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Pathological changes resembling bone cyst of the lateral tibial plateau following arthroscopic partial meniscectomy for lateral discoid meniscus in a boy

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Abstract

We encountered a rare case displaying pathological changes resembling bone cyst of the lateral tibial subchondral bone following arthroscopic partial meniscectomy for discoid lateral meniscus in a boy. Differentiating between bone tumor and osteochondritis dissecans was difficult. Moreover, since an epiphyseal line was remained, deciding on the appropriate medical treatment was also troublesome. However, we selected operative therapy. As the result, an excellent clinical outcome was obtained without damaging the epiphyseal line. We report the analysis of mechanisms causing of this pathological change and the treatments used, with some references to the literature.

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References

  1. Abdon P, Turner MS, Pettersson H et al (1990) A long-term follow-up study of total meniscectomy in children. Clin Orthop Relat Res 257:166–170

    PubMed  Google Scholar 

  2. Aglietti P, Bertini FA, Buzzi R et al (1999) Arthroscopic meniscectomy for discoid lateral meniscus in children and adolescents: 10-year follow-up. Am J Knee 12(2):83–87

    CAS  Google Scholar 

  3. Allen PR, Denham RA, Swan AV (1984) Late degenerative changes after meniscectomy. Factors affecting the knee after operation. J Bone Joint Surg Br 66(5):666–671

    PubMed  CAS  Google Scholar 

  4. Habata T, Tamai S, Sanma M et al (1990) Arthroscopic findings after total meniscectomy. Arthrosc Jpn 15:77–81 (in Japanese)

    Google Scholar 

  5. Habata T, Ishimura M, Ohgushi H et al (1998) Axial alignment of the lower limb in patients with isolated meniscal tear. J Orthop Sci 3:85–89

    Article  PubMed  CAS  Google Scholar 

  6. Habata T, Uematsu K, Kasanami R et al (2006) Long-term clinical and radiographic follow-up of total resection for discoid lateral meniscus. Arthroscopy 22(12):1339–1343

    Article  PubMed  Google Scholar 

  7. Mikulicz J (1878) Ueber individuelle Formdifferenzen am Femur und an der Tibia des Menschen. Mit Berücksichtigung der Statik des Kniegelenks. Arch Anat Entwick, 351–404

  8. Mizuta H, Nakamura E, Otsuka Y et al (2001) Osteochondritis dissecans of the lateral femoral condyle following total resection of the discoid lateral meniscus. Arthroscopy 17(6):608–612

    PubMed  CAS  Google Scholar 

  9. Räber DA, Friederich NF, Hefti F (1998) Discoid lateral meniscus in children long-term follow-up after total meniscectomy. J Bone Joint Surg Am 80(11):1579–1586

    PubMed  Google Scholar 

  10. Vandermeer RD, Cunningham FK (1989) Arthroscopic treatment of the discoid lateral meniscus: results of long-term follow-up. Arthroscopy 5(2):101–109

    PubMed  CAS  Google Scholar 

Download references

Acknowledgments

Investigation of the case report was performed at the Department of Orthopaedic Surgery, Saiseikai Nara Hospital, Nara, Japan. No benefits in any form have been received or will be received from any commercial party related directly of indiorectly to the subject of this article. No funds were received in support of this study.

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Correspondence to Yasuaki Tohma.

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Tohma, Y., Fujisawa, Y., Sugimoto, K. et al. Pathological changes resembling bone cyst of the lateral tibial plateau following arthroscopic partial meniscectomy for lateral discoid meniscus in a boy. Eur J Orthop Surg Traumatol 19, 207–211 (2009). https://doi.org/10.1007/s00590-008-0408-4

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  • DOI: https://doi.org/10.1007/s00590-008-0408-4

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