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Lateral discoid meniscus in the pediatric knee: imaging features and tear patterns
J Herman Kan1, Michael J Kutschke2, Hamza Alizai3,4
1Department of Radiology, Scottish Rite for Children, Dallas, TX, USA. j.kan@tsrh.org.
Skeletal Radiology
|February 11, 2026
Summary
Lateral discoid meniscus, a common knee abnormality, can lead to early degeneration and tearing. This review details its anatomy and key MRI findings for accurate diagnosis and management.
Area of Science:
- Orthopedic Surgery
- Radiology
- Anatomy
Background:
- Lateral discoid meniscus is the most common congenital variant of the meniscus.
- It presents with varied abnormalities in size, shape, collagen structure, and mobility.
- These features increase susceptibility to degeneration and tearing.
Purpose of the Study:
- To review the anatomy of the lateral discoid meniscus.
- To highlight critical MRI findings for radiology reports.
- To guide clinical management of this condition.
Main Methods:
- Narrative review of existing literature.
- Discussion of anatomical variations.
- Analysis of diagnostic MRI features.
Main Results:
- Detailed description of lateral discoid meniscus anatomy.
- Identification of specific MRI characteristics indicative of discoid morphology.
- Emphasis on findings predicting meniscal instability and degeneration.
Conclusions:
- Accurate identification of lateral discoid meniscus on MRI is crucial.
- Specific MRI findings aid in differentiating normal from abnormal menisci.
- Radiological reporting should focus on features guiding surgical and non-surgical management.
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