Abstract
Discoid lateral meniscus is an intra-articular knee disorder typically presented in the young population and during adolescence. Different types of meniscal disorders and varied forms of presentation have been reported. The natural history depends on the type of anomaly and the presence of symptoms. Management of the disorder should be directed toward the resolution of the symptoms while preserving meniscal tissue and function. Modern surgical techniques enable suturing and preservation of meniscal tissue. The clinical manifestations, diagnostic modalities and criteria, accompanying conditions and practical management considerations are reviewed.
Similar content being viewed by others
References
Young R (1889) The external semilunar cartilage as a complete disc. In: Cleland J, Mackay J, Young R (eds) Memoirs and memoranda in anatomy. Williams and Norgate, London, pp 179
Watson-Jones R (1930) Specimen of internal semilunar cartilage as a complete disc. Proc R Soc Med 23:588
Andrish J (1996) Meniscal injuries in children and adolescents: diagnosis and management. J Am Acad Orthop Surg 4:231–237
Kaplan EB (1955) Discoid lateral meniscus of the knee joint. Bull Hosp Joint Dis 16:111–124
Clark C, Ogden J (1983) Development of the menisci of the human joint: morphologic changes and their potential role in childhood meniscal injury. J Bone Joint Surg Am 65:538–547
Jordan M (1996) Lateral meniscal variants: evaluation and treatment. J Am Acad Orthop Surg 4:191–200
Greis PE, Bardana DD, Holstrom MC, Burks RT (2002) Meniscal injury: basic science and evaluation. J Am Acad Orthop Surg 10:168–176
Ikeuchi H (1982) Arthroscopic treatment of the discoid lateral meniscus. Technique and long-term results. Clin Orthop Relat Res 167:19–28
Nathan PA, Cole SC (1969) Discoid meniscus. A clinical and pathologic study. Clin Orthop Relat Res 64:107–113
Jeannopoulos CL (1950) Observations on discoid menisci. J Bone Joint Surg Am 32:649–652
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 168:75–79
Kocher MS, Micheli LJ (2001) The pediatric knee: evaluation and treatment. In: Insall JN, Scott WN (eds) Surgery of the knee. 3rd edn. Churchill-Livingstone, New York, pp 1356–1397
Dickhaut SC, DeLee JC (1982) The discoid lateral meniscus syndrome. J Bone Joint Surg Am 64:1068–1073
Jordan M, Duncan J, Bertrand S (1993) Discoid lateral meniscus: a review. South Orthop J 2:239–253
Smillie I (1948) The congenital discoid meniscus. J Bone Joint Surg Br 30:671–682
Gebhardt MR, Rosenthal RK (1979) Bilateral lateral discoid meniscus in identical twins. J Bone Joint Surg Am 61:1110–1111
Dashefsky J (1971) Discoid lateral meniscus in three members of a family: case reports. J Bone Joint Surg Am 53:1208–1210
Watanabe M, Takada S, Ikeuchi H (1969) Atlas of Arthroscopy. Igaku-Shoin, Tokyo
Monllau JC, Leon A, Cugat R, Ballester J (1998) Ring-shaped lateral meniscus. Arthroscopy 14:502–504
Bin SI, Kim JC, Kim JM, Park SS, Han YK (2002) Correlation between type of discoid lateral menisci and tear pattern. Knee Surg Sports Traumatol Arthrosc 10:218–222
Shahriaree H (ed) (1992) O’Conner’s Textbook of arthroscopic surgery. Lippincott, Philadelphia, pp 318–321
Kroiss F (1910) Die Verletzungen der Kniegelenkoszwischenknorpel und ihrer Verbindungen. Beitr Klin Chir 66:598–801
Woods GW, Whelan JM (1990) Discoid meniscus. Clin Sports Med 9:695–706
Rosenberg TD, Paulos LE, Parker RD, Harner CD, Gurley WD (1987) Discoid lateral meniscus: case report of arthroscopic attachment of a symptomatic Wrisberg-ligament type. Arthroscopy 3:277–282
Neuschwander DC, Drez D, Finney TP (1992) Lateral meniscal variant with absence of posterior coronary ligament. J Bone Joint Surg Am 74:1186–1190
Albertsson M, Gillquist S (1998) Discoid lateral meniscus: a report of 29 cases. Arthroscopy 4:211–214
Fleissner PR, Eilert RF (1999) Discoid lateral meniscus. Am J Knee Surg 12:125–131
Aichroth PM, Patel DV, Marx CI (1991) Congenital discoid lateral meniscus in children: a follow up study and evaluation of management. J Bone Joint Surg Br 73:932–939
Bellier G, Dupont JY, Larrain M, Caudron C, Carlioz H (1989) Lateral discoid meniscus in children. Arthroscopy 5:52–56
Pellacci F, Montanari G, Prosperi P, Galli G, Celli V (1992) Lateral discoid meniscus: treatment and results. Arthroscopy 8:526–530
Kocher MS, DiCanzio J, Zurakowski D, Micheli LJ (2001) Diagnostic performance of clinical examination and selective magnetic resonance imaging in the evaluation of intraarticular knee disorders in children and adolescents. Am J Sports Med 29:292–296
Harvell JJ, Fu F, Stanitski C (1989) Diagnostic arthroscopy of the knee in children and adolescents. Orthopedics 12:1555–1560
Haus J, Refior H (1993) The importance of arthroscopy in sports injuries in children and adolescents. Knee Surg Sports Traumatol Arthrosc 1:34–38
Morrissy R, Eubanks R, Park J (1982) Arthroscopy of the knee in children. Clin Orthop Relat Res 162:103–107
Stanitski C (1998) Correlation of arthroscopic and clinical examinations with magnetic resonance imaging findings of injured knees in children and adolescents. Am J Sports Med 26:2–6
Suman R, Stother I, Illingworth G (1984) Diagnostic arthroscopy of the knee in children. J Bone Joint Surg Br 66:535–537
Picard JJ, Constantin L (1964) Radiological aspects of the discoid meniscus. J Radiol Electrol Med Nucl 45:839–841
Kerr R (1986) Radiologic case study: discoid lateral meniscus. Orthopedics 8:1142–1147
Najafi J, Bagheri S, Lahiji FA (2006) The value of sonography with micro convex probes in diagnosing meniscal tears compared with arthroscopy. J Ultrasound Med 25:593–597
Achour NA, Tlili K, Souei MM, Gamaoun W, Jemni H, Dali KM, Dahmen J, Hmida RB (2006) Le menisque discoide chez l’enfant: aspects echographiques. J Radiol 87:35–40
Samoto N, Kozuma M, Tokuhisa T, Kobayashi K (2002) Diagnosis of discoid lateral meniscus of the knee on MR imaging. Magn Reson Imaging 20:59–64
Singh K, Helms CA, Jacobs MT, Higgins LD (2006) MRI appearance of Wrisberg variant of discoid lateral meniscus. AJR Am J Roentgenol 187:384–387
Kim YG, Ihn JC, Park SK, Kyung HS (2006) An arthroscopic analysis of lateral meniscal variants and a comparison with MRI findings. Knee Surg Sports Traumatol Arthrosc 14:20–26
Yoshida S, Ikata T, Takai H, Kashiwaguchi S, Katoh S, Takeda Y (1998) Osteochondritis dissecans of the femoral condyle in the growth stage. Clin Orthop Relat Res 346:162–170
Mitsuoka T, Shino K, Hamada M, Horibe S (1999) Osteochondritis dissecans of the lateral femoral condyle of the knee joint. Arthroscopy 15:20–26
Terashima T, Ohkoshi Y, Yamamoto K, Ebata W, Nagasaki S, Nishiike J, Hashimoto T, Yamane H (2005) The pathogenesis of osteochondritis dissecans in the lateral femoral condyle associated with lateral discoid meniscus injury. Paper presented at the Biennial Congress of International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS), Hollywood, Florida, USA, 3–7 April 2005
Raber DA, Friederich NF, Hefti F (1998) Discoid lateral meniscus in children. Long term follow-up after total meniscectomy. J Bone J Surg Am 80:1579–1586
Stanitski CL, Bee J (2004) Juvenile osteochondritis dissecans of the lateral femoral condyle after lateral discoid meniscal surgery. Am J Sports Med 32(3):797–801
Baratz ME, Fu FH, Mentago R (1986) Meniscal tears: the effect of menisectomy and of repair on intra-articular contact areas and stress in the human knee. Am J Sports Med 14:270–274
Fairbank TJ (1948) Knee joint changes after meniscectomy. J Bone Joint Surg Br 30:664–670
Zaman M, Leonard MA (1981) Meniscectomy in children: results in 59 knees. Injury 12:425–428
Manzione M, Pizzutillo PD, Peoples AB, Schweizer PA (1983) Meniscectomy in children: a long-term follow-up study. Am J Sports Med 11:111–115
Wroble RR, Henderson RC, Campion ER, El-Khoury GY, Albright JP (1992) Meniscectomy in children and adolescents. A long-term follow-up study. Clin Orthop Relat Res 279:180–189
Abdon P, Turner MS, Pettersson H, Lindstrand A, Stenström A, Swanson AJG (1990) A long-term follow-up study of total meniscectomy in children. Clin Orthop Relat Res 257:166–170
Hayashi LK, Yamaga H, Ida K, Miura T (1988) Arthroscopic meniscectomy for discoid lateral meniscus in children. J Bone and Joint Surg Am 70:1495–1500
Kim SJ, Kim DW, Min BH (1995) Discoid lateral meniscus associated with anomalous insertion of the medial meniscus. Clin Orthop Relat Res 315:234–237
Adachi N, Ochi M, Uchio Y, Kuriwaka M, Shinomiya R (2004) Torn discoid lateral meniscus treated using partial central meniscectomy and suture of the peripheral tear. Arthroscopy 20:536–542
Shiozaki Y, Horibe S, Mitsuoka T, Nakamura N, Toritsuka Y, Shino K (2002) Prediction of reparability of isolated semilunar lateral meniscus tears by magnetic resonance imaging. Knee Surg Sports Traumatol Arthrosc 10:213–217
Klingele KE, Kocher MS, Hresko MT, Gerbino P, Micheli LJ (2004) Discoid lateral meniscus: prevalence of peripheral rim instability. J Pediatr Orthop 24:79–82
Jaureguito JW, Elliot JS, Lietner T, Dixon LB, Reider B (1995) Arthroscopy 11:29–36
Washington ER, Root L, Liener UC (1995) Discoid lateral meniscus in children—long-term follow-up after excision. J Bone Joint Surg Am 77:1357–1361
Raber DA, Friederich NF, Hefti F (1998) Discoid lateral meniscus in children: long-term follow-up after total meniscectomy. J Bone Joint Surg Am 8:1579–1586
Aglietti P, Bertini FA, Buzzi R, Beraldi R (1999) Arthroscopic meniscectomy for discoid lateral meniscus in children and adolescents: 10-year follow-up. Am J Knee Surg 12:83–87
Acknowledgments
Esther Eshkol is thanked for editorial assistance.
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Yaniv, M., Blumberg, N. The discoid meniscus. J Child Orthop 1, 89–96 (2007). https://doi.org/10.1007/s11832-007-0029-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11832-007-0029-1