussionmentioning

confidence: 99%

The characteristic findings of an inverted-type discoid lateral meniscus tear: a hidden tear pattern

Shimozaki

Nakase

Takata

et al. 2019

BMC Musculoskelet Disord

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Background The purpose of this study was to reveal the clinical history and physical and magnetic resonance imaging (MRI) findings of patients with an inverted-type discoid lateral meniscus (DLM) tear compared with those with a symptomatic and torn discoid meniscus without inverted tear patterns. Materials and methods Between 2014 and 2016, 12 patients underwent arthroscopic partial meniscectomy for an inverted-type DLM tear (inverted group). We age-matched these patients with 12 controls who were extracted from many normal DLM tear cases in the same period (non-inverted group). The assessment items were traumatic history with the onset of pain, the mean duration between the appearance of symptoms and surgery, preoperative knee range of motion (ROM), positive findings on the McMurray test, knee locking or catching, and characteristic MRI findings. These items were compared between the two groups using χ 2 and Student’s t-tests. Result All patients in the inverted group had clear trauma with the onset of pain during sports or daily life activities, and 7 of the 12 patients with a non-inverted type of DLM tear had clear trauma. There was a significantly higher rate of traumatic history in the inverted group than in the non-inverted group ( P = 0.03). The mean duration between the appearance of symptoms and surgery, preoperative knee ROM, positive findings on the McMurray test, and knee locking or catching were not significantly different between the inverted and non-inverted groups. On MRI, the diagnosis ratio of DLM was significantly higher in the non-inverted group (9/12 cases) than in the inverted group (3/12 cases, P = 0.04). Nine of the 12 inverted-type patients had the characteristic findings of an inverted-type DLM tear, including a duplicated or enlarged posterior horn and blunting of the inner rim, on the sagittal plane of an MRI. Conclusion Patients with inverted-type DLM tears had clear trauma and infrequently had the characteristic MRI findings that are observed in patients with normal DLM tears. Physicians should suspect that an inverted-type DLM tear is present during diagnosis and focus on the posterior horn to find the inverted sign on the MRI sagittal plane. Level of evidence Level III.

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Meniscoplasty for lateral discoid meniscus tears: Long-term results of 14 cases

Abstract: IV (retrospective study).

Cited by 27 publications

References 18 publications

Symptomatic Bilateral Torn Discoid Medial Meniscus Treated with Saucerization and Suture

Symptomatic Bilateral Torn Discoid Medial Meniscus Treated with Saucerization and Suture

Multivariate ordered logistic regression analysis of the postoperative effect of symptomatic discoid lateral meniscus

The characteristic findings of an inverted-type discoid lateral meniscus tear: a hidden tear pattern

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