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Meniscos medial discoide bilateral con quiste parameniscal: reporte de caso

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

Resumen

Los meniscos mediales discoides bilaterales, una condición rara, pueden ocurrir con quistes parameniscales. Este reporte de caso detalla el manejo quirúrgico exitoso enfatizando la preservación para un paciente joven con dolor bilateral de rodilla.

Área de la Ciencia:

Ortopedia
Medicina Deportiva
Variantes Anatómicas

Sus antecedentes:

Los meniscos mediales discoides bilaterales son una variante anatómica excepcionalmente rara.
La coexistencia con quistes parameniscales se informa raramente.

Objetivo del estudio:

Presentar un caso de meniscos mediales discoides bilaterales con quistes parameniscales en un paciente pediátrico.
Destacar la importancia del reconocimiento temprano y las técnicas quirúrgicas centradas en la preservación.

Principales métodos:

Reporte de caso de un varón de 13 años con dolor bilateral de rodilla.
Diagnóstico por imagen (RM) para identificar patología meniscal y quistes.
Intervenciones quirúrgicas que incluyen artroscopia, escisión de quistes, reparación meniscocapsular, saucerización y meniscectomía parcial.

Principales resultados:

Tratamiento exitoso de desgarro meniscal inicial en la rodilla derecha y quiste parameniscal.
Manejo de un desgarro meniscal subsiguiente en la rodilla contralateral.
El paciente se mantuvo sin dolor y completamente activo en el seguimiento final.

Conclusiones:

El reconocimiento temprano y la cirugía centrada en la preservación son cruciales para el manejo de meniscos mediales discoides bilaterales raros con quistes parameniscales.
Este enfoque puede conducir a excelentes resultados funcionales en pacientes pediátricos.

Palabras clave:

adolescente artroscopia menisco medial discoide ganglio parameniscal saucerización

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