Abstract

MOURA, Diogo; MARQUES, Pedro  and  FONSECA, Fernando. Menisco discóide: Controvérsias do tratamento. Rev. Port. Ortop. Traum. [online]. 2017, vol.25, n.3, pp.193-203. ISSN 1646-2122.

Discoid meniscus is an abnormal anatomic variant of the knee meniscus that is frequently asymptomatic. Its morphological conformation and sometimes instability are responsible for the increased risk of meniscal tears and degenerative injuries, which may cause symptoms. A proper clinical evaluation combined with a magnetic resonance of the knee are essential to an early diagnosis of a symptomatic discoid meniscus. Treatment options are controversial and vary based on the discoid meniscus type and its stability, the presence and type of meniscal tear. Current treatments include partial meniscectomy, suture of meniscal tears, meniscal stabilization meniscal and meniscoplasty. Most of the papers present good to excellent short and medium term clinical and functional outcomes, however long term results and the progression to early osteoarthritis risk stills unknown. This paper goal is to perform a literature review about discoid meniscus pathology, reviewing current knowledge on all dimensions of this condition, particularly in terms of definition, epidemiology, physiopathology, symptoms, diagnosis, treatment options and prognosis. A research at database Pubmed/Medline using the words “Discoid Meniscus”, was performed and the most relevant english language original and review papers about this topic were selected.

Keywords : Discoid meniscus; knee; meniscal tears; treatment; arthroscopy; arthrosis; meniscal preservation.

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