Symptomatic Bilateral Discoid Menisci in Children

Discoid meniscus is an anatomical congenital anomaly more often found in the lateral meniscus. A discoid medial meniscus is a very rare anomaly, and even more rare is to diagnose a bilateral discoid medial meniscus although the real prevalence of this situation is unknown because not all the discoid medial menisci are symptomatic and if the contralateral knee is not symptomatic then it is not usually studied. The standard treatment of this kind of pathology is partial meniscectomy. Currently the tendency is to be very conservative so suture and saucerization of a torn discoid meniscus when possible are gaining support. We present the case of a 13-year-old patient who was diagnosed with symptomatic torn bilateral discoid medial meniscus treated by suturing the tear and saucerization. To the best of our knowledge this is the first case reported of bilateral torn discoid medial meniscus treated in this manner in the same patient.

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“…There are different reports of bilateral discoid menisci [ 8 ] being very scarce the ones about bilateral medial discoid meniscus [ 2 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

Symptomatic Bilateral Torn Discoid Medial Meniscus Treated with Saucerization and Suture

Sevillano-Pérez

Espejo-Reina

Espejo-Reina³

2016

Case Reports in Orthopedics

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“…Treatment choice for LCF of the humerus depends on the fracture displacement and stability. A modified classification system has been proposed by Song et al [ 13 , 14 ] to clarify the ambiguity of Jakob type I fracture. Indication for surgery includes fractures with equally displaced medial and lateral gaps (Song type III) [ 15 ] and fractures with >2 mm displacement (Song type IV and V).…”

Section: Discussionmentioning

confidence: 99%

Is biodegradable pin a good choice for lateral condylar fracture of humerus in children

Rai

Liu

et al. 2020

Medicine

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Introduction: Lateral condylar fracture (LCF) of the humerus in children is one of the commonest elbow injuries in children. Early recognition of the problem and appropriate management usually yields satisfactory outcomes. Closed or open reduction with Kirschner-wire (KW) is a cost-effective choice of fixation method for displaced fracture. However, various other methods, including partially threaded cannulated cancellous screw and biodegradable pin (BP), have also been used. This study aimed to investigate the efficacy of BP and compare its clinical outcomes with KW. Material and methods: Patients with LCF admitted from January 2008 to January 2016 at our institute were reviewed retrospectively. Baseline information and clinical data were collected from Hospital Database. Patients were divided into the KW group and BP group. Results: In all, 85 patients (male 50, female 35) in the KW group and 76 patients (male 47, female 29) in the BP group were included in this study. The average age of patients in the KW group was 5.2 years, and that of BP was 5.9 years. No nonunion or malunion was observed in either group. At the last follow-up visit, there was no statistically significant difference between the 2 groups with regard to elbow function and appearance. The incidence of long-term complications, including avascular necrosis, fishtail deformity, and lateral prominence, showed no significant difference between both the groups. The incidence of hardware prominence was higher in the KW (13/85, 15.6%) than BP (2/76, 2.6%) group ( P < .001). Conclusions: Both KW and BP are safe and effective choices for LCF of the humerus in children. Both the implant designs produce satisfactory and comparable clinical outcomes. However, BP has the advantage of less hardware prominence, no need for hardware removal, and fewer long-term complications.

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“…[14] Komplet diskoid menisküslü çocukların, unilateral ya da bilateral, inkomplet diskoid menisküslülere göre cerrahi müdahale gerektirme oranı yaklaşık 4,5 kat daha fazla saptanmıştır. [15] Bilateral görülme prevalansı ise dünya çapında yaklaşık olarak %15-25 arasında değişebilmektedir. [16][17][18] Fakat bilateral diskoid menisküsün gerçek insidansı yine asemptomatik olgulardan dolayı net olarak bilinmemektedir.…”

Section: Embri̇yoloji̇unclassified