Arthroscopic Treatment of Symptomatic Discoid Meniscus in Children: Classification, Technique, and Results

Clinical Outcomes as a Function of Meniscal Stability in the Discoid Meniscus

“…Future directions include: (1) following this cohort of patients over time to improve our understanding of the potential long-term effects of meniscal stabilization; (2) continuing to enroll patients to maximize the power of the study to detect differences between the saucerization-only and saucerization-plus-stabilization groups in terms of postoperative self-report; and (3) investigating the potential within-groups differences that may exist for patients treated with various types of meniscal stabilization techniques. Although we are unable to draw firm conclusions about the relative efficacy of the different types of meniscal stabilization techniques, it is interesting to note a trend toward higher patient self-assessment scores with use of the inside-out technique.…”

“…[1][2][3][4][5] There does not seem to be a predilection for sex, although multiple studies have shown racial disparities in the incidence of discoid meniscus, with Asian populations having the highest reported rates and multiple authors reporting an incidence in the American population ranging from 3% to 6%. Unlike a morphologically normal lateral meniscus, the discoid meniscus has both an increased width and an increased thickness, and is often described as "block-like."…”

Prognostic factors affecting the outcome of arthroscopic saucerization in discoid lateral meniscus: a retrospective analysis of 48 cases

“…Previously, several authors investigated the outcomes of arthroscopic saucerization and reported promising results with few complications [3,4,6,[8][9][10][11][12][13][14][15][16][17][18][19]. However, prognostic factors affecting the final outcomes are not well studied in relevant literature.…”

“…Therefore, current recommendation for symptomatic DLM is arthroscopic partial meniscectomy and reshaping DLM into a crescent-shaped normal meniscus, also called 'saucerization.' In case of rim instability, which is particularly present in Wrisberg type DLM, reattachment of meniscus to the nearby capsule should be performed simultaneously [5,8,9].…”

Arthroscopic Visualization of Abnormal Movement of Discoid Lateral Meniscus With Snapping Phenomenon

“…According to more recent reports, the snapping knee in DLM is typically caused by peripheral rim instability, and the whole discoid meniscus is moved to the intercondylar notch and reduced to the anatomic position with a loud snap during knee flexion and nearly full extension. 9,10 However, how to achieve direct confirmation of abnormal movement in patients with snapping DLM is still unknown. Usually, the lateral meniscus is investigated using the figure-of-4 position to open the lateral joint space; however, this position provides little information concerning the abnormal movement of the DLM (Table 2).…”