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Meniscal disorders: normal, discoid, and cysts.

Mininder S Kocher1, Kevin Klingele, Sean O Rassman

  • 1Harvard Medical School, Department of Orthopaedic Surgery, Division of Sports Medicine, Children Hospital, 300 Longwood Avenue, Boston, MA 02115, USA. mininder.kocher@tch.harvard.edu

The Orthopedic Clinics of North America
|September 17, 2003
PubMed
Summary

Pediatric knee injuries, including meniscal tears and discoid meniscus, benefit from preservation techniques. Observation is preferred for popliteal cysts due to their common spontaneous resolution.

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Area of Science:

  • Orthopedic surgery
  • Pediatric sports medicine

Background:

  • Meniscal injuries in children and adolescents are increasingly common.
  • Meniscal tears are often traumatic in adolescents, while discoid meniscus presents with snapping or tearing symptoms.

Purpose of the Study:

  • To review current approaches to pediatric meniscal injuries and popliteal cysts.
  • To emphasize meniscal preservation techniques in pediatric patients.

Main Methods:

  • Review of current literature on pediatric meniscal injuries and popliteal cysts.
  • Discussion of treatment strategies, including meniscal preservation and observation.

Main Results:

  • Meniscal preservation, particularly for outer and middle third tears and discoid meniscus (via saucerization), is recommended due to enhanced healing potential in younger patients.

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  • Popliteal cysts typically present as painless masses and often resolve spontaneously, favoring observation over intervention.

    • Conclusions:

    • Prioritizing meniscal preservation in pediatric patients with traumatic meniscal tears and discoid meniscus is crucial.
    • Observation is the primary treatment for popliteal cysts, given their benign nature and tendency for spontaneous resolution.