Discoid Lateral Meniscus
- 15 March 2023
- journal article
- research article
- Published by Springer Science and Business Media LLC in Current Reviews in Musculoskeletal Medicine
- Vol. 16 (4), 154-161
- https://doi.org/10.1007/s12178-023-09824-4
Abstract
Purpose of Review Discoid lateral meniscus (DLM) is a well-known meniscus variant, and comprises excess and thickened meniscal tissue, altered collagen ultrastructure, and peripheral instability. This article presents a comprehensive review on current knowledge of DLM, focusing on pathology in parallel with surgical techniques and outcomes. Recent Findings A paradigm shift in surgical management of DLM is taking place as knee surgeons are seeing more patients with long-term sequelae of partial lateral meniscectomy, the standard treatment for DLM for many years. Surgical treatment has evolved alongside the understanding of DLM pathology. A new classification system has been proposed and optimal surgical techniques described in recent years. This article highlights up-to-date evidence and techniques in management of both acute DLM tears and joint restoration following subtotal meniscectomy for DLM. Summary Surgical management of DLM must be tailored to individual pathology, which is variable within the diagnosis of DLM. We present an algorithm for management of DLM and discuss future directions for the understanding and treatment of this debilitating condition.Keywords
This publication has 55 references indexed in Scilit:
- Incidence of Bilateral Discoid Lateral Meniscus in An Asian Population: An Arthroscopic Assessment of Contralateral KneesArthroscopy: The Journal of Arthroscopic & Related Surgery, 2012
- Characteristic shape of the lateral femoral condyle in patients with osteochondritis dissecans accompanied by a discoid lateral meniscusJournal of Orthopaedic Science, 2012
- Bilateral Discoid Lateral Meniscus in Knees: Evaluation of the Contralateral Knee in Patients With Symptomatic Discoid Lateral MeniscusArthroscopy: The Journal of Arthroscopic & Related Surgery, 2010
- Histomorphologic Study of Discoid MeniscusArthroscopy: The Journal of Arthroscopic & Related Surgery, 2009
- Discoid MeniscusThe American Journal of Sports Medicine, 2007
- Meniscal Allograft Transplantation After Total Meniscectomy of Torn Discoid Lateral MeniscusArthroscopy: The Journal of Arthroscopic & Related Surgery, 2006
- Long-Term Clinical and Radiographic Follow-Up of Total Resection for Discoid Lateral MeniscusArthroscopy: The Journal of Arthroscopic & Related Surgery, 2006
- Lateral discoid menisci in childrenArthroscopy: The Journal of Arthroscopic & Related Surgery, 1989
- Meniscectomy in children: A long-term follow-up studyThe American Journal of Sports Medicine, 1983
- Arthroscopic Treatment of the Discoid Lateral Meniscus Technique and Long-term ResultsClinical Orthopaedics and Related Research, 1982