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Discoid lateral meniscus and arthroscopic surgery

Year 1994, Volume: 28 Issue: 5, 321 - 323, 11.09.2006

Abstract

Instead of having a semilunar structure, the circular appearance of the lateral meniscus is described as a discoid meniscus. In this clinical evaluation of our arthroscopic experience, we aimed to review the incidence and the Iong-term therapeutic results of this rare condition. Among the 5400 arthroscopic examinations performed in the knee joint either for diagnosis or for therapy in our clinic, between December 1983 and December 1993, 73 cases (1.35%) (30 female, 43 male and 37 right, 361eft) have been proven to have lateral discoid menisci. Additional degenerative or traumatic lesions in the discoid menisci have been shown in 30 of the 39 cases whose complaints in the knee region were thought to be related to the presence of a lateral discoid meniscus. In all symptomatic cases, reconstruction using partial meniscectomy, trimming and shaving have been performed, whereas no surgical interventions were intended in asymptomatic ones. In 7 of the surgically treated cases, effusion in the knee joint was observed within the first week postoperatively and responded well to antiinflammatory therapy. During the 3-month follow-up period, 15.3% of the cases (6 cases) exhibited knee pain, subjective instability and atrophy of the quadriceps muscle, while this ratio decreased to 3.3% (1 case) within the 6-month follow-up. As a conclusion, due to its minimal traumatic effects, opportunity for early mobilization, a Iower incidence of complications and satisfactory results, the arthroscopic surgical approach should be the preferred treatment modality for those cases in which surgery is indicated.

Diskoid lateral menisküs ve artroskopik cerrahi

Year 1994, Volume: 28 Issue: 5, 321 - 323, 11.09.2006

Abstract

Lateral menisküsün semilunar yerine sirküler yapıda olması diskoid menisküs olarak adlandınlır. Bu çalışmada nadir rastlanan bu durumun klinik artroskopik deneyimimiz içindeki sıklığı ve uzun dönemli tedavi sonuçları değerlendirilmiştir. Kliniğimizde Aralık 1983 ile Aralık 1993 tarihleri arasında tam veya tedavi amacı ile gerçekleştirilmiş olan 5400 artroskopik tetkik sırasında 73 vakada (% 1.35) (30 kadın, 43 erkek ve 37 sağ, 36 501) Iateral diskoid menisküs tespit edilmiştir.Diz bölgesindeki yakınmaların Iateral diskoid menisküs varlığı ile ilişkili olduğu düşünülen 39 vakanın 30'unda diskoid menisküste dejeneratif veya travmatik lezyonlann eşlik ettiği gösterilmiştir. Tüm semptomatik vakalarda parsiyel menisektomi, trimming ve shaving ile rekonstrüksiyon uygulanmış, asemptomatik vakalarda cerrahi tedavi yapılmamıştır. Cerrahi tedavi uygulanan vakalann 7'sinde postoperatif 1. haftada diz ekleminde efüzyon gözlenmiş, tüm vakalarda antiinflamatuar tedaviye iyi yamt alınmıştır. 3 aylık takip sırasında vakaların % 15.3'ünde (6 vaka) diz ağrısı, subjektif instabilite ve kuadriseps atrofisi gözlenirken, bu oran 6. aydaki kontrollerde %3.3'e (1 vaka) düşmüştür. Minimal travmatik etkisi, erken mobilizasyona izin vermesi, düşük komplikasyon riski ve tatmin edici sonuçları ile artroskopik cerrahi yaklaşımın diskoid menisküs tedavisinde tercih edilecek yöntem olduğu sonucuna varılmıştır.

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Details

Primary Language English
Journal Section Original Article
Authors

Aziz Alturfan This is me

Alp Goksan This is me

Onder Kilicoglu This is me

Yunus Sozen This is me

Publication Date September 11, 2006
Published in Issue Year 1994 Volume: 28 Issue: 5

Cite

APA Alturfan, A., Goksan, A., Kilicoglu, O., Sozen, Y. (2006). Discoid lateral meniscus and arthroscopic surgery. Acta Orthopaedica Et Traumatologica Turcica, 28(5), 321-323. https://doi.org/10.3944/aott.v28i5.1517
AMA Alturfan A, Goksan A, Kilicoglu O, Sozen Y. Discoid lateral meniscus and arthroscopic surgery. Acta Orthopaedica et Traumatologica Turcica. September 2006;28(5):321-323. doi:10.3944/aott.v28i5.1517
Chicago Alturfan, Aziz, Alp Goksan, Onder Kilicoglu, and Yunus Sozen. “Discoid Lateral Meniscus and Arthroscopic Surgery”. Acta Orthopaedica Et Traumatologica Turcica 28, no. 5 (September 2006): 321-23. https://doi.org/10.3944/aott.v28i5.1517.
EndNote Alturfan A, Goksan A, Kilicoglu O, Sozen Y (September 1, 2006) Discoid lateral meniscus and arthroscopic surgery. Acta Orthopaedica et Traumatologica Turcica 28 5 321–323.
IEEE A. Alturfan, A. Goksan, O. Kilicoglu, and Y. Sozen, “Discoid lateral meniscus and arthroscopic surgery”, Acta Orthopaedica et Traumatologica Turcica, vol. 28, no. 5, pp. 321–323, 2006, doi: 10.3944/aott.v28i5.1517.
ISNAD Alturfan, Aziz et al. “Discoid Lateral Meniscus and Arthroscopic Surgery”. Acta Orthopaedica et Traumatologica Turcica 28/5 (September 2006), 321-323. https://doi.org/10.3944/aott.v28i5.1517.
JAMA Alturfan A, Goksan A, Kilicoglu O, Sozen Y. Discoid lateral meniscus and arthroscopic surgery. Acta Orthopaedica et Traumatologica Turcica. 2006;28:321–323.
MLA Alturfan, Aziz et al. “Discoid Lateral Meniscus and Arthroscopic Surgery”. Acta Orthopaedica Et Traumatologica Turcica, vol. 28, no. 5, 2006, pp. 321-3, doi:10.3944/aott.v28i5.1517.
Vancouver Alturfan A, Goksan A, Kilicoglu O, Sozen Y. Discoid lateral meniscus and arthroscopic surgery. Acta Orthopaedica et Traumatologica Turcica. 2006;28(5):321-3.