Close. The reported prevalence of DLM ranges from 0.4 to 17% [1–3]. Yes, accurate identification of the discoid meniscus is essential to make sure your child needs to undergo general anesthesia and surgery. Meniscus tears are the most frequently treated knee injuries. It is rare in Caucasian, but more common in Asian [2, 4]. The lateral meniscus of a right knee is shown below in green. A new symptomatic intra-articular cord-like structure associated with discoid meniscus. Archived. It is thought that around 5% of the population has this type of meniscus in the knee. Wrisberg ligament type: absent posterior meniscal attachments with only Wrisberg ligament remaining for stability – least common. Hi all, I was diagnosed today with a discoid lateral meniscus and swelling in my left knee. Overview D iscoid Meniscus is a term that describes an anatomic abnormality of the shape of the meniscus that results in a larger, thicker meniscus that resembles a "disc" rather than the normal "crescent" shape. We introduce a new, not yet described cord-like structure of the knee of children associated with discoid or enlarged menisci. Most patients born with this type of cartilage do not experience symptoms. Skip to content (212) 606-1855 As with other meniscus procedures, the correction of discoid lateral meniscus has become more conservative over time; historically, total meniscectomy was performed. Abnormal development of the meniscus leads to a hypertrophic and discoid shaped meniscus. Running with discoid meniscus. Take part in our Impact Survey (15 minutes). The DLM is … A discoid meniscus is often pancake-shaped instead of C-shaped, with the central area being much thinner and more susceptible to tearing. Discoid medial meniscus is a relatively rare pathology of the knee joint, with bilateral cases even rarer. Discoid meniscus is a rare human anatomic variant(3% of the population) that usually affects the lateral meniscus of the knee. Recovery will take about 6 to 8 weeks if your meniscus tear is treated conservatively, without surgery. https://orcid.org. The thick, abnormal shape of a discoid meniscus makes it more likely to … Discoid meniscus is a congenital disorder of the knee joint. Physical examination in the office is not very accurate or reliable in detecting these problems. The doctor gave me a steroid shot and a … We hypothesized that a meniscus tear in the middle segment is a common injury in rugby players and is associated … After that the full sports activity was resumed, if possible. A discoid meniscus is a meniscus with a slightly different anatomy than the typical C-shaped anatomy that most people have. Discoid lateral menisci were first described in the late 1800s. Each knee has two menisci, one on the outside (lateral) and one on the inside (medial). There is a greater frequency of discoid menisci reported in people of Asiatic descent with approximately 17% lateral discoid … present in 3-5% of population. 8 In cases with peripheral instability of the meniscus, meniscal repair was necessary for any detached or unstable lesions for … A discoid meniscus generally occurs in the lateral meniscus (1.5-3% of the general population) but can appear in the medial meniscus (0.1-0.3%). Running was commenced at 4 weeks after surgery, progressing to sports specific activities. A discoid meniscus is abnormally shaped and more prone to injury than a normal meniscus. In addition to describing the type of tear, most MRI and surgical reports will describe the location of the tear. At birth the entire meniscus has a blood supply at birth but by 10 years of age the central third has become avascular. They act as shock absorbers while walking or running. Partial meniscectomy to reshape the meniscus (saucerization) while preserving at least 6–8 mm of the peripheral portion for the discoid lateral meniscus may be the preferred method for treatment compared with subtotal meniscectomy. Occasionally menisci can develop as a block or disk shape, which is called a discoid meniscus. Rugby is a contact sport, and the frequency of injuries is high. A specific cause for developing a discoid meniscus … etiology. Your knee has 2 wedge-shaped pieces of cartilage, 1 on each side of your knee. The normal configuration of a meniscus is that of a matured crescent moon, whereas that of a discoid meniscus generally is a thickened, very early crescent moon. Symptomatic cases typically have associated knee pain and functional limitations that require surgical intervention to correct. incidence. failure of … The meniscus is crescent-shaped cartilage located in the knee joint between the femur (thighbone) and the tibia (shinbone). Patients with a discoid meniscus can be asymptomatic, but they often develop mechanical symptoms during their teenage years. ? The patients with an average age of 26.7 years (range, 13–67) comprised 45 men and 11 women, 16 medial meniscus and 40 lateral meniscus (include 8 discoid meniscus) injuries. discoid meniscus is larger than usual. Meniscus tears usually take place when an athlete twists or turns their upper leg while their foot is planted and their knee is bent. While some people may be unaware of their dis This case shows an abnormally thick / discoid lateral meniscus which developed a horizontal tear and a small para-meniscal cyst. The discoid lateral meniscus (DLM) is an anatomically abnormal meniscus that covers a greater area of the tibial plateau than the normal meniscus. Sign in or create an account. 0. Posterior horn tears are much more common and located in the back of the meniscus. Symptomatic discoid meniscus — Some individuals are born with a variant meniscus in the shape of a disk. The surgery usually takes place under general anesthesia. also referred to as "popping knee syndrome". This meniscus can be seen on 7 consecutive sagittal 3 mm cuts. In this study, a motion capture system was used to … A retrospective study including 14,731 menisci assessed incidence of discoid medial meniscus at 0.12%, compared to 1.5% for discoid lateral meniscus [14]; bilateral cases were even more rare (0.012%). Herein, we report the case of a 25-year-old man diagnosed with discoid medial meniscus in the right knee with a horizontal tear. Hey all you fellow myfitnesspals, im trying to trim a bit and love running, but I have discoid meniscus which gives me a lot of trouble afterwards, any tips that could help avoid the post run pain?? Knee discoid meniscus repair involves repairing or reconstructing the meniscal cartilage that is causing pain due the shape of the meniscus. A discoid meniscus can be symptomatic or asymptomatic. The meniscus is a wedge-shaped piece of cartilage that sits in between the bones of the knee. Discoid Meniscus Physiotherapy. Laprell H (1), Wischatta R, Hezel J, Fay J. The Wrisberg ligament (posterior meniscofemoral ligament) attaches the posterior horn of the lateral meniscus to the medial femoral condyle running posterior to the PCL. Discoid lateral meniscus (DLM) is an abnormal variation of meniscus which was first described by Young in 1889 in a cadaver specimen. It typically involves the lateral meniscus but can be bilateral in a small percentage of affected individuals. In our clinical experience with patients diagnosed arthroscopically with lateral meniscus tears in the middle segment, rugby players are more prevalent than players of other sports. Discoid Lateral Meniscus and Running. Epidemiology. A normal healthy meniscus is C-shaped while a discoid meniscus is thicker than normal with an abnormal oval shape. Meniscal transplant surgery is a type of surgery that replaces your missing or damaged meniscus with a meniscus from a cadaver donor. The condition is the result of abnormal formation of the meniscus during development in the womb. A discoid meniscus is a congenital variant where the lateral meniscus is a broad disc instead of the usual C-shape appearance. BourneDavid Member Posts: 4 Member Posts: 4. in Motivation and Support. Both clinical and radiological results were evaluated after total or partial meniscectomy. Bilateral Discoid Medial Menisci: A Case Report and Review of the Literature. At present, there few studies on the kinematic features of lateral discoid meniscus injury. Hi guys, i recently had a discoid meniscus surgery on my left knee and just wanted to know if i can do cycling in the gym to strengthen my hamstring and knee muscles. Discoid meniscus. Patients were divided into four … Although most commonly asymptomatic, a discoid meniscus can cause clicking, popping or catching with pain over the lateral joint line (the "snapping knee syndrome") [ 54 ]. Incomplete discoid meniscus with intact peripheral attachments. A discoid meniscus is an abnormally shaped meniscus (cartilage that cushions the bones of the knee) that is present in roughly 1% to 3% of people born in the United States (about the same rate in Singapore as well estimated). Discoid Meniscus. Background: The aim of this study was to evaluate the relationship between discoid lateral meniscus (DLM) types based on peripheral detachment and anatomic features of Wrisberg ligament (WL) such as location and thickness based on magnetic resonance image (MRI). Each one of these pieces is called a “meniscus.”. Discoid Lateral Meniscus and Running. Because these menisci are larger and thicker than normal lateral meniscus, DLM is The extent of meniscectomy was decided along with tear patterns and the stability of the discoid meniscus. Central tears are located on the inner side of the meniscus. 12 Anterior horn tears are less common and located in the front of the meniscus. Essentially the meniscus is more block-shaped, as the inner part of the meniscus never resorbed into the more common C-shape. A discoid meniscus generally covers the entire tibial plateau. This structure was responsible for knee pathology (loss of extension) in 3 cases. Please help EMBL-EBI keep the data flowing to the scientific community! it’s been close to 2 months and i don’t have any post operation pain now, but still feel like i struggle to go up or down the stairs. i want to get back to running … Posted by 5 years ago. It is a congenital defect, which means I’m born with it. A discoid meniscus is more likely to tear and commonly presents in childhood. i think my knee still lacks the needed strength. A discoid meniscus is an abnormally shaped meniscus (cartilage that cushions the bones of the knee) present in 1% to 3% of people born in the United States. Methods: A total of 322 knees in 292 patients were reviewed. A total of 125 discoid menisci (74 complete and 51 incomplete types) without significant cartilage erosion at the time of surgery were included.
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