Torn discoid lateral meniscus treated with arthroscopic meniscectomy: observations in 62 knees

Lü, Ying; Li, Qiang; Huang, Jie

doi:10.1097/00029330-200702010-00007

Cited by 12 publications

(7 citation statements)

References 14 publications

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“…Ying et al [12] proposed that complete discoid meniscus is closely related to higher cartilage wear compared to incomplete type and thus has inferior clinical outcomes. Furthermore, they proposed that if the discoid meniscus is torn, this cartilage wear and degeneration will occur quickly and deteriorate the clinical results.…”

Section: Discussionmentioning

confidence: 99%

“…Ying et al [12] proposed that if the course of the symptoms surpasses 6 months, the degenerative changes of the articular cartilage can be clearly detected during operation, and the Lysholm knee score is lower in the follow-up. But this finding is not supported by other studies including our study.…”

Section: Discussionmentioning

confidence: 99%

“…Previously, several authors investigated the outcomes of arthroscopic saucerization and reported promising results with few complications [3,4,6,[8][9][10][11][12][13][14][15][16][17][18][19]. However, prognostic factors affecting the final outcomes are not well studied in relevant literature.…”

Section: Introductionmentioning

confidence: 99%

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Prognostic factors affecting the outcome of arthroscopic saucerization in discoid lateral meniscus: a retrospective analysis of 48 cases

Köse

Çeliktaş²,

Eğerci

et al. 2015

Musculoskelet Surg

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Prognostic factors affecting the outcome of arthroscopic saucerization in discoid lateral meniscus: a retrospective analysis of 48 cases

Köse

Çeliktaş²,

Eğerci

et al. 2015

Musculoskelet Surg

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“…Tako je, primjerice, pojavnost diskoidnog meniska u Europi vrlo niska i kreće se između 1,2 i 5,2 %, dok je vrlo visoka u zemljama istočne Azije (Japan, Koreja i Kina), u kojima se kreće između 13 i 46 % [6][7][8] . Znatno je češće tom anomalijom zahvaćen lateralni menisk, dok je pojavnost medijalnog diskoidnog meniska izuzetno rijetka, te je do danas opisano svega nekoliko slučajeva [1][2][3][4][5][6][7][8][9] . Premda je opisan prije više od stotinu godina, diskoidni menisk čini još uvijek velik problem u dijagnostici i liječenju.…”

Section: Uvodunclassified

Discoid Meniscus

2011

Encyclopedia of Sports Medicine

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224Sažetak. Diskoidni menisk najčešća je morfološka anomalija meniska. Učestalost ove anomalije varira ovisno o geografskom smještaju, a najviša je u području istočne Azije (Japan, Kina, Koreja). Premda je opisan prije više od stotinu godina, diskoidni menisk još je uvijek izazov u dijagnostičkom smislu i u smislu liječenja. Budući da pojavnost ove anomalije nije tako rijetka, a klinička slika nije niti uniformna niti patognomonična, pri svakoj pojavi nespecifičnih tegoba i bolova u koljenu djece i adolescenata, i to bez evidentne traume, valja posumnjati na diskoidni menisk. Asimptomatski diskoidni menisk koji je slučajno otkriven tijekom artroskopskog zahvata u sklopu kirurške obrade radi druge patologije koljena nije potrebno liječiti, već bolesnika valja samo redovito kontrolirati. Naime, smatra se da se koljeno adaptiralo na takav oblik meniska i da može i nadalje dobro funkcionirati. Kirurško liječenje rezervirano je samo za simptomatske diskoidne meniske, a danas je metoda izbora djelomična meniscektomija koju valja činiti artroskopski. Osnova artroskopske djelomične meniscektomije jest odstranjenje središnjeg dijela diskoidnog meniska te formiranje stabilnog i funkcionalnog ostatnog dijela meniska, koji će omogućiti adekvatnu apsorpciju šoka bez stvaranja novog rascjepa meniska. U ovom su preglednom radu prikazane najnovije spoznaje o etologiji, anatomskim značajkama, klasifikaciji, udruženim stanjima, kliničkoj slici, dijagnostici i liječenju diskoidnog meniska.Abstract. Discoid meniscus is the most common morphological anomaly of the meniscus. The frequency of this anomaly varies depending on geographic location and is highest in eastern Asia (Japan, China, and Korea). Although discoid meniscus was described more than a hundred years ago it is still a challenge both in the diagnostic and therapeutical sense. Since the incidence of this anomaly is relatively high and clinical presentation heterogenous, differential diagnosis of any nonspecific symptom and pain without obvious trauma of the knee in children should include the discoid meniscus. Most authors recommend only observation for an asymptomatic discoid meniscus determined incidentally during arthroscopy because the knee might have adapted to the discoid anatomy and may continue to function well. Surgical intervention is indicated only for symptomatic discoid menisci. Currently, most authors recommend meniscal preservation using arthroscopic saucerization. The goal of saucerization is to create a stable and functionally remaining meniscus which will provide adequate shock absorption without re-tearing. In this review we present the latest findings regarding etiology, anatomical features, classification, accompanying conditions, clinical manifestations, diagnostic modalities and practical management considerations of discoid meniscus.

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“…A discoid meniscus is an anatomical congenital anomaly which was considered to be a vestige of viviparous cartilage development of the knee ( 1 , 2 ). Diagnosis of the discoid meniscus has been improved by the MRI technique, and the incidence of discoid lateral meniscus of the knee in the Chinese population is 16–46% ( 3 ). Although it may be left untreated, tearing of the discoid lateral meniscus may cause pain and immobility of the knee joint, and therefore requires surgery.…”

Section: Introductionmentioning

confidence: 99%

Short-term clinical outcomes of 42 cases of arthroscopic meniscectomy for discoid lateral meniscus tears

Cao

Zhang

Qian

et al. 2012

Experimental and Therapeutic Medicine

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Discoid lateral meniscus of the knee causes a high morbidity in China. Since the traditional treatment to open the capsule and resect the meniscus often results in arthritis, it is now believed that a discoid lateral meniscus should be treated with arthroscopy to preserve part of the meniscus. The current study aimed to investigate the short-term clinical outcomes of arthroscopic meniscectomy for the treatment of discoid lateral meniscus tears. In the present study, we diagnosed and treated 42 patients (47 knees) with discoid lateral meniscus tears using arthroscopy between February, 2007 and December, 2010. Thirty-seven knees received partial resection of the discoid meniscus, 8 received hypo-complete resection and 2 received complete resection. Thirty-nine of the patients were followed up for a mean of 21 months (ranging from 9 to 53 months). The Lysholm scoring system was used to assess the knee function prior to surgery and during the follow-up. The results were analyzed using a Student’s t-test with SPSS 12.0. Our study showed that patients with treated knees returned to normal activities within 4–6 weeks, and knee functions were more improved at 9 months after operation than 3 months, as measured by the Lysholm score (P<0.05). Arthroscopic meniscectomy is an effective treatment for discoid menisci resulting in minimal invasion, quick recovery and early functional exercise. The use of arthroscopy during surgery aids to preserve the meniscus and to reduce stress, therefore, having a beneficial effect on short-term clinical outcomes.

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Torn discoid lateral meniscus treated with arthroscopic meniscectomy: observations in 62 knees

Cited by 12 publications

References 14 publications

Prognostic factors affecting the outcome of arthroscopic saucerization in discoid lateral meniscus: a retrospective analysis of 48 cases

Prognostic factors affecting the outcome of arthroscopic saucerization in discoid lateral meniscus: a retrospective analysis of 48 cases

Discoid Meniscus

Short-term clinical outcomes of 42 cases of arthroscopic meniscectomy for discoid lateral meniscus tears

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