Discoid meniscus:Treatment considerations and updates  

作　　者：Waleed Albishi Amjad Albaroudi Abdulrahman M Alaseem Sarah Aljasser Ibrahim Alshaygy Abdullah Addar 

机构地区：[1]Department of Orthopedic Surgery,College of Medicine,King Saud University,Riyadh 11362,Saudi Arabia

出　　处：《World Journal of Orthopedics》2024年第6期520-528,共9页世界骨科杂志（英文版）

摘　　要：A discoid meniscus is a morphological abnormality wherein the meniscus loses its normal‘C’shape.Although most patients are asymptomatic,patients might still present with symptoms such as locking,pain,swelling,or giving way.Magnetic resonance imaging is usually needed for confirmation of diagnosis.Based on a constellation of factors,including clinical and radiological,different approaches are chosen for the management of discoid meniscus.The purpose of this review is to outline the treatment of discoid meniscus,starting from conservative approach,to the different surgical options for this condition.The PubMed and Google Scholar databases were used for this review.Studies discussing the treatment of discoid meniscus from 2018 to 2023 were searched.Initially there were 369 studies retrieved,and after removal of studies using the exclusion criteria,26 studies were included in this review.Factors such as stability,presence of tear,and morphology can help with surgical planning.Many approaches have been used to treat discoid meniscus,where the choice is tailored for each patient individually.Postoperatively,factors that may positively impact patient outcomes include male sex,body mass index<18.5,age at symptom onset<25 years,and duration of symptoms<24 months.The conventional approach is partial meniscectomy with or without repair;however,recently,there has been an increased emphasis on discoid-preserving techniques such as meniscoplasty,meniscopexy,and meniscal allograft transplantation.

关 键 词：Discoid meniscus Saucerization Partial meniscectomy Meniscoplasty Meniscopexy Meniscal allograft transplantation ARTHROSCOPY KNEE 

分 类 号：R658[医药卫生—外科学]