Discoid Lateral Meniscus.

IF 2.9 2区医学 Q1 ORTHOPEDICS

Current Reviews in Musculoskeletal Medicine Pub Date : 2023-04-01 DOI:10.1007/s12178-023-09824-4

Abigail L Campbell, J Lee Pace, Bert R Mandelbaum

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引用次数: 2

Abstract

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.

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盘状外侧半月板。

回顾目的:盘状外侧半月板(DLM)是一种众所周知的半月板变型，包括半月板组织过多和增厚，胶原超微结构改变和周围不稳定。这篇文章提出了一个全面的回顾，目前的知识DLM，重点放在病理平行的手术技术和结果。最近的研究发现:随着膝关节外科医生看到越来越多的患者出现部分外侧半月板切除术的长期后遗症，DLM的手术治疗模式正在发生转变，部分外侧半月板切除术是DLM多年的标准治疗方法。随着对DLM病理的了解，手术治疗也在不断发展。近年来提出了一种新的分类系统，并描述了最佳的手术技术。这篇文章强调了最新的证据和技术在处理急性DLM撕裂和关节修复后的DLM半月板次全切除术。DLM的手术治疗必须根据个体病理进行调整，这在DLM的诊断中是可变的。我们提出了一种管理DLM的算法，并讨论了理解和治疗这种使人衰弱的疾病的未来方向。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Reviews in Musculoskeletal Medicine ORTHOPEDICS-

CiteScore

7.50

自引率

2.40%

发文量

期刊介绍： This journal intends to review the most significant recent developments in the field of musculoskeletal medicine. By providing clear, insightful, balanced contributions by expert world-renowned authors, the journal aims to serve all those involved in the diagnosis, treatment, management, and prevention of musculoskeletal-related conditions. We accomplish this aim by appointing authorities to serve as Section Editors in key subject areas, such as rehabilitation of the knee and hip, sports medicine, trauma, pediatrics, health policy, customization in arthroplasty, and rheumatology. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known figures in the field, and an Editorial Board of more than 20 diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.