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Discoid meniscus

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https://www.readbyqxmd.com/read/29424180/-diagnosis-and-treatment-of-4-patients-with-knee-discoid-medial-meniscus-under-arthroscopic
#1
Peng Xiang, Yun Fu, Shou-Hui Xu
OBJECTIVE: To explore clinical characteristics of 4 patients with knee discoid medial meniscus under arthroscopic. METHODS: From April 2012 to May 2015, 4 patients(4 knees) with knee discoid medial meniscus were treated with arthroscopic, including 1 male and 3 females, aged from 7 to 56 years old with an average of 26 years old. All patients were performed discoid meniscus plasty under arthroscopic. Postoperative symptoms and signs were observed, and clinical effects were evaluated by Lysholm knee scores...
June 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29419685/the-adaptive-change-of-patellofemoral-joint-after-arthroscopic-discoid-lateral-meniscus-plasty-an-observational-study
#2
Jiangtao Dong, Hongtao Xu, Guorong Jin, Dongmei Xin, Jian Zhang, Kai Kang, Shijun Gao, Baicheng Chen, Yong Shen
The purpose of this study was to investigate the patellofemoral joint adaptive changes after discoid lateral meniscus (DLM) plasty.Forty-one patients with unilateral complete type DLM tears were included in this study. Demographic variables, including gender, age, body mass index (BMI), injury to operation interval, type of injury, and follow-up time, were recorded. The evolution of physical examination, imaging index, and functional score were analyzed by Chi-squared test, Wilcoxon signed ranks test, and Friedman test...
February 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29392109/clinical-outcome-of-meniscus-repair-for-isolated-meniscus-tear-in-athletes
#3
Hiroshi Nakayama, Ryo Kanto, Shunichiro Kambara, Kenji Kurosaka, Shintaro Onishi, Shinichi Yoshiya, Motoi Yamaguchi
Objective: To examine the clinical and functional outcomes for a series of patients who underwent meniscal repair for isolated meniscal tears focusing the study population on athletes. Methods: This study represents a case series of 46 athletes who underwent repair of isolated meniscal lesions of the knee from 2010 to 2015. Cases of discoid meniscal lesions and combined ligament injuries were excluded. The mean age of the patients was 22.9 years ranging from 12 to 50 years...
October 2017: Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology
https://www.readbyqxmd.com/read/29354445/arthroscopic-saucerization-and-all-inside-repair-of-a-delaminated-discoid-lateral-meniscus
#4
William A Zuke, Gregory L Cvetanovich, Beatrice Go, Brian Forsythe
Preservation of the meniscus has been shown to influence the progression of degenerative changes of the knee. As more meniscus is preserved, the propensity for development of osteoarthritis is lessened. Surgical treatment of a torn discoid meniscus has typically been a subtotal meniscectomy or partial meniscectomy. Similar to tears of a normal meniscus, partial meniscectomy compared with subtotal meniscectomy of the discoid meniscus confers better long-term results. With the abnormal morphology predisposing the discoid meniscus to tearing, several characteristic tear patterns can be observed-the horizontal tear being commonly encountered...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29305617/decline-in-clinical-scores-at-long-term-follow-up-of-arthroscopically-treated-discoid-lateral-meniscus-in-children
#5
Jonathan D Haskel, Tyler J Uppstrom, David M Dare, Scott A Rodeo, Daniel W Green
PURPOSE: The purpose of this study was to examine the long-term clinical outcomes of arthroscopic partial meniscectomy for the treatment of discoid lateral meniscus in children. METHODS: A previous study identified 34 consecutive patients that underwent arthroscopic meniscal saucerization by one of the two surgeons between 1997 and 2002. Patients were asked to complete several outcomes questionnaires and were given the opportunity to receive a knee exam performed by their treating surgeon...
January 5, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29305289/prediction-models-to-improve-the-diagnostic-value-of-plain-radiographs-in-children-with-complete-discoid-lateral-meniscus
#6
Yong-Beom Park, Chul-Won Ha, Jae Won Jang, Manyoung Kim, Han-Jun Lee, Yong-Geun Park
PURPOSE: To develop prediction models to improve the diagnostic utility of plain radiographs for the diagnosis of complete discoid lateral meniscus by combining previously reported radiographic findings. METHODS: Patients ages 5 to 16 years with complete discoid lateral meniscus confirmed by arthroscopy or magnetic resonance imaging were included. Patients with insufficient radiographs were excluded. Normal control subjects were randomly sampled by age and sex matching...
January 2, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29188421/arthroscopic-partial-meniscectomy-in-young-patients-with-symptomatic-discoid-lateral-meniscus-an-average-10-year-follow-up-study
#7
Chang-Rack Lee, Seong-Il Bin, Jong-Min Kim, Bum-Sik Lee, Nam-Ki Kim
INTRODUCTION: The aim of this study is to evaluate mid-to-long-term clinical and radiological outcomes after an arthroscopic partial meniscectomy for symptomatic discoid lateral meniscus (DLM) in young patients and to determine whether degeneration of the residual meniscus and articular cartilage progresses during the follow-up period using magnetic resonance imaging (MRI). MATERIALS AND METHODS: We retrospectively reviewed patients aged ≤ 40 years at surgery who underwent arthroscopic partial meniscectomy for symptomatic DLM and were followed up for ≥ 5 years...
November 29, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29183885/can-we-predict-the-clinical-outcome-of-arthroscopic-partial-meniscectomy-a-systematic-review
#8
REVIEW
Susanne M Eijgenraam, Max Reijman, Sita M A Bierma-Zeinstra, Daan T van Yperen, Duncan E Meuffels
NHS-PROSPERO REGISTRATION NUMBER: 42016048592 OBJECTIVE: In order to make a more evidence-based selection of patients who would benefit the most from arthroscopic partial meniscectomy (APM), knowledge of prognostic factors is essential. We conducted a systematic review of predictors for the clinical outcome following APM. DESIGN: Systematic review DATA SOURCES: Medline, Embase, Cochrane Central Register, Web of Science, SPORTDiscus, PubMed Publisher, Google Scholar INCLUSION CRITERIA: Report an association between factor(s) and clinical outcome; validated questionnaire; follow-up >1 year...
November 28, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29145286/bilateral-discoid-medial-meniscus-associated-with-meniscal-tears-and-hypoplasia-of-the-medial-femoral-condyle-a-case-report
#9
Hong-De Wang, Shi-Jun Gao
RATIONALE: Bilateral discoid medial menisci is an extremely rare abnormality of the knee joint. The presence of a discoid medial meniscus has been associated with magnetic resonance imaging (MRI) and radiographic changes in the tibial region, such as cupping of the medial tibial plateau and tibial physis collapse. While discoid medial meniscal tears with hypoplasia of the femoral medial condyles have not been previously reported. Herein, we report a case of bilateral discoid medial menisci associated with meniscal tears and femoral bone changes...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29114641/transient-common-peroneal-and-tibial-nerve-palsy-following-knee-arthroscopy-for-the-treatment-of-discoid-lateral-meniscus
#10
Gabriele Bernardi, Cosimo Tudisco
The number of knee arthroscopies has increased rapidly since the 1980s and are among the most common orthopedic procedures today. It is generally considered a minimally invasive surgery with relatively low morbidity, but it is not without risk of complications. We report the case of a 14-year-old boy who developed a lesion of common peroneal nerve and tibial nerve after knee arthroscopy for a torn discoid lateral meniscus, which was confirmed by electromyogram study.
June 2017: Joints
https://www.readbyqxmd.com/read/29114640/evolution-of-osteochondritis-dissecans-of-the-lateral-femoral-condyle-combined-with-discoid-meniscus
#11
Erica Bulgheroni, Lorenzo Mattioli, Paolo Bulgheroni
The discoid meniscus is a rare anomaly of the knee that affects mostly the lateral meniscus and is often asymptomatic. The osteochondritis dissecans is a disorder of the subchondral bone and articular cartilage and occurs frequently associated with the discoid lateral meniscus. In the present case, we showed the evolution of this association related to surgical treatment. A patient with lateral knee pain and a magnetic resonance depicting a torn discoid lateral meniscus and osteochondritis dissecans of the lateral femoral condyle was treated with partial meniscectomy and meniscal sutures...
June 2017: Joints
https://www.readbyqxmd.com/read/29102413/posteriorly-inserted-anterior-cruciate-ligament-in-knees-with-discoid-lateral-meniscus-corresponding-to-bony-morphological-characteristics-of-femoral-lateral-condyle
#12
Takao Minami, Hideyuki Koga, Ichiro Sekiya, Toshifumi Watanabe, Masafumi Horie, Hiroki Katagiri, Koji Otabe, Toshiyuki Ohara, Mai Katakura, Takeshi Muneta
PURPOSE: Discoid meniscus often causes mechanical problems and needs surgical treatment at an early age. However, many aspects of its morphological development and changes remain unknown. The purpose of this study was to investigate the insertion of the femoral anterior cruciate ligament (ACL) via the behind-ACL approach and the morphology of the lateral femoral condyle to which the ACL attaches to clarify the morphological characteristics of the knee with discoid lateral meniscus (DLM)...
November 1, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/29059110/discoid-lateral-meniscus-in-children-diagnosis-management-and-outcomes
#13
REVIEW
Mininder S Kocher, Catherine A Logan, Dennis E Kramer
Discoid meniscus is a congenital variant of the knee joint that typically involves abnormal morphology and potential instability of the lateral meniscus. Some discoid menisci have abnormal peripheral attachments and are unstable. Discoid menisci are prone to tearing secondary to increased thickness, poor tissue quality, and instability. Patients may or may not be symptomatic. Torn or unstable discoid menisci cause mechanical symptoms, pain, and swelling. Symptomatic patients in whom nonsurgical management fails most frequently are treated with arthroscopic surgery...
November 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/28987527/risk-factors-for-radiographic-progression-of-osteoarthritis-after-partial-meniscectomy-of-discoid-lateral-meniscus-tear
#14
J H Ahn, D M Kang, K J Choi
INTRODUCTION: Partial meniscectomy has been preferred in the treatment of discoid lateral meniscus (DLM) with tear, rather than total or subtotal meniscectomy, which could lead to late radiographic degenerative changes. HYPOTHESIS: One or more risk factors contribute to radiographic progression of osteoarthritis after partial meniscectomy of DLM tear. MATERIAL AND METHODS: Inclusion criteria were consecutive patients who underwent arthroscopic surgeries for DLM tear from January 2005 to December 2010 by one surgeon...
December 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28894908/discoid-lateral-meniscus-can-be-overlooked-by-magnetic-resonance-imaging-in-patients-with-meniscal-tears
#15
Dong-Wook Sohn, Seong-Il Bin, Jong-Min Kim, Bum-Sik Lee, Seon-Jeong Kim
PURPOSE: MRI evaluation of torn lateral meniscus was compared with arthroscopy. This study calculates the sensitivity, specificity, and accuracy of MRI in determining the presence or absence of discoid lateral meniscus (DLM) for different tear types. METHODS: MR imaging of 156 knees with arthroscopically confirmed lateral meniscus tears was analysed. There were 78 knees (70 patients) in non-DLM group and 78 knees (74 patients) in DLM group on arthroscopy as the reference standard...
September 11, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28878535/atraumatic-sequential-bilateral-locking-of-the-knee-joints-secondary-to-dislocation-of-non-discoid-lateral-menisci-without-radiological-abnormality
#16
Zakir Haider, Mujahid Ali Syed, Deepak Saran
Lateral meniscus dislocation, as a cause of atraumatic knee locking, is often attributed to a discoid meniscus which can be readily diagnosed on MRI. In the absence of radiological abnormality, a dislocated lateral meniscus is a rare occurrence. We present a case of a 14 year old male who presented with atraumatic sequential locking of bilateral knees 6 months apart. Although on both occasions, MRI was normal, arthroscopy demonstrated dislocating lateral menisci that were subsequently surgically stabilised...
August 2017: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/28865577/saucerization-versus-complete-resection-of-a-symptomatic-discoid-lateral-meniscus-at-short-and-long-term-follow-up-a-systematic-review
#17
REVIEW
Dallas M Smuin, Richard D Swenson, Aman Dhawan
PURPOSE: To evaluate the surgical outcomes of symptomatic discoid menisci after total meniscectomy, saucerization, and suture repair of tears of a discoid meniscus at short- and long-term follow-up. METHODS: A systematic review was conducted using the Pubmed and ScienceDirect databases in adherence with Preferred Reporting Items of Systematic Reviews and Meta-Analysis guidelines. Short- and long-term follow-up were defined as an average follow-up of <4 years and >4 years, respectively...
September 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28854771/discoid-medial-meniscus-tear-with-a-literature-review-of-treatments
#18
In Soo Song, Jun Bum Kim, Jong Keun Lee, Byeong-Seop Park
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 four-portal 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 2-year follow-up 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...
September 1, 2017: Knee Surgery & related Research
https://www.readbyqxmd.com/read/28828058/arthroscopic-knee-anatomy-in-young-achondroplasia-patients
#19
M Del Pilar Duque Orozco, N C Record, K J Rogers, M B Bober, W G Mackenzie, A Atanda
PURPOSE: Achondroplasia is the most common form of skeletal dysplasia, affecting more than 250 000 individuals worldwide. In these patients, the developing knee undergoes multiple anatomical changes. The purpose of this study was to characterise the intra-articular knee anatomy in children with achondroplasia who underwent knee arthroscopy. METHODS: Records of achondroplasia patients who underwent knee arthroscopy between 2009 and 2014 were reviewed. Demographic data, operative reports, follow-up notes, MRI and arthroscopy images were reviewed...
June 1, 2017: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/28655477/systematic-review-of-the-long-term-surgical-outcomes-of-discoid-lateral-meniscus
#20
REVIEW
Yong Seuk Lee, Seow Hui Teo, Jin Hwan Ahn, O-Sung Lee, Seung Hoon Lee, Je Ho Lee
PURPOSE: To evaluate the surgical treatment of the discoid lateral meniscus (DLM) with long-term follow-up and to search which factors are related to good clinical or radiological outcomes. METHODS: Search was performed using a MEDLINE, EMBASE, and Cochrane database, and each of the selected studies was evaluated for methodological quality using a risk of bias (ROB) covering 7 criteria. Clinical and radiological outcomes with more than 5 years of follow-up were evaluated after surgical treatment of DLM...
June 24, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
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