PT - JOURNAL ARTICLE AU - Bhumit Desai AU - Michael Warren AU - Lacey G. Lavie AU - Michael Nammour AU - Sean Waldron TI - Arthroscopic Saucerization of a Symptomatic Posterior Horn Tear in a Discoid Medial Meniscus AID - 10.31486/toj.19.0125 DP - 2021 Mar 20 TA - Ochsner Journal PG - 115--118 VI - 21 IP - 1 4099 - http://www.ochsnerjournal.org/content/21/1/115.short 4100 - http://www.ochsnerjournal.org/content/21/1/115.full SO - Ochsner J2021 Mar 20; 21 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.