Kushare Indranil, Klingele Kevin, Samora Walter
Department of Orthopedics, Nationwide Children's Hospital, 700 Childrens Drive, Columbus, OH 43205, USA.
Department of Orthopedics, Nationwide Children's Hospital, 700 Childrens Drive, Columbus, OH 43205, USA.
Orthop Clin North Am. 2015 Oct;46(4):533-40. doi: 10.1016/j.ocl.2015.06.007. Epub 2015 Aug 6.
Discoid lateral meniscus is a common abnormal meniscal variant in children. Detailed history and physical examination combined with an MRI of the knee predictably diagnose a discoid meniscus. The clinical presentation varies from being asymptomatic to snapping, locking, and causing severe pain and swelling of the knee. Because of the pathologic anatomy and instability, discoid menisci are more prone to tearing. Treatment options for symptomatic patients vary based on the type of anomaly, the age of the patient, stability, and the presence or absence of a tear. Improvements in arthroscopic equipment and technique have resulted in good to excellent short-term outcomes for saucerization and repair.
盘状外侧半月板是儿童常见的半月板异常变异。详细的病史和体格检查结合膝关节磁共振成像(MRI)可明确诊断盘状半月板。临床表现从无症状到弹响、交锁,以及导致膝关节严重疼痛和肿胀不等。由于其病理解剖结构和不稳定性,盘状半月板更容易撕裂。有症状患者的治疗方案因异常类型、患者年龄、稳定性以及是否存在撕裂而有所不同。关节镜设备和技术的改进已使碟形化和修复的短期效果良好至极佳。