Skip to main content
SpringerLink
Log in

Symptomatic torn discoid lateral meniscus in adults

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

Abstract

The purposes of this study were to report degenerative changes that coexist with a symptomatic torn discoid lateral meniscus in adults and to analyze the factors associated with the accompanied degenerative changes. From 1997 to 2008, 329 knees in the 305 patients were included. Associations between the status of the meniscus and the coexisting degenerative changes on the images and the arthroscopic findings were statistically analyzed. Marginal osteophyte was seen on conventional radiography in 118 patients (36%). Ninety patients (27%) had arthroscopically confirmed chondral lesion. Age, duration of symptoms, the type of meniscus, the type of tear and the magnetic resonance image classification were associated with the formation of the marginal osteophyte and chondral lesion on univariate analysis (P < 0.05). After conducting multivariate analysis, the type of tear and magnetic resonance image classification had a statistically significant association with the severity of marginal osteophyte and chondral lesion (P < 0.05).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Ahn JH, Lee YS, Ha HC, Shim JS, Lim KS (2009) A novel magnetic resonance imaging classification of discoid lateral meniscus based on peripheral attachment. Am J Sports Med 37:1564–1569

    Article  PubMed  Google Scholar 

  2. Berson BL, Hermann G (1979) Torn discoid menisci of the knee in adults. Four case reports. J Bone Joint Surg Am 61:303–304

    CAS  PubMed  Google Scholar 

  3. Boegard T, Rudling O, Petersson IF, Jonsson K (1998) Correlation between radiographically diagnosed osteophytes and magnetic resonance detected cartilage defects in the tibiofemoral joint. Ann Rheum Dis 57:401–407

    Article  CAS  PubMed  Google Scholar 

  4. Dickhaut SC, DeLee JC (1982) The discoid lateral-meniscus syndrome. J Bone Joint Surg Am 64:1068–1073

    CAS  PubMed  Google Scholar 

  5. Fleissner PR, Eilert RE (1999) Discoid lateral meniscus. Am J Knee Surg 12:125–131

    CAS  PubMed  Google Scholar 

  6. Fritschy D, Gonseth D (1991) Discoid lateral meniscus. Int Orthop 15:145–147

    Article  CAS  PubMed  Google Scholar 

  7. Habata T, Uematsu K, Kasanami R, Hattori K, Takakura Y, Tohma Y, Fujisawa Y (2006) Long-term clinical and radiographic follow-up of total resection for discoid lateral meniscus. Arthroscopy 22:1339–1343

    Article  PubMed  Google Scholar 

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

    PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  10. Kim SJ, Moon SH, Shin SJ (2000) Radiographic knee dimensions in discoid lateral meniscus: comparison with normal control. Arthroscopy 16:511–516

    Article  CAS  PubMed  Google Scholar 

  11. Nawata K, Teshima R, Ohno M, Takita T, Otuki K (1999) Discoid lateral menisci in older patients. A radiographic study of 21 cases. Int Orthop 23:232–235

    Article  CAS  PubMed  Google Scholar 

  12. Okazaki K, Miura H, Matsuda S, Hashizume M, Iwamoto Y (2006) Arthroscopic resection of the discoid lateral meniscus: long-term follow-up for 16 years. Arthroscopy 22:967–971

    Article  PubMed  Google Scholar 

  13. Outerbridge RE (1961) The etiology of chondromalacia patellae. J Bone Joint Surg Br 43-B:752–757

    CAS  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  15. Rao PS, Rao SK, Paul R (2001) Clinical, radiologic, and arthroscopic assessment of discoid lateral meniscus. Arthroscopy 17:275–277

    Article  PubMed  Google Scholar 

  16. Rao SK, Sripathi Rao P (2007) Clinical, radiologic and arthroscopic assessment and treatment of bilateral discoid lateral meniscus. Knee Surg Sports Traumatol Arthrosc 15:597–601

    Article  PubMed  Google Scholar 

  17. Washington ER 3rd, Root L, Liener UC (1995) Discoid lateral meniscus in children. Long-term follow-up after excision. J Bone Joint Surg Am 77:1357–1361

    PubMed  Google Scholar 

  18. Watanabe M, Takeda S, Ikeuchi H (1979) Atlas of arthroscopy, 3rd edn. Igakushoin, Tokyo

  19. Yamanaka N, Takahashi T, Ichikawa N, Yamamoto H (2003) Posterior-anterior weight-bearing radiograph in 15 degree knee flexion in medial osteoarthritis. Skeletal Radiol 32:28–34

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

No financial support was received for this study.

Conflict of interest

None.

Author information

Authors and Affiliations

  1. Department of Orthopedic Surgery Samsung Medical Center, Sungkyunkwan, University School of Medicine, 50 Ilwon-Dong, Kangnam-Ku, Seoul, 135-710, Korea

    Jin Hwan Ahn, Jae Chul Yoo, Moon Jong Chang & Young Ryeol Bae

  2. Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

    Sang-Hee Choi & Sooho Bae

  3. Department of Orthopaedic Surgery, Aju University School of Medicine, Suwon, Korea

    Yong Seuk Lee

Authors
  1. Jin Hwan Ahn
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sang-Hee Choi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Yong Seuk Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Jae Chul Yoo
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Moon Jong Chang
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Sooho Bae
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Young Ryeol Bae
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Moon Jong Chang.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ahn, J.H., Choi, SH., Lee, Y.S. et al. Symptomatic torn discoid lateral meniscus in adults. Knee Surg Sports Traumatol Arthrosc 19, 158–164 (2011). https://doi.org/10.1007/s00167-010-1058-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00167-010-1058-8

Keywords

Search

Navigation