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Discoid Meniscus. Meniscus Lesions in Children: Indications and Results

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Surgery of the Meniscus

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Abstract

The discoid meniscus is an infrequent anatomical variant, which usually affects the lateral compartment of the knee. Its estimated prevalence is low and the higher rates have been observed in the Asian population. However, its actual frequency may be superior as has been described in various cadaveric studies. The most frequent clinical presentation is pain in the lateral knee compartment, and in only some cases is the classical snapping knee syndrome exhibited. The augmented thickness of the discoid menisci as well as its altered ultrastructure makes it more prone to tearing. Saucerization has been the classical surgical treatment. However, meniscal repair is preferred in children, particularly in the hypermobile Wrisberg type, when feasible. The long-term clinical results are good but signs of degenerative joint disease are frequently seen. Therefore, relative to meniscal removal, a conservative policy seems to be the most adequate option.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery and Traumatology, Hospital del Mar. Universitat Autònoma de Barcelona (UAB), PasseigMarítim 25-29, Barcelona, 08003, Spain

    Raul Torres-Claramunt MD, PhD & Joan Carles Monllau MD, PhD

  2. Department of Orthopaedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 29 Saemunan-ro, Jongno-gu, Seoul, 110-746, Republic of Korea

    Ahn Jin Hwan MD

  3. Department of Orthopaedic Surgery, Kyung Hee University Hospital at Gangdong, 892 Dongnam-ro, Gangdong-gu, Seoul, 134-727, South Korea

    Lee Sang Hak MD

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  1. Raul Torres-Claramunt MD, PhD
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  2. Ahn Jin Hwan MD
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  3. Joan Carles Monllau MD, PhD
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  4. Lee Sang Hak MD
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Correspondence to Raul Torres-Claramunt MD, PhD .

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Editors and Affiliations

  1. Orthopaedics & Traumatology, Unit INSERM, Normandy University, Caen university Hos, Caen, France

    Christophe Hulet

  2. Orthopedic Department, Centro Hospitalar Póvoa de Varzim –Vila, Póvoa de Varzim, Porto, Portugal

    Helder Pereira

  3. University of Milan, Dpt. of Biomedical Sciences for Health, Milano, Italy

    Giuseppe Peretti

  4. Istituto Clinico Humanitas, Monza, Italy

    Matteo Denti

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Torres-Claramunt, R., Hwan, A.J., Monllau, J.C., Hak, L.S. (2016). Discoid Meniscus. Meniscus Lesions in Children: Indications and Results. In: Hulet, C., Pereira, H., Peretti, G., Denti, M. (eds) Surgery of the Meniscus. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49188-1_37

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  • DOI: https://doi.org/10.1007/978-3-662-49188-1_37

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