Congenital discoid lateral meniscus in children. A follow-up study and evolution of management
| Autor: | P. M. Aichroth, D. Patel, C. L. Marx |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty Adolescent Menisci Tibial Arthroscopy Discoid meniscus Medicine Humans Orthopedics and Sports Medicine Child medicine.diagnostic_test business.industry Follow up studies Congenital discoid lateral meniscus musculoskeletal system medicine.disease Osteochondritis dissecans Surgery Endoscopy Radiography Treatment Outcome Child Preschool Lateral femoral condyle Posterior instability Female business Follow-Up Studies |
| Zdroj: | The Journal of bone and joint surgery. British volume. 73(6) |
| ISSN: | 0301-620X |
| Popis: | Fifty-two children with 62 discoid lateral menisci were reviewed at an average follow-up of 5.5 years. Their average age at operation was 10.5 years and the mean delay in diagnosis was 24 months. Most of the children had vague and intermittent symptoms and the classical clunk was demonstrable in only 39% of the knees. An associated osteochondritis dissecans of the lateral femoral condyle was seen in seven knees. Forty-eight knees with symptomatic torn discoid menisci underwent open total lateral meniscectomy, six had arthroscopic partial meniscectomy and eight knees with intact discoid menisci, were left alone. Based on Ikeuchi's grading (Ikeuchi 1982), 37% of the knees had an excellent result, 47% had a good result and 16% had a fair result: none was poor. Arthroscopic partial meniscectomy is recommended only when the posterior attachment of the discoid meniscus is stable. A total meniscectomy is indicated for the Wrisberg-ligament type of discoid meniscus with posterior instability. |
| Databáze: | OpenAIRE |
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