Regeneration of a Discoid Meniscus: A Case Report.

Q4 Medicine JBJS case connector Pub Date : 2024-10-31 eCollection Date: 2024-10-01 DOI:10.2106/JBJS.CC.24.00345
Myung-Jin Cha, John P Avendano, Aoife MacMahon, William ElNemer, Rushyuan Jay Lee
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Abstract

Case: A 4-year-old girl with no relevant medical history presented with left knee swelling. Knee laxity, magnetic resonance imaging findings of anterior cruciate ligament (ACL) deficiency and discoid meniscus, and the chronicity of symptoms prompted arthroscopic ACL reconstruction and meniscal saucerization. Pain and swelling continued, and repeat arthroscopy revealed regeneration of the discoid meniscus at 18-month follow-up.

Conclusion: In this unusual case, a discoid lateral meniscus regenerated after saucerization. Regeneration could be attributed to the robust vascularity of the meniscus in pediatric patients. Surgeons should counsel about the risk of recurrence after treatment of discoid meniscus.

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盘状半月板再生:病例报告
病例一名无相关病史的 4 岁女孩因左膝肿胀就诊。由于膝关节松弛、磁共振成像发现前交叉韧带(ACL)缺损和盘状半月板,以及症状的长期存在,她接受了关节镜前交叉韧带重建术和半月板切除术。随访18个月后,再次进行关节镜检查发现盘状半月板再生:结论:在这一罕见病例中,盘状外侧半月板在半月板切除术后再生。结论:在这个不寻常的病例中,盘状外侧半月板在碟形切除术后再生了。再生的原因可能是儿童患者的半月板血管丰富。外科医生应就盘状半月板治疗后的复发风险提供咨询。
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来源期刊
JBJS case connector
JBJS case connector Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
319
期刊介绍: JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.
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