Does discoid lateral meniscus have inborn peripheral rim instability? Comparison between intact discoid lateral meniscus and normal lateral meniscus
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Little is known about peripheral rim instability (PRI) of adult discoid lateral meniscus (DLM). We compared PRI of the intact DLM (iDLM) to those of intact normal lateral meniscus (LM) in adult patients and also investigated whether there was any association between PRI and DLM tears.
Materials and methods
We investigated PRI in 17 DLMs and 60 normal LMs without tears during arthroscopic surgery for medial compartmental pathologies between June 2012 and October 2015. We also investigate PRI of torn DLM (tDLM) excluding peripheral tear to compare the PRI between intact and torn DLM. Stability parameters were measured using a probing hook and arthroscopic ruler at the anterior, middle, and posterior parts of the peripheral rim of the menisci: translating the anterior horn (AH) and mid-body (MB) and lifting the posterior horn (PH).
AH and PH instabilities were greater in the iDLM group than in the iLM group (2.2 ± 1.4 vs. 0.9 ± 1.4 mm, p = 0.006 and 3.4 ± 1.7 vs. 1.7 ± 1.2 mm, p = 0.004, respectively). However, there was no significant difference in MB instability between two groups. In addition, no significant difference was observed in all the parameters between the iDLM and tDLM groups.
Both iDLM and tDLM had greater PRI of the AH and PH than the iLM in adult patients. Thus, the DLM is prone to tear and careful inspection is needed not to overlook PRI of a DLM even if the peripheral attachment is intact.
Level of evidence
Level 3, comparative study of anatomical instability of living subjects.
KeywordsDiscoid lateral meniscus Instability Arthroscopy Meniscal tear
There is no funding source.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
This article does not contain any studies with human participants or animals performed by any of the authors.
Informed consent was obtained from all individual participants included in the study.
- 6.Dickason JM, Del Pizzo W, Blazina ME, Fox JM, Friedman MJ, Snyder SJ (1982) A series of ten discoid medial menisci. Clin Orthop Relat Res 168:75–79Google Scholar
- 8.Elkousy H, Higgins LD (2005) Zone-specific inside-out meniscal repair: technical limitations of repair of posterior horns of medial and lateral menisci. Am J Orthop (Belle Mead, NJ) 34(1):29–34Google Scholar
- 16.Kim SJ, Kim DW, Min BH (1995) Discoid lateral meniscus associated with anomalous insertion of the medial meniscus. Clin Orthop Relat Res 315:234–237Google Scholar
- 21.Smillie I (1970) Injuries to the knee joint, 4th edn. Churchill Livingstone, EdinburghGoogle Scholar
- 26.Young R (1889) The external semilunar cartilage as a complete disc. Mem Memo Anat 1:179Google Scholar