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Does the meniscus exist in the elbow joint in children?
F Fabié1, A Brouchet, F Accadbled
1Department of Pediatric Orthopedic Surgery, Children's Hospital, 31026, Toulouse cedex 3, France.
Abstract:
The authors report a case of meniscus at the elbow joint in a 15-month-old infant causing a limitation of elbow extension. Histological examination demonstrated that this tissue was not a synovial fold or a chondroid metaplasia of the synovial fold. As a meniscus does not appear at any stage of the embryological evolution of the elbow joint, it has been concluded that the presence of the meniscus can be considered as an abnormal condition.
Insights
An elbow joint meniscus in a 15-month-old infant caused limited extension. Histology confirmed it was abnormal, as menisci do not develop in the embryonic elbow.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
- Developmental Anatomy
Background:
- Elbow joint injuries are rare in infants.
- Limited elbow extension can significantly impact a child's development.
- Menisci are typically associated with the knee and wrist, not the elbow.
Purpose of the Study:
- To report a rare case of an elbow joint meniscus in an infant.
- To investigate the nature and origin of the elbow meniscus.
- To determine the clinical significance of an elbow meniscus.
Main Methods:
- Case report of a 15-month-old infant with elbow extension limitation.
- Surgical intervention to address the meniscus.
- Histological examination of the excised tissue.
Main Results:
- A meniscus-like structure was identified in the elbow joint.
- Histological analysis ruled out synovial fold or chondroid metaplasia.
- The structure's origin was deemed abnormal due to lack of embryonic elbow meniscus development.
Conclusions:
- The presence of a meniscus in the elbow joint is an abnormal condition.
- This case highlights a rare cause of limited elbow extension in infants.
- Further research may be needed to understand the etiology of elbow menisci.
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