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Arthroscopic Saucerization and Repair of a Torn Medial Discoid Meniscus

ABSTRACT: A discoid meniscus is a congenital abnormality that usually affects the lateral meniscus, leading to instability and increased risk of tearing. A discoid medial meniscus is an extremely rare pathology that is seldom described in literature. In this report, we present the technique of operative treatment of a symptomatic, torn discoid medial meniscus. The meniscus is saucerized to 6-8 mm of stable rim, and the inside-out technique is used as the modality of meniscal fixation. Although a discoid medial meniscus is an uncommon finding, all treating surgeons should be aware of the possibility during surgical intervention. Technique Video Video 1 This video demonstrates the diagnosis, surgical technique, and postoperative treatment of a patient with a medial discoid meniscus. Diagnosis and the decision to operate are made through clinical findings and are guided by radiographs and MRIs. Intraoperatively, an examination under anesthesia and diagnostic arthroscopy are performed. The meniscus is saucerized to a stable border of 6-8 mm. An inside-out meniscal repair is performed. Immediately postoperation, the patient is locked in extension and weight bearing as tolerated. Range of motion progression is carried out under the supervision of the treating orthopedic surgeon and physical therapist.

SUBMITTER: Hanna T

PROVIDER: S-EPMC9939740 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature

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