Wrisberg variant of the lateral discoid meniscus in children: review of the literature and presentation of case series.

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Abstract

[Indexed for MEDLINE] 18. Arthroscopy. 2021 Feb;37(2):655-656. doi: 10.1016/j.arthro.2020.11.022. Editorial Commentary: Saucerization Is Superior to Total Meniscectomy in Patients With Symptomatic Discoid Lateral Meniscus. Ahn J(1), Lee SH(2). Author information: (1)Kyung Hee University. (2)Editorial Board. Comment on Arthroscopy. 2021 Feb;37(2):647-654. doi: 10.1016/j.arthro.2020.09.036. Current treatment recommendations favor meniscal rim preservation through partial meniscectomy with repair when indicated in patients with symptomatic discoid lateral menisci. Although many studies have shown the importance of meniscal rim preservation, some have shown that suture repair does not yield improved outcomes over partial meniscectomy without repair, considering the cost of repair and lack of available data. However, partial meniscectomy with repair is essential when peripheral instability is seen in patients with symptomatic discoid lateral menisci. Arthroscopic reshaping in young patients can be challenging for an inexperienced surgeon because visualization within the lateral joint space may be limited by a thickened meniscus and the small size of the pediatric knee. To preserve a stable peripheral rim, various meniscal repair methods should be used for stabilizing the reshaped meniscus on the capsule based on repair location, tear type, and surgeon preference. Copyright © 2020 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved. DOI: 10.1016/j.arthro.2020.11.022