Arthroscopic treatment of symptomatic discoid meniscus in children

Hagino, Tetsuo; Ochiai, Satoshi; Senga, Shinya; Yamashita, Takashi; Wako, Masanori; Ando, Takashi; Haro, Hirotaka

doi:10.1007/s00402-016-2575-9

Cited by 23 publications

(32 citation statements)

References 16 publications

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“…The situation was different in case of chronic injuries. In our study sample, 24.7% of patients had medial meniscus tears, 33.9% of them had lateral meniscus tears and 41.4% of patients had both ruptures [6]. The similarity between the results of our study and the above mentioned study is only in the conclusion that the lateral meniscal tear was commonly associated with an acute ACL injury, while medial meniscal tear with the chronic one.…”

Section: Discussionsupporting

confidence: 82%

“…The injured knee joint requires timely and accurate diagnosis, which is a prerequisite for surgical intervention on time. Hagino et al [6] registered the incidence of associated ACL and meniscus injuries in as many as 79.2% of cases, with a significant difference compared to our study because their patients had significantly more injuries of the lateral meniscus. In acute trauma, the incidence was lower (72.7% vs. 84.8% for the chronic ACL rupture).…”

Section: Discussioncontrasting

confidence: 67%

“…It has been thought for a long time that ACL reconstructions prevent degenerative changes in articular cartilage, which has not been confirmed by later studies [9]. However, they significantly affect the stability of the knee joint, reduce subsequent me-niscal injuries, provide return to sports activities and improve the quality of life of patients [6,[9][10][11].…”

Section: Discussionmentioning

confidence: 99%

“…This results in degenerative damage of menisci and articular cartilage in the first place [13,18,37]. Lateral meniscal tear occurs more acutely, in a short period of time after ACL injury, while medial meniscus is most often injured if the period of time between the injury and surgical reconstruction of the ligament is longer [6,36,[38][39][40]. Among the patients who underwent surgery within 6 months after injury, the percentage of medial meniscus rupture increases over the time while the percentage of lateral one stagnates, even decreases slightly.…”

Section: Discussionmentioning

confidence: 99%

“…Porast indeksa telesne mase upravo je srazmeran porastu incidencije udruženih povreda meniskusa. Ključne reči: prednji ukršteni ligament; povrede kolena; rekonstrukcija prednjeg ukrštenog ligamenta; tibijalni meniskusi; faktori rizika; faktori starosti; rekreacija; sport; indeks telesne mase General Hospital Subotica, Department of Orthopedics and Traumatology 1 Original study Health Center Krupanj, Krupanj 2 Originalni naučni rad Institute for Child and Youth Health Care, Novi Sad [6][7][8]. In acute cases lateral meniscus is most frequently injured, while chronic lesions are connected most often with medial meniscus [6,7].…”

Section: Introductionunclassified

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Concomitant injuries of anterior cruciate ligament and meniscus

Ristić¹,

Maljanović²,

Mihajlov³

et al. 2016

Med pregl

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Section: Discussionsupporting

confidence: 82%

Section: Discussioncontrasting

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionunclassified

See 3 more Smart Citations

Concomitant injuries of anterior cruciate ligament and meniscus

Ristić¹,

Maljanović²,

Mihajlov³

et al. 2016

Med pregl

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Widening of the popliteal hiatus on magnetic resonance imaging leads to recurrent subluxation of the lateral meniscus

Zhao

Dai

et al. 2019

Knee Surg Sports Traumatol Arthrosc

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Purpose This study was undertaken to elucidate the clinical significance of widening of the popliteal hiatus on magnetic resonance imaging (MRI), and to document the clinical results and technical aspects of arthroscopic repair of this finding. Methods Included are 82 knees after arthroscopic surgery, divided according to arthroscopic diagnosis into group A, hypermobility of lateral meniscus, 8 knees; group B, tear of the anterior horn of the lateral meniscus, 32 knees; and group C, no abnormality of the lateral meniscus, 36 knees with medial meniscal tears and 6 with other conditions. Popliteal hiatus diameter was measured and the popliteal hiatus/lateral tibial plateau (LTP) ratio was calculated on preoperative sagittal and coronal MRI. At arthroscopy, the widened popliteal hiatus in group A was tightened anteriorly by outside-in or all-inside suture and posteriorly with all-inside suture. Outcomes were evaluated with MRI, Lysholm, Tegner and VAS scores. ResultsThe preoperative diameter of the popliteal hiatus and the popliteal hiatus/LTP ratio were significantly larger in group A than in groups B and C (p < 0.05) on both views. Threshold popliteal hiatus/LTP values of 0.16 and 0.18 on the sagittal and coronal views demonstrated diagnostic discrimination, and these values were significantly reduced after arthroscopy in Group A. Lysholm and Tegner scores were improved after tightening of the popliteal hiatus, while VAS scores reduced (all p < 0.05). Conclusion Widening of the popliteal hiatus on MRI may lead to recurrent subluxation of the lateral meniscus. Arthroscopic anterior and posterior tightening of the popliteal hiatus was a safe and effective treatment. Level of evidence II.

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Meniscoplasty leads to good mid-term to long-term outcomes for children and adolescents with discoid lateral meniscus

Tan

Lim

et al. 2020

Knee Surg Sports Traumatol Arthrosc

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PurposeTo date, there have been limited studies reporting the mid‐ to long‐term outcomes of meniscoplasties for discoid lateral meniscus. The current study aims to evaluate the mid‐ to long‐term outcomes of arthroscopic meniscoplasty for discoid lateral meniscus in children and adolescents. MethodsIn the study, all patients under the age of 21 years who had undergone arthroscopic meniscoplasty with or without meniscal repair or partial meniscectomy for symptomatic lateral discoid meniscus were included. All patients were then followed up for a minimum of 5 years (median 84 months; range 68–110 months). The Lysholm scores and Ikeuchi scores were collected pre‐operatively and at final follow‐up and were compared. ResultsA total of 24 knees were included in the study. The median duration of follow‐up was 84.0 months (range 68–110 months). The Lysholm score improved from 53 (range 11–95) pre‐operatively to 100.0 (range 60–100) at final follow‐up (p < 0.001). Based on the Ikeuchi score pre‐operatively, 15 knees were rated as poor (62.5%), 7 knees were rated as fair (29.2%), and 2 knees were rated as good (8.4%). The Ikeuchi score improved significantly at the final follow‐up, such that 1 knee was rated as good (4.2%) and 23 knees were rated as excellent (95.8%) (p < 0.001). When analysing the effect of concomitant meniscal repair or partial meniscectomy on the outcomes at final follow‐up, there was no apparent difference in the improvement in Lysholm score or Ikeuchi score when comparing between patients who had meniscoplasty alone and patients who had concomitant meniscal repair, as well as when comparing between patients who had meniscoplasty alone and patients who had concomitant partial meniscectomy. ConclusionMeniscoplasty leads to good mid‐term to long‐term outcomes for children and adolescents with discoid lateral meniscus. Concomitant procedures such as meniscal repair or partial meniscectomy do not improve or worsen the mid‐ to long‐term outcomes in these patients. Level of evidenceIV.

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Arthroscopic treatment of symptomatic discoid meniscus in children

Abstract: Although the short-term outcome after saucerization with or without suture repair for discoid meniscus is favorable, degenerative change or change of lower limb alignment may occur in the long term. Further long-term study is required.

Cited by 23 publications

References 16 publications

Concomitant injuries of anterior cruciate ligament and meniscus

Concomitant injuries of anterior cruciate ligament and meniscus

Widening of the popliteal hiatus on magnetic resonance imaging leads to recurrent subluxation of the lateral meniscus

Meniscoplasty leads to good mid-term to long-term outcomes for children and adolescents with discoid lateral meniscus

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