• Title/Summary/Keyword: Discoid lateral meniscus

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X-ray Significance in Discoid Meniscus (원판형 연골에서 단순 방사선 검사의 의의)

  • Ahn Jin Hwan;Ha Kwon Ick;Kim Hyung Kook;Kim Ho
    • Journal of the Korean Arthroscopy Society
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    • v.1 no.1
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    • pp.102-107
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    • 1997
  • Discoid meniscus has been well known to a frequent anomaly of meniscus and much reported in diagnosis and treatment. But, associated X-ray findings have not been known well. We reported its significance of X-ray findings in discoid meniscus. From May 1995 to May 1997, 31 cases of discoid meniscus were compared with 51 cases of nondiseoid meniscus both confirmed by arthroscopy, with simple X-my findings. Both groups were evaluated by X-ray findings in view of lateral joint space widening, peripheral spur of lateral joint space, sclerotic change of lateral tibial plateau, concave lateral tibial plateau, flattening of lateral femoral condyle, hypoplasia of lateral femoral condyle and high riding fibula. The results of analysis were as follows: 1. Widening of lateral joint space, sclerotic change of lateral tibial plateau and cupping of lateral tibial plateau were statistically significant in discoid meniscus. 2. X-ray findings in discoid meniscus were not associated with patient's injury history and symptom duration. 3. Other X-ray findings were not related in discoid meniscus significantly. X-ray findings with patient's history and physical examination arc helpful in the diagnosis of discoid meniscus.

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Simultaneous Medial and Lateral Discoid Meniscus in one Knee joint (한쪽 슬관절에서 내측 및 외측에 동시에 발생한 원판형 연골 - 1예 보고 -)

  • Cho, Young-Ho;An, Hyug-Su;Chang, Se-Ang;Nam, Seung-Oh
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.1
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    • pp.95-98
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    • 2006
  • Most of discoid menisci are lateral and medial discoid meniscus is very rare. There is no report about simultaneous medial and lateral discoid meniscus in one knee joint. A 15-year-old male patient was diagnosed as having a complete medial discoid meniscus with horizontal tear and intact incomplete lateral discoid meniscus by means of magnetic resonance image and arthroscopy. The patient was treated by arthroscopic partial meniscectomy for both discoid menisci.

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Discoid Medial Meniscus Rupture - Case report - (원판형 내측 연골판 파열 - 1 예 보고 -)

  • Kim, Dong-Hui;Kim, Bae-Gyun;Kim, Jung-Man
    • Journal of the Korean Arthroscopy Society
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    • v.8 no.1
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    • pp.51-53
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    • 2004
  • Although the lateral discoid meniscus of the knee has been observed frequently, the discoid medial meniscus has rarely been reported in the literature. A discoid medial meniscus with the horizontal tear and the peripheral tear of upper lip were observed. This tear pattern is not usual in the lateral discoid meniscus as well as in the normal meniscus. A plausible mechanism of the tear pattern compared with the normal shape and the discoid lateral meniscus was discussed in the following.

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Anomalous Insertion of the Anterior horn of the Discoid Lateral Meniscus into the Anterior ACL - A Case Report - (외측 원판형 연골 전각부의 전방십자인대 전방부로의 부착변형에 관한 증례보고)

  • Lee, Sang-Hoon;Yi, Seung-Rim;Noh, Jung-Ho;Ryu, Ho-Kwang
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.2
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    • pp.165-169
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    • 2009
  • The lateral meniscus is morphologically more variable than the medial meniscus. An abnormal lateral meniscus also varies with respect to its size, shape and stability, and such variations can occur in any patient of any age. The most common variant is a discoid lateral meniscus. We recently encountered a patient with a discoid lateral meniscus for which the anterior horn of the meniscus was anomalously inserted into the anterior ACL. The patient was forty five years old women who had persistent pain for three to four years without any specific trauma history. She was preoperatively diagnosed as having discoid lateral meniscus by MRI, and was confirmed the presence of the complex tear and anomalous insertion of the anterior horn of the discoid lateral meniscus into the anterior ACL by arthroscopic examination. Arthroscopic subtotal meniscectomy was performed and the symptoms were improved after surgery.

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Bilateral Discoid Lateral Menisci with Peripheral Detachment (후방 변연부 분리가 동반된 양측성 원판형 외측 반월상 연골)

  • Jeong, Hoon;Kim, Yong-Ju;Shin, Yi-Kyoung;Ha, Jong-Kyoung;Choi, Kyoung-Eob
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.1
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    • pp.99-102
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    • 2006
  • Discoid lateral meniscus is a well-known entity of the knee whereas Wrisberg ligament-type discoid lateral meniscus is extremely rare. This is a report of a case of bilateral discoid lateral meniscus with peripheral detachment.

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Femoral Condyle Cut-off Sign - New Indirect Sign of Radiologic Finding in Knee with Discoid Lateral Meniscus - (대퇴 외과 절삭 징후(cut-off sign) - 원판형 외측 반월상 연골 예에서 나타나는 새로운 단순 방사선 소견 -)

  • Ha Chul-Won;Sung Ki-Sun;Park Jae-Chul
    • Journal of the Korean Arthroscopy Society
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    • v.7 no.2
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    • pp.215-219
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    • 2003
  • Purpose : To report the 'condylar cut-off sign', a new radiographic sign in knees with discoid lateral meniscus and to report the sensitivity, specificity, positive predictive value and negative predictive value of the sign to elucidate the diagnostic significance of the sign for discoid meniscus. Materials and Methods : Fifty knees with complete discoid lateral meniscus and fifty normal knees formed the basis of this study. All of them were arthroscopically confirmed fer the discoid or normal lateral meniscus. The authors developed a method to measure the length of the medial and lateral condylar were compare and analyzed. Results : Tile average ratio was 0.716 in the discoid meniscus group, and 0.902 in the normal group. The stastistical analysis by the T-test revealed the t-value -11.13(p<0.0001). Stastistical analysis by chi-square test using cut point 0.8, also showed significant difference between the two groups, with $76\%$ sensitivity, $100\%$ specificity, $100\%$ positive predictive predictive value and $81\%$ negative predictive value. The 'condylar cut-off sign' was readily detectable in all cases of discoid lateral meniscus, suggesting that the cut off sign could serve as a simple and reliable radiographic sign fur the diagnosis of discoid meniscus. Conclusion : The condylar cut-off sign on the Tunnel view of simple radiography of the knee can serve as a good sign for the diagnosis of discoid lateral meniscus, with $100\%$ positive predictive value.

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Arthroscopic treatment for symptomatic lateral discoid meniscus in a 26-month-old girl -A case report- (26개월 여아에서 발생한 슬관절 외측 원판형 연골 파열의관절경적 치험례 -증례보고-)

  • Lee Byung-Ill;Choi Hyung-Suk;Min Kyung-Dae;Cho Young-Il
    • Journal of the Korean Arthroscopy Society
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    • v.6 no.1
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    • pp.54-59
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    • 2002
  • In children, the snapping-knee syndrome is strongly suggestive of a diagnosis of discoid menisci. Furthermore the loss of extension of the knee suggests a diagnosis of torn lateral discoid meniscus. Symptomatic lateral discoid meniscus tear in a very young child, especially under the 3-year-old, was very rarely reported and the treatment protocol has not been established. Some therapeutic advancement was achieved in symptomatic lateral discoid meniscus but still technical difficulties exist. We undergone arthroscopic meniscal reshaping in a 26-month-old girl. At the time of postoperatively 2-year 9-month follow up, excellent result has achieved in clinical and functional outcome according to the scale of Ikeuchi without recurrence of symptom or postoperative complication. We reported out experience and results that arthroscopic reshaping procedure was done for management of symptomatic lateral discoid meniscus in a 26-month-old girl.

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Discoid Medial Meniscus - case report - (내측 원판형 연골 1례 보고 - 증례 보고 -)

  • Bae, Dae Kyung;Yim, Chang Moo;Chun, Young Soo
    • Journal of the Korean Arthroscopy Society
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    • v.2 no.2
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    • pp.177-180
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    • 1998
  • Discoid meniscus is an uncommon cause of internal derangement of the knee joint. The discoid medial meniscus is much less common than the discoid lateral meniscus. A 15-year-old male student had a incomplete discoid medial meniscus of right knee combined with a horizontal tear. This was confirmed by magnetic resonance imaging(MRI) and arthroscopic procedure. Partial meniscectomy was performed arthroscopically. An unevenful recovery followed. We report a case of discoid medial meniscus with brief review of literature.

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Discoid Medial Meniscus - A Case Report - (내측 원판형 연골 - 증례 보고 -)

  • Nha, Kyung-Wook;Kim, Dong-Hwan;Kim, Young-Ju
    • Journal of the Korean Arthroscopy Society
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    • v.9 no.2
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    • pp.218-221
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    • 2005
  • The most of discoid meniscus is located in lateral side. Medial discoid meniscus is rare. The medial discoid meniscus was reported by Cave and Staples at first in 1941 but rarely reported since then. A 8 year's old boy was diagnosed as having a complete medial discoid meniscus by means of MRI and arthroscopy. Authors performed the arthroscopic partial menisectomy for medial discoid meniscus. For confirmation of the bilaterality, arthroscopic examination on contralateral knee was performed but we did not find a medial discoid meniscus. We report 1 case of a medial discoid meniscus with a brief review of literatures.

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Medial Discoid Meniscus - A Report of Two Patients - (내측 원판형 연골 - 2명 보고 -)

  • Koh, Hae Seok;Park, Beom Seok;Choi, Seing Pil;Kang, Do Jun
    • Journal of the Korean Arthroscopy Society
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    • v.16 no.1
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    • pp.60-65
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    • 2012
  • Although the lateral discoid meniscus has been observed frequently, the medial discoid meniscus is an extremely rare anomaly. The incidence of lateral discoid menisci ranges from 1.4% to 15.5% and the incidence of medial discoid menisci ranges from 0.06% to 0.3%. We present 1 patient of bilateral medial discoid menisci with tear on left side and 1 patient of unilateral medial discoid meniscus with tear, that were diagnosed by magnetic resonance imaging (MRI) and arthroscopy. We performed partial meniscectomy on 2 cases of symptomatic medial discoid menisci under arthroscopy and meniscus-related symptoms were relieved. We report 3 cases of 2 patients with medial discoid meniscus.

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