Chinese Experts Consensus and Practice Guideline on Discoid Lateral Meniscus

Discoid lateral meniscus (DLM) is the most common congenital variant of the lateral meniscus, which is prone to degeneration and lesions, and often leads to knee osteoarthritis. At present, there is no consensus on the clinical practice of DLM, and this expert consensus and practice guidelines on DL...

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Main Authors: Shunjie Yang, Shurong Zhang, Ruixin Li, Chunxi Yang, Jiapeng Zheng, Cheng Wang, Jun Lu, Zhengzheng Zhang, Xiliang Shang, Hui Zhang, Weiming Wang, Weiping Li, Jingmin Huang, Yadong Zhang, Jianquan Wang, You Wang, Xiaofei Zheng, Gang Chen, Yinghui Hua, Shiyi Chen, Jian Li
Format: Article
Language:English
Published: Wiley 2023-04-01
Series:Orthopaedic Surgery
Subjects:
Online Access:https://doi.org/10.1111/os.13687
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author Shunjie Yang
Shurong Zhang
Ruixin Li
Chunxi Yang
Jiapeng Zheng
Cheng Wang
Jun Lu
Zhengzheng Zhang
Xiliang Shang
Hui Zhang
Weiming Wang
Weiping Li
Jingmin Huang
Yadong Zhang
Jianquan Wang
You Wang
Xiaofei Zheng
Gang Chen
Yinghui Hua
Shiyi Chen
Jian Li
author_facet Shunjie Yang
Shurong Zhang
Ruixin Li
Chunxi Yang
Jiapeng Zheng
Cheng Wang
Jun Lu
Zhengzheng Zhang
Xiliang Shang
Hui Zhang
Weiming Wang
Weiping Li
Jingmin Huang
Yadong Zhang
Jianquan Wang
You Wang
Xiaofei Zheng
Gang Chen
Yinghui Hua
Shiyi Chen
Jian Li
author_sort Shunjie Yang
collection DOAJ
description Discoid lateral meniscus (DLM) is the most common congenital variant of the lateral meniscus, which is prone to degeneration and lesions, and often leads to knee osteoarthritis. At present, there is no consensus on the clinical practice of DLM, and this expert consensus and practice guidelines on DLM was developed and approved by Chinese Society of Sports Medicine according to the Delphi method. Among 32 statements drafted, 14 statements were excluded for redundant information, and 18 statements achieved consensus. This expert consensus focused on the definition, epidemiology, etiology, classification, clinical manifestations, diagnosis, treatment, prognosis, and rehabilitation of DLM. Restoring the normal shape, retaining appropriate width and thickness, and ensuring the stability of the remnant meniscus is critical to sustaining the physiological function of the meniscus and preserving the knee. The partial meniscectomy with or without repair should be the first‐line treatment when possible, given that the clinical and radiological long‐term outcomes of total or subtotal meniscectomy are worse.
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spelling doaj.art-58748dc80f074ee78fc3f17c72093e542023-04-14T04:21:19ZengWileyOrthopaedic Surgery1757-78531757-78612023-04-0115491592910.1111/os.13687Chinese Experts Consensus and Practice Guideline on Discoid Lateral MeniscusShunjie Yang0Shurong Zhang1Ruixin Li2Chunxi Yang3Jiapeng Zheng4Cheng Wang5Jun Lu6Zhengzheng Zhang7Xiliang Shang8Hui Zhang9Weiming Wang10Weiping Li11Jingmin Huang12Yadong Zhang13Jianquan Wang14You Wang15Xiaofei Zheng16Gang Chen17Yinghui Hua18Shiyi Chen19Jian Li20Department of Orthopaedics Orthopaedic Research Institution, West China Hospital, Sichuan University Chengdu ChinaDepartment of Sports Medicine Huashan Hospital, Fudan University Shanghai ChinaDepartment of Sports Medicine Dalian University Affiliated Xinhua Hospital Dalian Liaoning Province ChinaDepartment of Bone and Joint Surgery, Department of Orthopaedics Shanghai Jiaotong University, School of Medicine, Renji Hospital Shanghai ChinaDepartment of Orthopaedic Surgery Dongnan Hospital of Xiamen University, School of Medicine, Xiamen University Fujian Province ChinaDepartment of Sports Medicine Peking University Third Hospital. Institute of Sports Medicine of Peking University. Beijing Key Laboratory of Sports Injuries Beijing ChinaDepartment of Orthopaedic Surgery Zhongda Hospital, School of Medicine, Southeast University Jiangsu Province ChinaDepartment of Orthopaedics Sun Yat‐sen Memorial Hospital, Sun Yat‐sen University Guangzhou Province ChinaDepartment of Sports Medicine Huashan Hospital, Fudan University Shanghai ChinaSports Medicine Department Beijing Jishuitan Hospital Beijing ChinaDepartment of Sports Medicine Dalian University Affiliated Xinhua Hospital Dalian Liaoning Province ChinaDepartment of Orthopaedics Sun Yat‐sen Memorial Hospital, Sun Yat‐sen University Guangzhou Province ChinaDepartment of Sports Injuries and Arthroscopy Tianjin Hospital Tianjin Province ChinaDepartment of Orthopaedics the Fourth Medical Centre of Chinese PLA General Hospital Beijing ChinaDepartment of Sports Medicine Peking University Third Hospital. Institute of Sports Medicine of Peking University. Beijing Key Laboratory of Sports Injuries Beijing ChinaDepartment of Bone and Joint Surgery, Department of Orthopaedics Shanghai Jiaotong University, School of Medicine, Renji Hospital Shanghai ChinaDepartment of Bone and Joint Surgery and Sports Medicine Center The First Affiliated Hospital, Jinan University Guangzhou ChinaDepartment of Orthopaedics Orthopaedic Research Institution, West China Hospital, Sichuan University Chengdu ChinaDepartment of Sports Medicine Huashan Hospital, Fudan University Shanghai ChinaDepartment of Sports Medicine Huashan Hospital, Fudan University Shanghai ChinaDepartment of Orthopaedics Orthopaedic Research Institution, West China Hospital, Sichuan University Chengdu ChinaDiscoid lateral meniscus (DLM) is the most common congenital variant of the lateral meniscus, which is prone to degeneration and lesions, and often leads to knee osteoarthritis. At present, there is no consensus on the clinical practice of DLM, and this expert consensus and practice guidelines on DLM was developed and approved by Chinese Society of Sports Medicine according to the Delphi method. Among 32 statements drafted, 14 statements were excluded for redundant information, and 18 statements achieved consensus. This expert consensus focused on the definition, epidemiology, etiology, classification, clinical manifestations, diagnosis, treatment, prognosis, and rehabilitation of DLM. Restoring the normal shape, retaining appropriate width and thickness, and ensuring the stability of the remnant meniscus is critical to sustaining the physiological function of the meniscus and preserving the knee. The partial meniscectomy with or without repair should be the first‐line treatment when possible, given that the clinical and radiological long‐term outcomes of total or subtotal meniscectomy are worse.https://doi.org/10.1111/os.13687ConsensusDiagnosisDiscoid Lateral MeniscusGuidelineTreatment
spellingShingle Shunjie Yang
Shurong Zhang
Ruixin Li
Chunxi Yang
Jiapeng Zheng
Cheng Wang
Jun Lu
Zhengzheng Zhang
Xiliang Shang
Hui Zhang
Weiming Wang
Weiping Li
Jingmin Huang
Yadong Zhang
Jianquan Wang
You Wang
Xiaofei Zheng
Gang Chen
Yinghui Hua
Shiyi Chen
Jian Li
Chinese Experts Consensus and Practice Guideline on Discoid Lateral Meniscus
Orthopaedic Surgery
Consensus
Diagnosis
Discoid Lateral Meniscus
Guideline
Treatment
title Chinese Experts Consensus and Practice Guideline on Discoid Lateral Meniscus
title_full Chinese Experts Consensus and Practice Guideline on Discoid Lateral Meniscus
title_fullStr Chinese Experts Consensus and Practice Guideline on Discoid Lateral Meniscus
title_full_unstemmed Chinese Experts Consensus and Practice Guideline on Discoid Lateral Meniscus
title_short Chinese Experts Consensus and Practice Guideline on Discoid Lateral Meniscus
title_sort chinese experts consensus and practice guideline on discoid lateral meniscus
topic Consensus
Diagnosis
Discoid Lateral Meniscus
Guideline
Treatment
url https://doi.org/10.1111/os.13687
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