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Bilateral Discoid Medial Menisci With a Parameniscal Cyst: A Case Report
Jean Michel Hovsepian1, Johannes Glaser1, André Lança Alves1
1Department of Orthopedic Sports Medicine and Arthroscopic Surgery Hessing Stiftung Augsburg Germany.
Clinical Case Reports
|February 6, 2026
Summary
Bilateral discoid medial menisci, a rare condition, can occur with parameniscal cysts. This case report details successful surgical management emphasizing preservation for a young patient with bilateral knee pain.
Area of Science:
- Orthopedics
- Sports Medicine
- Anatomical Variants
Background:
- Bilateral discoid medial menisci are an exceptionally rare anatomical variant.
- Coexistence with parameniscal cysts is seldom reported.
Purpose of the Study:
- To present a case of bilateral discoid medial menisci with parameniscal cysts in a pediatric patient.
- To highlight the importance of early recognition and preservation-focused surgical techniques.
Main Methods:
- Case report of a 13-year-old male with bilateral knee pain.
- Diagnostic imaging (MRI) to identify meniscal pathology and cysts.
- Surgical interventions including arthroscopy, cyst excision, meniscocapsular repair, saucerization, and partial meniscectomy.
Main Results:
- Successful treatment of initial right knee meniscal tear and parameniscal cyst.
- Management of a subsequent contralateral knee meniscal tear.
- Patient remained pain-free and fully active at final follow-up.
Conclusions:
- Early recognition and preservation-focused surgery are crucial for managing rare bilateral discoid medial menisci with parameniscal cysts.
- This approach can lead to excellent functional outcomes in pediatric patients.
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