Symptomatic Discoid Lateral Meniscus Treated with Arthroscopic Procedure: Observations in 20 Knees
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 5
Abstract
Introduction: Discoid meniscus is a broad disc like congenital anatomical abnormality of the meniscus. Discoid meniscus is often revealed clinically during childhood. However, many patients with discoid meniscus remain asymptomatic and presents late. Surgery is needed only for symptomatic discoid meniscus. There has been considerable debate about the best treatment options for symptomatic discoid meniscus. The purpose of this study was to evaluate the effectiveness of the arthroscopic procedures for the symptomatic discoid meniscus. Methods: Twenty patients with symptomatic lateral discoid meniscus were reviewed retrospectively after arthroscopic surgery with a minimum follow up period of 12 months. There were 8 males and 12 females with a mean age of 20.7 years (range, 7-42 years). Symptoms included pain in 80%, popping and snapping in 50%, locking in 50%, giving way in 60% cases; and objective signs included loss of extension in 40% and positive McMurry test in 60% cases. Arthroscopic saucerization and partial lateral meniscectomy or total meniscectomy was performed according to the type and pathology of the discoid meniscus. Results: The operations on all the 20 knees were successful without complications. The results showed 80% good to excellent, 20% fair, and none poor. The patients were followed up for a minimum period of 12 months and most of them started normal activities after 3-4 weeks. Conclusion: Treatment of symptomatic torn discoid meniscus by arthroscopic procedure is safe, simple with minimal operative trauma and fewer complications. These procedures can be done with standard arthroscopic setup and portals, and no special instrumentation is required. The outcome is better and recovery is earlier than the open procedure.
Authors and Affiliations
Chowdhury Iqbal Mahmud, Khandaker Md. Nurul Arefin, A. Z. M Selimullah, Ashraful Islam, Modhu Sudan Pal
Keywords
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- EP ID EP547486
- DOI 10.21276/ijmrp.2017.3.5.015
- Views 79
- Downloads 0
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