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Anatomic variations of the shape of the menisci: a neonatal cadaver study

  • Knee
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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Meniscal injuries in children and adolescents are being seen with increased frequency. The menisci are two crescentic lamellae whose functions are to deepen the articular surfaces of the tibial plateu for reception of the condyles of the femur. In our study, our aim is to determine the variations of the shapes and attachments of the menisci in newborns. This study was performed on 11 neonatal cadavers, 22 knee joints that were obtained from the anatomy laboratory. The variations of the shape of the menisci were noted. We found that 77% of the lateral menisci were discoid. This percent is higher than the previously reported percents of the lateral discoid menisci. The different shapes of the menisci were determined as horse shoe, sickle, sided U, sided V and C shaped. We did not determine any discoid medial menisci. We believe that our study will provide support to the neonatal anatomy of the knee, concerning with the surgical procedures and arthroscopy of the knee joint.

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References

  1. Andrish J (1996) Meniscal injuries in children and adolescents: diagnosis and management. J Am Acad Orthop Surg 4:231–237

    PubMed  Google Scholar 

  2. Arrequi JT, Asensio CB, Tirado FV, Fonolla JP, Gonzalez JM (2003) Arthroscopic study of the knee joint in fetuses. Arthrosc J Arthrosc Relat Surg 19(8):862–868

    Article  Google Scholar 

  3. Alchroth PM, Patel DV, Marx CL (1991) Congenital discoid lateral meniscus in children: a follow-up study and evolution of management. J Bone Joint Surg Br 73:932–936

    Google Scholar 

  4. Albertsson M, Gillquist J (1988) Discoid lateral menisci: a report of 29 cases. Artroscopy 4:211–214

    CAS  Google Scholar 

  5. Barnett CH (1954) The structures and functions of fibrocartilages within vertebrate joints. J Anat 88:363–368

    PubMed  CAS  Google Scholar 

  6. Chiang H, Jiang CC (2003) Discoid lateral meniscus: clinical manifestations and arthroscopic treatment. J Formos Med Assoc 102(1):17–22

    PubMed  Google Scholar 

  7. Clark CR, Ogden JA (1983) Development of the menisci of the human knee joint. Morphological changes and their potential role in childhood meniscal injury. J Bone Joint Surg Am 65(4):538–547

    PubMed  CAS  Google Scholar 

  8. Davidson D, Letts M, Glasgow R (2003) Discoid meniscus in children: treatment and outcome. Can J Surg 46(5):350–358

    PubMed  Google Scholar 

  9. Dashefsky J (1971) Discoid lateral meniscus in three membres of a family:case reports. J Bone joint Surg Am 53A:1208–1210

    Google Scholar 

  10. Fleissner PR, Ellert RE (1999) Discid lateral meniscus. Am J Knee Surg 12:125–131

    PubMed  CAS  Google Scholar 

  11. Ghosh P, Taylort TKF (1987) The knee joint meniscus. A fibrocartilage of some distinction. Clin Orthop 224:52–63

    Google Scholar 

  12. Gebhart MR, Rosenthal RK (1979) Bilateral lateral discoid meniscus in identical twins. J Bone Joint Surg 61:1110–1111

    Google Scholar 

  13. Gaillard JM (1966) Les menisques de l’articulation du genou. Etude morphologique et fonctionnelle. Archieves d’anatomie, d’ histologie et d’ embryologie 49:327–357

    CAS  Google Scholar 

  14. Husson JL, Meadeb J, Cameau J, Blouet JM, Masse A, Duval JM (1985) Aspect discoide des menisques externe et interne d’un meme genou a propos d’un cas. Bulletin de l’Association des Anatomistes 69:201–208

    PubMed  CAS  Google Scholar 

  15. Hall FM (1977) Arthrography of the discoid lateral meniscus. Am J Roentgenol 128:993–1002

    CAS  Google Scholar 

  16. Ikeuchi H (1982) Arthroscopic treatment of the discoid lateral meniscus. Technique and long-term results. Clin Orthop 167:19–28

    PubMed  Google Scholar 

  17. Kocher MS, Klingele K, Rassman SO (2003) Meniscal disorders: normal, discoid, and cycts. Orthop Clin North Am 34(3):329–40

    Article  PubMed  Google Scholar 

  18. Kelly BT, Green DW (2002) Discoid lateral meniscus in children. Curr Opin Pediatr 14(1):54–61

    Article  PubMed  Google Scholar 

  19. Kim SJ, Lee YT, Kim DW (1998) Intraarticular anatomic variants associated with discoid meniscus in Koreans. Clin Orthop Nov(356):202–207

    Article  Google Scholar 

  20. Kim SJ, Choi CH (1996) Bilateral complete discoid medial menisci combined with anomalous insertion and cyst formation. Arthroscopy 12(1):112–115

    Article  PubMed  CAS  Google Scholar 

  21. Kim SJ, Kim DW, Min BH (1995) Discoid lateral meniscus associated with anomalous insertion of the medial meniscus. Clin Orthop Jun(315):234–237

    Google Scholar 

  22. Kaplan E (1957) Discoid lateral meniscus of the knee joint. Nature, mechanism, and operative treatment. J Bone Joint Surg 39A:77–87

    Google Scholar 

  23. Kaplan E (1955) Discoid lateral meniscus of the knee joint. Bull Hosp Joint Dis 16:111–124

    PubMed  CAS  Google Scholar 

  24. Le Mınor JM (1990) Comparative morphology of the lateral meniscus of the knee in primates. J Anat 170:161–171

    PubMed  Google Scholar 

  25. Min BH, Ha HK, Khang SY (2001) Medial discoid meniscus completely coalesced with the anterior cruciate ligament. Arthroscopy 17(7):E27

    Article  PubMed  CAS  Google Scholar 

  26. Moore KL, Dalley AF (1999) Clinically oriented anatomy, 4th edn. Lippincott & Williams, Wilkins, Philadelphia, pp 620–621

  27. Monllau JC, Leon A, Cugat R, Ballester J (1998) Ring-shaped lateral meniscus. Arthroscopy 14(5):502–504

    Article  PubMed  CAS  Google Scholar 

  28. Merida-Velasco JA, Sanchez-Montesinos I, Espin-Ferra J, Rodriquez-Vazquez JF, Merida-Velasco JR, Jimenez-Collado J (1997) Development of the human knee joint. Anat Rec 248(2):269–278

    Article  PubMed  CAS  Google Scholar 

  29. Pinar H, Akseki D, Karaoglan O, Ozkan M, Uluc E (2000) Bilateral discoid medial menisci. Arthroscopy 16(1):96–101

    Article  PubMed  CAS  Google Scholar 

  30. Ring P (1970) Contribution a l etude la structure fonctionnelle des bourrelets marginaux et des menisques des articulations des membres. Arch Anat Hist Embryol 53:143–199

    CAS  Google Scholar 

  31. Snell RS (1995) Clinical anatomy for medical students, 4th edn. Little, Brown and Company, pp 580–581

  32. Schvingt E, Gillet M, Lavernhe G, Janser JC, Weill D (1968) Les lesions dysplasiques des menisques externes. A propos de 21 observations. Annales de Chirurgie 22:191–197

    PubMed  CAS  Google Scholar 

  33. Smillie IS (1948) The congenital discoid meniscus. J Bone Joint Surg 30B:671–682

    CAS  Google Scholar 

  34. Tachibana Y, Yamazaki YY, Ninomiya S (2003) Discoid medial meniscus. Arthrosc J Arthrosc Relat Surg 19(7):59–65

    Article  Google Scholar 

  35. William LP et al (1995) Gray’s anatomy, 38th edn. Churchill Livingstone, London, pp 350–351

    Google Scholar 

  36. Woods GW Whelan JM (1990) Discoid meniscus. Clin Sports Med 9:695–706

    Google Scholar 

  37. Watanabe M, Takada S, Ikeuchi H (1969) Atlas of arthroscopy. Igaku-Shoin, Tokyo

    Google Scholar 

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Acknowledgement

We thank specifically to Dr. Ufuk Çorumlu, Mr. Mustafa Cebelik and Mr. Refaittin Üstüner for their technical assistance in this study.

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Correspondence to Cem Kopuz.

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This study was presented at the 6th international symposium of clinical anatomy, Varna, Bulgaria, 8–10 October 2004

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Kale, A., Kopuz, C., Edýzer, M. et al. Anatomic variations of the shape of the menisci: a neonatal cadaver study. Knee Surg Sports Traumatol Arthrosc 14, 975–981 (2006). https://doi.org/10.1007/s00167-006-0069-y

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