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Discoid Medial Meniscus Tear, with a Literature Review of Treatments

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The present study reports our experience of treating four cases of symptomatic discoid medial meniscus, three of which were bilateral. We performed partial meniscectomy with a four­portal technique using a knife leaving a 6 mm peripheral margin after confirmation of magnetic resonance imaging findings. Clinical results were assessed at the end of 2­year follow­up using the Knee Injury and Osteoarthritis Outcome Score and a visual analogue scale. We obtained satisfactory clinical results without recurrence of the symptoms in all cases.

Abstract

The present study reports our experience of treating four cases of symptomatic discoid medial meniscus, three of which were bilateral. We performed partial meniscectomy with a four­portal technique using a knife leaving a 6 mm peripheral margin after confirmation of magnetic resonance imaging findings. Clinical results were assessed at the end of 2­year follow­up using the Knee Injury and Osteoarthritis Outcome Score and a visual analogue scale. We obtained satisfactory clinical results without recurrence of the symptoms in all cases.

참고문헌 (10)

  1. Young RB, "Memoirs and memoranda in anatomy, vol. 1", pp.179~ (1889), Williams and Norgate
  2. Cave EF, "Congenital discoid meniscus : a cause of internal impingement of the knee", Am J Surg, 54, pp.371~376 (1941)
  3. Murdoch G, "Congenital discoid medial semilunar cartilage", J Bone Joint Surg Br, 38, pp.564~566 (1956)
  4. Tachibana Y, "Discoid medial meniscus", Arthroscopy, 19, pp.E12~E18 (2003)
  5. Pinar H, "Bilateral discoid medial menisci", Arthroscopy, 16, pp.96~101 (2000)
  6. Dickason JM, "A series of ten discoid medial menisci", Clin Orthop Relat Res, (168), pp.75~79 (1982)
  7. Washington ER 3rd, "Discoid lateral meniscus in children : long-term follow-up after excision", J Bone Joint Surg Am, 77, pp.1357~1361 (1995)
  8. Raber DA, "Discoid lateral meniscus in children : long-term follow-up after total meniscectomy", J Bone Joint Surg Am, 80, pp.1579~1586 (1998)
  9. Hayashi LK, "Arthroscopic meniscectomy for discoid lateral meniscus in children", J Bone Joint Surg Am, 70, pp.1495~1500 (1988)
  10. Vandermeer RD, "Arthroscopic treatment of the discoid lateral meniscus : results of long-term followup", Arthroscopy, 5, pp.101~109 (1989)

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