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

Abstract

Level III: Therapeutic Study, Retrospective, Comparative.

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].…”

Knee injuries in the youth athlete

“…Treatment has evolved to arthroscopic preservation of as much stable meniscal tissue as possible with repair of peripheral tears causing meniscal instability (Figure 3). Carter et al 20 published their preliminary results in 51 symptomatic discoid meniscal surgeries, which showed that adding peripheral rim repair did not increase complications or affect preliminary surgical results at average follow-up of 15 months.…”

(i) Knee injuries in children

“…Surgery may include central meniscus tear excision and saucerisation along with repair of any instability of the periphery of the meniscal rim. 19 Asymptomatic discoid menisci can safely be left alone. 20 Patella instability Patella dislocation is the most common injury sustained around the knee in adolescents, with a prevalence of 0.7 per 1000.…”