Skip to main content
Top
Published in: Journal of Children's Orthopaedics 2/2007

01-07-2007 | Current Concept Reivew

The discoid meniscus

Authors: Moshe Yaniv, Nehemia Blumberg

Published in: Journal of Children's Orthopaedics | Issue 2/2007

Login to get access

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.
Literature
1.
go back to reference 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 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
2.
go back to reference Watson-Jones R (1930) Specimen of internal semilunar cartilage as a complete disc. Proc R Soc Med 23:588 Watson-Jones R (1930) Specimen of internal semilunar cartilage as a complete disc. Proc R Soc Med 23:588
3.
go back to reference Andrish J (1996) Meniscal injuries in children and adolescents: diagnosis and management. J Am Acad Orthop Surg 4:231–237PubMed Andrish J (1996) Meniscal injuries in children and adolescents: diagnosis and management. J Am Acad Orthop Surg 4:231–237PubMed
4.
go back to reference Kaplan EB (1955) Discoid lateral meniscus of the knee joint. Bull Hosp Joint Dis 16:111–124PubMed Kaplan EB (1955) Discoid lateral meniscus of the knee joint. Bull Hosp Joint Dis 16:111–124PubMed
5.
go back to reference 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 65:538–547PubMed 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 65:538–547PubMed
6.
go back to reference Jordan M (1996) Lateral meniscal variants: evaluation and treatment. J Am Acad Orthop Surg 4:191–200PubMed Jordan M (1996) Lateral meniscal variants: evaluation and treatment. J Am Acad Orthop Surg 4:191–200PubMed
7.
go back to reference Greis PE, Bardana DD, Holstrom MC, Burks RT (2002) Meniscal injury: basic science and evaluation. J Am Acad Orthop Surg 10:168–176PubMed Greis PE, Bardana DD, Holstrom MC, Burks RT (2002) Meniscal injury: basic science and evaluation. J Am Acad Orthop Surg 10:168–176PubMed
8.
go back to reference Ikeuchi H (1982) Arthroscopic treatment of the discoid lateral meniscus. Technique and long-term results. Clin Orthop Relat Res 167:19–28PubMed Ikeuchi H (1982) Arthroscopic treatment of the discoid lateral meniscus. Technique and long-term results. Clin Orthop Relat Res 167:19–28PubMed
9.
go back to reference Nathan PA, Cole SC (1969) Discoid meniscus. A clinical and pathologic study. Clin Orthop Relat Res 64:107–113PubMed Nathan PA, Cole SC (1969) Discoid meniscus. A clinical and pathologic study. Clin Orthop Relat Res 64:107–113PubMed
10.
go back to reference Jeannopoulos CL (1950) Observations on discoid menisci. J Bone Joint Surg Am 32:649–652PubMed Jeannopoulos CL (1950) Observations on discoid menisci. J Bone Joint Surg Am 32:649–652PubMed
11.
go back to reference 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 168:75–79PubMed 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 168:75–79PubMed
12.
go back to reference 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 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
13.
go back to reference Dickhaut SC, DeLee JC (1982) The discoid lateral meniscus syndrome. J Bone Joint Surg Am 64:1068–1073PubMed Dickhaut SC, DeLee JC (1982) The discoid lateral meniscus syndrome. J Bone Joint Surg Am 64:1068–1073PubMed
14.
go back to reference Jordan M, Duncan J, Bertrand S (1993) Discoid lateral meniscus: a review. South Orthop J 2:239–253 Jordan M, Duncan J, Bertrand S (1993) Discoid lateral meniscus: a review. South Orthop J 2:239–253
15.
go back to reference Smillie I (1948) The congenital discoid meniscus. J Bone Joint Surg Br 30:671–682 Smillie I (1948) The congenital discoid meniscus. J Bone Joint Surg Br 30:671–682
16.
go back to reference Gebhardt MR, Rosenthal RK (1979) Bilateral lateral discoid meniscus in identical twins. J Bone Joint Surg Am 61:1110–1111PubMed Gebhardt MR, Rosenthal RK (1979) Bilateral lateral discoid meniscus in identical twins. J Bone Joint Surg Am 61:1110–1111PubMed
17.
go back to reference Dashefsky J (1971) Discoid lateral meniscus in three members of a family: case reports. J Bone Joint Surg Am 53:1208–1210PubMed Dashefsky J (1971) Discoid lateral meniscus in three members of a family: case reports. J Bone Joint Surg Am 53:1208–1210PubMed
18.
go back to reference Watanabe M, Takada S, Ikeuchi H (1969) Atlas of Arthroscopy. Igaku-Shoin, Tokyo Watanabe M, Takada S, Ikeuchi H (1969) Atlas of Arthroscopy. Igaku-Shoin, Tokyo
19.
go back to reference Monllau JC, Leon A, Cugat R, Ballester J (1998) Ring-shaped lateral meniscus. Arthroscopy 14:502–504CrossRefPubMed Monllau JC, Leon A, Cugat R, Ballester J (1998) Ring-shaped lateral meniscus. Arthroscopy 14:502–504CrossRefPubMed
20.
go back to reference 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 10:218–222CrossRefPubMed 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 10:218–222CrossRefPubMed
21.
go back to reference Shahriaree H (ed) (1992) O’Conner’s Textbook of arthroscopic surgery. Lippincott, Philadelphia, pp 318–321 Shahriaree H (ed) (1992) O’Conner’s Textbook of arthroscopic surgery. Lippincott, Philadelphia, pp 318–321
22.
go back to reference Kroiss F (1910) Die Verletzungen der Kniegelenkoszwischenknorpel und ihrer Verbindungen. Beitr Klin Chir 66:598–801 Kroiss F (1910) Die Verletzungen der Kniegelenkoszwischenknorpel und ihrer Verbindungen. Beitr Klin Chir 66:598–801
23.
go back to reference Woods GW, Whelan JM (1990) Discoid meniscus. Clin Sports Med 9:695–706PubMed Woods GW, Whelan JM (1990) Discoid meniscus. Clin Sports Med 9:695–706PubMed
24.
go back to reference 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 3:277–282CrossRefPubMed 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 3:277–282CrossRefPubMed
25.
go back to reference Neuschwander DC, Drez D, Finney TP (1992) Lateral meniscal variant with absence of posterior coronary ligament. J Bone Joint Surg Am 74:1186–1190PubMed Neuschwander DC, Drez D, Finney TP (1992) Lateral meniscal variant with absence of posterior coronary ligament. J Bone Joint Surg Am 74:1186–1190PubMed
26.
go back to reference Albertsson M, Gillquist S (1998) Discoid lateral meniscus: a report of 29 cases. Arthroscopy 4:211–214CrossRef Albertsson M, Gillquist S (1998) Discoid lateral meniscus: a report of 29 cases. Arthroscopy 4:211–214CrossRef
27.
go back to reference Fleissner PR, Eilert RF (1999) Discoid lateral meniscus. Am J Knee Surg 12:125–131PubMed Fleissner PR, Eilert RF (1999) Discoid lateral meniscus. Am J Knee Surg 12:125–131PubMed
28.
go back to reference 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 73:932–939PubMed 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 73:932–939PubMed
29.
go back to reference Bellier G, Dupont JY, Larrain M, Caudron C, Carlioz H (1989) Lateral discoid meniscus in children. Arthroscopy 5:52–56CrossRefPubMed Bellier G, Dupont JY, Larrain M, Caudron C, Carlioz H (1989) Lateral discoid meniscus in children. Arthroscopy 5:52–56CrossRefPubMed
30.
go back to reference Pellacci F, Montanari G, Prosperi P, Galli G, Celli V (1992) Lateral discoid meniscus: treatment and results. Arthroscopy 8:526–530CrossRefPubMed Pellacci F, Montanari G, Prosperi P, Galli G, Celli V (1992) Lateral discoid meniscus: treatment and results. Arthroscopy 8:526–530CrossRefPubMed
31.
go back to reference 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 29:292–296PubMed 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 29:292–296PubMed
32.
go back to reference Harvell JJ, Fu F, Stanitski C (1989) Diagnostic arthroscopy of the knee in children and adolescents. Orthopedics 12:1555–1560PubMed Harvell JJ, Fu F, Stanitski C (1989) Diagnostic arthroscopy of the knee in children and adolescents. Orthopedics 12:1555–1560PubMed
33.
go back to reference Haus J, Refior H (1993) The importance of arthroscopy in sports injuries in children and adolescents. Knee Surg Sports Traumatol Arthrosc 1:34–38CrossRefPubMed Haus J, Refior H (1993) The importance of arthroscopy in sports injuries in children and adolescents. Knee Surg Sports Traumatol Arthrosc 1:34–38CrossRefPubMed
34.
go back to reference Morrissy R, Eubanks R, Park J (1982) Arthroscopy of the knee in children. Clin Orthop Relat Res 162:103–107PubMed Morrissy R, Eubanks R, Park J (1982) Arthroscopy of the knee in children. Clin Orthop Relat Res 162:103–107PubMed
35.
go back to reference 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 26:2–6PubMed 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 26:2–6PubMed
36.
go back to reference Suman R, Stother I, Illingworth G (1984) Diagnostic arthroscopy of the knee in children. J Bone Joint Surg Br 66:535–537PubMed Suman R, Stother I, Illingworth G (1984) Diagnostic arthroscopy of the knee in children. J Bone Joint Surg Br 66:535–537PubMed
37.
go back to reference Picard JJ, Constantin L (1964) Radiological aspects of the discoid meniscus. J Radiol Electrol Med Nucl 45:839–841PubMed Picard JJ, Constantin L (1964) Radiological aspects of the discoid meniscus. J Radiol Electrol Med Nucl 45:839–841PubMed
38.
go back to reference Kerr R (1986) Radiologic case study: discoid lateral meniscus. Orthopedics 8:1142–1147 Kerr R (1986) Radiologic case study: discoid lateral meniscus. Orthopedics 8:1142–1147
39.
go back to reference 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 25:593–597PubMed 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 25:593–597PubMed
40.
go back to reference 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 87:35–40CrossRefPubMed 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 87:35–40CrossRefPubMed
41.
go back to reference Samoto N, Kozuma M, Tokuhisa T, Kobayashi K (2002) Diagnosis of discoid lateral meniscus of the knee on MR imaging. Magn Reson Imaging 20:59–64CrossRefPubMed Samoto N, Kozuma M, Tokuhisa T, Kobayashi K (2002) Diagnosis of discoid lateral meniscus of the knee on MR imaging. Magn Reson Imaging 20:59–64CrossRefPubMed
42.
go back to reference Singh K, Helms CA, Jacobs MT, Higgins LD (2006) MRI appearance of Wrisberg variant of discoid lateral meniscus. AJR Am J Roentgenol 187:384–387CrossRefPubMed Singh K, Helms CA, Jacobs MT, Higgins LD (2006) MRI appearance of Wrisberg variant of discoid lateral meniscus. AJR Am J Roentgenol 187:384–387CrossRefPubMed
43.
go back to reference 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 14:20–26CrossRefPubMed 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 14:20–26CrossRefPubMed
44.
go back to reference 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 346:162–170CrossRefPubMed 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 346:162–170CrossRefPubMed
45.
go back to reference Mitsuoka T, Shino K, Hamada M, Horibe S (1999) Osteochondritis dissecans of the lateral femoral condyle of the knee joint. Arthroscopy 15:20–26CrossRefPubMed Mitsuoka T, Shino K, Hamada M, Horibe S (1999) Osteochondritis dissecans of the lateral femoral condyle of the knee joint. Arthroscopy 15:20–26CrossRefPubMed
46.
go back to reference 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 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
47.
go back to reference 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 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
48.
go back to reference Stanitski CL, Bee J (2004) Juvenile osteochondritis dissecans of the lateral femoral condyle after lateral discoid meniscal surgery. Am J Sports Med 32(3):797–801CrossRefPubMed Stanitski CL, Bee J (2004) Juvenile osteochondritis dissecans of the lateral femoral condyle after lateral discoid meniscal surgery. Am J Sports Med 32(3):797–801CrossRefPubMed
49.
go back to reference 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 14:270–274CrossRefPubMed 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 14:270–274CrossRefPubMed
50.
go back to reference Fairbank TJ (1948) Knee joint changes after meniscectomy. J Bone Joint Surg Br 30:664–670 Fairbank TJ (1948) Knee joint changes after meniscectomy. J Bone Joint Surg Br 30:664–670
51.
52.
go back to reference Manzione M, Pizzutillo PD, Peoples AB, Schweizer PA (1983) Meniscectomy in children: a long-term follow-up study. Am J Sports Med 11:111–115CrossRefPubMed Manzione M, Pizzutillo PD, Peoples AB, Schweizer PA (1983) Meniscectomy in children: a long-term follow-up study. Am J Sports Med 11:111–115CrossRefPubMed
53.
go back to reference 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 279:180–189PubMed 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 279:180–189PubMed
54.
go back to reference 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 257:166–170PubMed 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 257:166–170PubMed
55.
go back to reference 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 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
56.
go back to reference Kim SJ, Kim DW, Min BH (1995) Discoid lateral meniscus associated with anomalous insertion of the medial meniscus. Clin Orthop Relat Res 315:234–237PubMed Kim SJ, Kim DW, Min BH (1995) Discoid lateral meniscus associated with anomalous insertion of the medial meniscus. Clin Orthop Relat Res 315:234–237PubMed
57.
go back to reference 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 20:536–542CrossRefPubMed 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 20:536–542CrossRefPubMed
58.
go back to reference 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 10:213–217CrossRefPubMed 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 10:213–217CrossRefPubMed
59.
go back to reference Klingele KE, Kocher MS, Hresko MT, Gerbino P, Micheli LJ (2004) Discoid lateral meniscus: prevalence of peripheral rim instability. J Pediatr Orthop 24:79–82CrossRefPubMed Klingele KE, Kocher MS, Hresko MT, Gerbino P, Micheli LJ (2004) Discoid lateral meniscus: prevalence of peripheral rim instability. J Pediatr Orthop 24:79–82CrossRefPubMed
61.
go back to reference Washington ER, Root L, Liener UC (1995) Discoid lateral meniscus in children—long-term follow-up after excision. J Bone Joint Surg Am 77:1357–1361PubMed Washington ER, Root L, Liener UC (1995) Discoid lateral meniscus in children—long-term follow-up after excision. J Bone Joint Surg Am 77:1357–1361PubMed
62.
go back to reference 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 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
63.
go back to reference 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 12:83–87PubMed 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 12:83–87PubMed
Metadata
Title
The discoid meniscus
Authors
Moshe Yaniv
Nehemia Blumberg
Publication date
01-07-2007
Publisher
Springer Berlin Heidelberg
Published in
Journal of Children's Orthopaedics / Issue 2/2007
Print ISSN: 1863-2521
Electronic ISSN: 1863-2548
DOI
https://doi.org/10.1007/s11832-007-0029-1

Other articles of this Issue 2/2007

Journal of Children's Orthopaedics 2/2007 Go to the issue