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Discoid Meniscus - Tyler Welch, MD
York, ME (207) 363 3490 | Portsmouth, NH (603) 431 1121

20Hip Care
10Hip-Conditions and Injuries
Cartilage Injury
Femoroacetabular Impingement (FAI)
Gluteal Tears
Hamstring Tears
Hip Instability
Deep Gluteal Space Syndrome
Labral Tears
Psoas Impingement (Internal Snapping Hip)
PVNS
Trochanteric Bursitis
10Hip-Treatment and Surgeries
Acetabuloplasty
Chondroplasty
Femoroplasty
Gluteal Repair
Labral Debridement
Labral Reconstruction
Labral Repair
Nanofracture
Psoas Release
Trochanteric Bursa Debridement
33Knee Care
13Knee Conditions and Injuries
ACL Tear
Cartilage Injury
Discoid Meniscus
Lateral Meniscus Tear
LCL Injury
MCL Injury
Medial Meniscus Tear
Osteoarthritis
Osteochondritis Dessicans
Patellar Instability
Patellofemoral Chondromalacia
Posterolateral Corner Injury
Trochlear Dysplasia
20Knee Treatment and Surgeries
Anterior Cruciate Ligament (ACL) Reconstruction
Cartilage Restoration Surgery – Autologous Chondrocyte Implantation (ACI-Carticel)
Cartilage Restoration Surgery – Donor Graft
Collagen Meniscal Implant (CMI)
Lateral Collateral Ligament (LCL) Reconstruction
Medial Collateral Ligament (MCL) Reconstruction
Meniscus Repair
Meniscus Root Repair
Meniscal Transplant
Medial Patellofemoral Ligament (MPFL) Reconstruction
Nanofracture
Osteochondral Allograft Transfer
Osteochondral Autograft Transfer (OATS)
Partial Knee Replacement (MAKO)
Partial Meniscectomy
Posterior Cruciate Ligament (PCL) Reconstruction
Posterolateral Corner (PLC) Surgery
Tibial Tubercle Osteotomy
Total Knee Replacement (MAKO)
Trochleoplasty
20Shoulder Care
10Shoulder-Conditions and Injuries
AC Joint Injuries
Arthritis
Biceps Tendon Injuries
Calcific Tendinitis
Clavicle Fractures
Frozen Shoulder
Labral and SLAP Tears
Rotator Cuff Injuries
Shoulder Dislocation/Instability
Subacromial Impingement/Busitis
10Shoulder-Treatment and Surgeries
A-C Joint Stabilization
Biceps Tenodesis
Clavicle Fracture Fixation
Pectoralis Major Repair
Rotator Cuff Repair
Shoulder Instability Surgery – Bankart Repair
Shoulder Instability Surgery – Latarjet Procedure
Subacromial Decompression and Acromioplasty
Superior Capsular Reconstruction
Total Shoulder Replacement

DISCOID MENISCUS

The meniscus is a pliable substance made up of soft tissue that sits between two bones of the knee joint, the femur (thigh bone) and tibia (shin bone). There are two, crescent-shaped menisci in the knee, one on the inside of the knee (medial meniscus) and one on the outside of the knee (lateral meniscus). Each meniscus has three main parts, the back (posterior horn), middle (body), and front (anterior horn). Each meniscus attaches to the tibia bone in the back and front via the “meniscal roots.” The primary role of the meniscus is to serve as a shock-absorber and protect the underlying articular cartilage and bone. The meniscus has additional roles, including joint stability and joint lubrication.

In some individuals, the meniscus is not crescent-shaped, but instead is shaped more like a pancake. This condition is called a discoid meniscus. A discoid meniscus usually occurs in the outside compartment of the knee (lateral compartment). The incidence of this condition is approximately 1% in North America. Most individuals who have a discoid meniscus do not have any symptoms and have a stable knee. However, a discoid meniscus is prone to tearing. If an individual develops a tear of a discoid meniscus, he/she will likely develop symptoms.

Symptoms

  • Pain and swelling on the outside of the knee
  • Audible click in the knee
  • A sense of instability in knee with side to side motion

Diagnosis And Treatment

Dr. Welch considers each patient’s symptoms, as well as a detailed physical examination, x-rays, and usually and MRI of the knee to make the diagnosis of a discoid meniscus. Some patients with a discoid meniscus tear can be treated with a combination of activity modification and a focused physical therapy program. Physical therapy focuses on maintaining knee range of motion and strengthening certain muscle-tendon unit that provide stability to the knee, such as the quadriceps and hamstrings. Other patients with persistent symptoms require surgery.


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