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Pediatric menisci: normal aspects, anatomical variants, lesions, tears, and postsurgical findings

Flávia Ferreira Araújo1, Júlio Brandão Guimarães2, Isabela Azevedo Nicodemos da Cruz2

  • 1Department of Musculoskeletal Radiology, Fleury Medicina e Saúde Higienópolis, São Paulo, Brazil. flavia.faraujo@grupofleury.com.br.

Insights Into Imaging
|December 12, 2024
PubMed

Insights

Pediatric meniscal tears are increasingly diagnosed due to more sports and MRI use. Early diagnosis and repair of these knee injuries are vital to prevent long-term disability.

Area of Science:

  • Orthopedics
  • Pediatric Radiology
  • Sports Medicine

Background:

  • Meniscal tears are common internal derangements in skeletally immature knees.
  • Increased sports participation and MRI use contribute to rising diagnoses in children.
  • These injuries can lead to early degenerative joint disease and disability.

Purpose of the Study:

  • To highlight the importance of accurate MRI interpretation for pediatric meniscal injuries.
  • To emphasize the need for understanding age-specific anatomy, vascularity, and variations.
  • To guide precise diagnosis and targeted treatment for pediatric knee injuries.

Main Methods:

  • Review of current literature on pediatric meniscal injuries.
  • Analysis of anatomical particularities of the pediatric meniscus.
  • Discussion of common injury patterns and associated conditions in skeletally immature knees.

Main Results:

  • Meniscal lesions are frequent in pediatric patients with immature skeletons.
  • Knowledge of anatomical variants and injury patterns is essential for diagnosis.
  • Associated injuries often accompany meniscal tears in this age group.

Conclusions:

  • Accurate MRI interpretation is crucial for pediatric meniscal injuries.
  • Understanding pediatric meniscus anatomy and variations improves diagnostic precision.
  • Repair of meniscal tears in pediatric patients is recommended when possible to prevent future joint degeneration.

Keywords:
Discoid meniscusMeniscal injuriesMeniscus

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