Young Children with a Bucket-Handle Tear to the Discoid Lateral Meniscus Successfully Treated Using Arthroscopic Saucerization and Repair: Two Case Reports

Observations of a symptomatic discoid lateral meniscus in young children are infrequent. The objective of this report was to demonstrate the use of arthroscopic saucerization and repair for treating a bucket-handle tear of a lateral discoid meniscus in two young children. Two young children (a 28-mo...

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Main Authors: Yu-Hsiang Liao, Chun-Ho Chen, Chii-Jeng Lin, Wei-Ren Su, Chia-Lung Shih, Chen-Hao Chiang
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/58/10/1403
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author Yu-Hsiang Liao
Chun-Ho Chen
Chii-Jeng Lin
Wei-Ren Su
Chia-Lung Shih
Chen-Hao Chiang
author_facet Yu-Hsiang Liao
Chun-Ho Chen
Chii-Jeng Lin
Wei-Ren Su
Chia-Lung Shih
Chen-Hao Chiang
author_sort Yu-Hsiang Liao
collection DOAJ
description Observations of a symptomatic discoid lateral meniscus in young children are infrequent. The objective of this report was to demonstrate the use of arthroscopic saucerization and repair for treating a bucket-handle tear of a lateral discoid meniscus in two young children. Two young children (a 28-month-old girl and a 5-year-old boy) presented with a bucket-handle tear of the complete type lateral discoid meniscus. Both patients received arthroscopic saucerization and repair. A full knee extension under a long leg cast was applied for one month after surgery. The two patients were able to achieve a full range of motion of their operated knees without limping or presenting an antalgic gait at the third month after surgery. Both patients and their parents felt satisfied with the treatment at the 2- and 3-year follow-ups, respectively. Our results demonstrated that arthroscopic saucerization and repair seems to be an effective treatment for bucket-handle tears of the lateral discoid meniscus in young children—even those younger than 3 years old. We reported the youngest case (a 28-month-old girl) in comparison with the findings from a literature review.
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spelling doaj.art-a9e65de2cd0048ecabfe8eba3baeab3b2023-11-24T01:10:32ZengMDPI AGMedicina1010-660X1648-91442022-10-015810140310.3390/medicina58101403Young Children with a Bucket-Handle Tear to the Discoid Lateral Meniscus Successfully Treated Using Arthroscopic Saucerization and Repair: Two Case ReportsYu-Hsiang Liao0Chun-Ho Chen1Chii-Jeng Lin2Wei-Ren Su3Chia-Lung Shih4Chen-Hao Chiang5Department of Orthopedics, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi City 600, TaiwanDepartment of Orthopedics, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi City 600, TaiwanDepartment of Orthopedics, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi City 600, TaiwanDepartment of Orthopedics, National Cheng Kung University Hospital, Tainan City 704, TaiwanClinical Research Center, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi City 600, TaiwanDepartment of Orthopedics, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi City 600, TaiwanObservations of a symptomatic discoid lateral meniscus in young children are infrequent. The objective of this report was to demonstrate the use of arthroscopic saucerization and repair for treating a bucket-handle tear of a lateral discoid meniscus in two young children. Two young children (a 28-month-old girl and a 5-year-old boy) presented with a bucket-handle tear of the complete type lateral discoid meniscus. Both patients received arthroscopic saucerization and repair. A full knee extension under a long leg cast was applied for one month after surgery. The two patients were able to achieve a full range of motion of their operated knees without limping or presenting an antalgic gait at the third month after surgery. Both patients and their parents felt satisfied with the treatment at the 2- and 3-year follow-ups, respectively. Our results demonstrated that arthroscopic saucerization and repair seems to be an effective treatment for bucket-handle tears of the lateral discoid meniscus in young children—even those younger than 3 years old. We reported the youngest case (a 28-month-old girl) in comparison with the findings from a literature review.https://www.mdpi.com/1648-9144/58/10/1403arthroscopydiscoid meniscussaucerizationbucket-handle tearmeniscus repairment
spellingShingle Yu-Hsiang Liao
Chun-Ho Chen
Chii-Jeng Lin
Wei-Ren Su
Chia-Lung Shih
Chen-Hao Chiang
Young Children with a Bucket-Handle Tear to the Discoid Lateral Meniscus Successfully Treated Using Arthroscopic Saucerization and Repair: Two Case Reports
Medicina
arthroscopy
discoid meniscus
saucerization
bucket-handle tear
meniscus repairment
title Young Children with a Bucket-Handle Tear to the Discoid Lateral Meniscus Successfully Treated Using Arthroscopic Saucerization and Repair: Two Case Reports
title_full Young Children with a Bucket-Handle Tear to the Discoid Lateral Meniscus Successfully Treated Using Arthroscopic Saucerization and Repair: Two Case Reports
title_fullStr Young Children with a Bucket-Handle Tear to the Discoid Lateral Meniscus Successfully Treated Using Arthroscopic Saucerization and Repair: Two Case Reports
title_full_unstemmed Young Children with a Bucket-Handle Tear to the Discoid Lateral Meniscus Successfully Treated Using Arthroscopic Saucerization and Repair: Two Case Reports
title_short Young Children with a Bucket-Handle Tear to the Discoid Lateral Meniscus Successfully Treated Using Arthroscopic Saucerization and Repair: Two Case Reports
title_sort young children with a bucket handle tear to the discoid lateral meniscus successfully treated using arthroscopic saucerization and repair two case reports
topic arthroscopy
discoid meniscus
saucerization
bucket-handle tear
meniscus repairment
url https://www.mdpi.com/1648-9144/58/10/1403
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