scholarly journals Discoid Medial Meniscus Tear, with a Literature Review of Treatments

2017 ◽  
Vol 29 (3) ◽  
pp. 237-242 ◽  
Author(s):  
In Soo Song ◽  
Jun Bum Kim ◽  
Jong Keun Lee ◽  
Byeong-Seop Park
2011 ◽  
Vol 97 (8) ◽  
pp. 826-832 ◽  
Author(s):  
C.H. Flouzat-Lachaniette ◽  
N. Pujol ◽  
P. Boisrenoult ◽  
P. Beaufils

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Raheel Ahmed Ali ◽  
Scott McKay

Background. A discoid meniscus is a thickened variant of the normal C-shaped meniscus prone to injury. Discoid medial meniscal tears have rarely been reported within families and may suggest familial or developmental origins.Methods. We report the cases of two Caucasian brothers with symptomatic discoid medial meniscus tears. A literature review was conducted addressing discoid medial meniscus and cases of familial meniscus tears.Case Presentation. Physically active brothers presented with progressively worsening knee pain. MRI revealed medial meniscus tears in both brothers. The family history of medial meniscus tears in their mother and the discoid medial meniscus injuries found on arthroscopy suggested evidence for familial discoid medial meniscus tears.Conclusions. Discoid medial meniscus tears within a family have not been previously reported. Two cases of families with discoid lateral meniscus tears have been reported. Discoid medial meniscus is rare relative to the discoid lateral meniscus and predisposes children to symptomatic tears.


2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Jlalia Z ◽  
Maatoug M ◽  
Ben Ahmed S ◽  
Kammoun Kh ◽  
Jenzri M

2020 ◽  
Vol 28 ◽  
pp. S294-S295
Author(s):  
H. Kaneko ◽  
M. Ishijima ◽  
T. Aoki ◽  
Y. Negishi ◽  
L. Liu ◽  
...  

2019 ◽  
Vol 28 (11) ◽  
pp. 3497-3503 ◽  
Author(s):  
Jae-Young Kim ◽  
Seong-Il Bin ◽  
Jong-Min Kim ◽  
Bum-Sik Lee ◽  
Sung-Mok Oh ◽  
...  

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Hongshi Huang ◽  
Wei Yin ◽  
Shuang Ren ◽  
Yuanyuan Yu ◽  
Si Zhang ◽  
...  

Background. The abnormal knee joint motion patterns caused by anterior cruciate ligament (ACL) deficiency are thought to be associated with articular cartilage degeneration. High rates of meniscus tear combined with ACL rupture are observed, and these knees suffer a higher risk of early cartilage degeneration. Research Question. This study investigated lower limb muscular force patterns of ACL-deficient knees with a concomitant medial meniscus tear. Methods. 12 volunteers and 22 patients were recruited, including 12 patients with isolated ACL deficiency (ACLD) and 10 ACL-deficient patients with a concomitant medial meniscus tear (ACLDM). Level walking data at a self-selected speed were collected before surgery. Then, a musculoskeletal dynamic analysis system, AnyBody, was applied to simulate tibiofemoral flexion moments and muscle forces. Results. Our results indicate that the tibiofemoral peak flexion and extension moments in ACLDM patients are significantly lower than in controls. The rectus femoris force in ACLDM patients was significantly lower than in isolated ACL-deficient patients and the controls during mid and terminal stance phase, while no significant difference was found in hamstring and vastus force. Additionally, the gastrocnemius force in ACL-deficient patients both with and without a medial meniscus tear was lower than in controls during mid-stance phase. Significance. The ACLDM patients had lower peak tibiofemoral flexion moment, lower gastrocnemius force in mid-stance phase, and lower rectus femoris force during the mid and terminal stance phase. These results may help clinicians to better understand the muscle function and gait pattern in ACL-deficient patients with a concomitant medial meniscus tear.


Author(s):  
Alberto Grassi ◽  
Giacomo Dal Fabbro ◽  
Stefano Di Paolo ◽  
Federico Stefanelli ◽  
Luca Macchiarola ◽  
...  

ImportanceMeniscal tears are frequently associated with anterior cruciate ligament (ACL) injury and the correct management of this kind of lesion during ACL-reconstruction procedure is critical for the restoration of knee kinematics. Although the importance of meniscus in knee biomechanics is generally accepted, the influence of medial and lateral meniscus in stability of ACL-deficient knee is still unclear.ObjectiveThe aim of this study was to review literature, which analysed effects in cadaveric specimens of meniscal tear and meniscectomy of medial and lateral meniscus on laxity in the ACL-deficient knee.Evidence reviewAuthors performed a systematic search for cadaveric studies analysing the effect of medial and lateral meniscus tears or resection on kinematics of ACL-deficient knee. Extracted data included year of publications, number of human cadaver knee specimens, description of apparatus testing and instrumented kinematic evaluation, testing protocol and results.FindingsAuthors identified 18 studies that met inclusion and exclusion criteria of current review. The major finding of the review was that the works included reported a difference role of medial and lateral meniscus in restraining ACL-deficient knee laxity. Medial meniscus tear or resection resulted in a significant increase of anterior tibial displacement. Lateral meniscus lesions or meniscectomy on the other hand significantly increased rotation and translation under a coupled valgus stress and internal-rotation torque/pivot shift test.ConclusionsMedial and lateral meniscus have a different role in stabilising the ACL-deficient knee: while the medial meniscus functions as a critical secondary stabilisers of anterior tibial translation under an anterior/posterior load, lateral meniscus appears to be a more important restraint of rotational and dynamic laxity.Level of evidenceLevel IV, systematic review of level I–IV studies.


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