RT Journal Article
SR Electronic
T1 Arthroscopic Saucerization of a Symptomatic Posterior Horn Tear in a Discoid Medial Meniscus
JF Ochsner Journal
JO Ochsner J
FD O. P. Jindal Global University
SP 115
OP 118
DO 10.31486/toj.19.0125
VO 21
IS 1
A1 Bhumit Desai
A1 Michael Warren
A1 Lacey G. Lavie
A1 Michael Nammour
A1 Sean Waldron
YR 2021
UL http://www.ochsnerjournal.org/content/21/1/115.abstract
AB Background: Discoid medial meniscus is an extremely rare congenital anatomic variant with an estimated incidence of 0.12%. Arthroscopic meniscal saucerization and repair are reserved for symptomatic tears only. We present a case of discoid medial meniscus tear, outline the surgical arthroscopic technique used for treatment, and compare several surgical approaches.Case Report: An 18-year-old male presented with left knee pain and mechanical symptoms present for 2 years. Physical examination showed stability to both varus and valgus stresses with absence of locking or catching on McMurray testing. Magnetic resonance imaging confirmed discoid medial meniscus with a horizontal oblique tear of the posterior horn. The patient underwent saucerization of the left discoid medial meniscus and medial meniscus repair.Conclusion: Discoid medial meniscus predisposes individuals to meniscal tears that often require operative management. Careful consideration of surgical approach can help to optimize patient outcomes while minimizing the risk of iatrogenic injury.