Does torn discoid meniscus have effects on limb alignment and arthritic change in middle-aged patients?

Seung Ju Kim, Ji Hoon Bae, Hong Chul Lim

    Research output: Contribution to journalArticlepeer-review

    9 Citations (Scopus)

    Abstract

    The purpose of the present study was to evaluate the characteristics of the discoid lateral meniscus in patients more than forty years of age. We studied whether a torn discoid lateral meniscus that has no treatment until middle age would increase the tendency of the knee to develop a varus deformity and investigated the correlation between torn discoid lateral meniscus and osteoarthritis. Methods: We retrospectively reviewed the records for 164 knees in 158 patients who were more than forty years old and who underwent a knee arthroscopic procedure from 1992 to 2007. The mean age at the time of surgery was fifty-two years. Comparative evaluation of the clinical and radiographic differences between the eighty-four patients with torn discoid lateral meniscus (Group A) and the seventy-four patients with a torn normally shaped lateral meniscus (Group B) was carried out. Results: Preoperative standing anteroposterior radiographs, which were made for all patients, showed that varus deformity was more common in Group A than in Group B and that osteoarthritic changes in both the medial and lateral compartments were also more common in Group A. With regard to chondral injury, Outerbridge grade-3 or 4 involvement was identified in 46% of the knees in Group A and 18% of the knees in Group B. Conclusions: In the present study of middle-aged patients, those with a torn discoid lateral meniscus had a higher prevalence of varus knee deformity and a higher prevalence of osteoarthritis. Knees with a discoid lateral meniscus that have diminished valgus alignment should be monitored carefully with long-term follow-up because a discoid lateral meniscus may increase the risk for progression to degenerative knee osteoarthritis. Level of Evidence: Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.

    Original languageEnglish
    Pages (from-to)2008-2014
    Number of pages7
    JournalJournal of Bone and Joint Surgery - Series A
    Volume95
    Issue number22
    DOIs
    Publication statusPublished - 2013 Nov 20

    ASJC Scopus subject areas

    • Surgery
    • Orthopedics and Sports Medicine

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