The Epidemiology of Meniscus Injury.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] Conflict of interest statement: Disclosure: The authors declare no conflict of interest. 2. Curr Rev Musculoskelet Med. 2023 Apr;16(4):154-161. doi: 10.1007/s12178-023-09824-4. Epub 2023 Mar 15. Discoid Lateral Meniscus. Campbell AL(1)(2), Pace JL(3), Mandelbaum BR(4). Author information: (1)Kaiser Permanente West Los Angeles, Los Angeles, CA, USA. abigail.campbell@nyulangone.org. (2)NYU Langone Health, Orthopedics, New York, NY, USA. abigail.campbell@nyulangone.org. (3)Children's Health Andrews Institute, Plano, TX, USA. (4)Cedars Sinai - Kerlan Jobe Institute, Los Angeles, CA, USA. PURPOSE OF REVIEW: Discoid lateral meniscus (DLM) is a well-known meniscus variant, and comprises excess and thickened meniscal tissue, altered collagen ultrastructure, and peripheral instability. This article presents a comprehensive review on current knowledge of DLM, focusing on pathology in parallel with surgical techniques and outcomes. RECENT FINDINGS: A paradigm shift in surgical management of DLM is taking place as knee surgeons are seeing more patients with long-term sequelae of partial lateral meniscectomy, the standard treatment for DLM for many years. Surgical treatment has evolved alongside the understanding of DLM pathology. A new classification system has been proposed and optimal surgical techniques described in recent years. This article highlights up-to-date evidence and techniques in management of both acute DLM tears and joint restoration following subtotal meniscectomy for DLM. Surgical management of DLM must be tailored to individual pathology, which is variable within the diagnosis of DLM. We present an algorithm for management of DLM and discuss future directions for the understanding and treatment of this debilitating condition. © 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. DOI: 10.1007/s12178-023-09824-4 PMCID: PMC10043076