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Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 10/2006

01.10.2006 | Knee

Anatomic variations of the shape of the menisci: a neonatal cadaver study

verfasst von: Aysin Kale, Cem Kopuz, Mete Edýzer, Mennan Ece Aydin, Mehmet Demýr, Yener Ýnce

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 10/2006

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Abstract

Meniscal injuries in children and adolescents are being seen with increased frequency. The menisci are two crescentic lamellae whose functions are to deepen the articular surfaces of the tibial plateu for reception of the condyles of the femur. In our study, our aim is to determine the variations of the shapes and attachments of the menisci in newborns. This study was performed on 11 neonatal cadavers, 22 knee joints that were obtained from the anatomy laboratory. The variations of the shape of the menisci were noted. We found that 77% of the lateral menisci were discoid. This percent is higher than the previously reported percents of the lateral discoid menisci. The different shapes of the menisci were determined as horse shoe, sickle, sided U, sided V and C shaped. We did not determine any discoid medial menisci. We believe that our study will provide support to the neonatal anatomy of the knee, concerning with the surgical procedures and arthroscopy of the knee joint.
Literatur
1.
Zurück zum Zitat Andrish J (1996) Meniscal injuries in children and adolescents: diagnosis and management. J Am Acad Orthop Surg 4:231–237PubMed Andrish J (1996) Meniscal injuries in children and adolescents: diagnosis and management. J Am Acad Orthop Surg 4:231–237PubMed
2.
Zurück zum Zitat Arrequi JT, Asensio CB, Tirado FV, Fonolla JP, Gonzalez JM (2003) Arthroscopic study of the knee joint in fetuses. Arthrosc J Arthrosc Relat Surg 19(8):862–868CrossRef Arrequi JT, Asensio CB, Tirado FV, Fonolla JP, Gonzalez JM (2003) Arthroscopic study of the knee joint in fetuses. Arthrosc J Arthrosc Relat Surg 19(8):862–868CrossRef
3.
Zurück zum Zitat Alchroth PM, Patel DV, Marx CL (1991) Congenital discoid lateral meniscus in children: a follow-up study and evolution of management. J Bone Joint Surg Br 73:932–936 Alchroth PM, Patel DV, Marx CL (1991) Congenital discoid lateral meniscus in children: a follow-up study and evolution of management. J Bone Joint Surg Br 73:932–936
4.
Zurück zum Zitat Albertsson M, Gillquist J (1988) Discoid lateral menisci: a report of 29 cases. Artroscopy 4:211–214 Albertsson M, Gillquist J (1988) Discoid lateral menisci: a report of 29 cases. Artroscopy 4:211–214
5.
Zurück zum Zitat Barnett CH (1954) The structures and functions of fibrocartilages within vertebrate joints. J Anat 88:363–368PubMed Barnett CH (1954) The structures and functions of fibrocartilages within vertebrate joints. J Anat 88:363–368PubMed
6.
Zurück zum Zitat Chiang H, Jiang CC (2003) Discoid lateral meniscus: clinical manifestations and arthroscopic treatment. J Formos Med Assoc 102(1):17–22PubMed Chiang H, Jiang CC (2003) Discoid lateral meniscus: clinical manifestations and arthroscopic treatment. J Formos Med Assoc 102(1):17–22PubMed
7.
Zurück zum Zitat Clark CR, Ogden JA (1983) Development of the menisci of the human knee joint. Morphological changes and their potential role in childhood meniscal injury. J Bone Joint Surg Am 65(4):538–547PubMed Clark CR, Ogden JA (1983) Development of the menisci of the human knee joint. Morphological changes and their potential role in childhood meniscal injury. J Bone Joint Surg Am 65(4):538–547PubMed
8.
Zurück zum Zitat Davidson D, Letts M, Glasgow R (2003) Discoid meniscus in children: treatment and outcome. Can J Surg 46(5):350–358PubMed Davidson D, Letts M, Glasgow R (2003) Discoid meniscus in children: treatment and outcome. Can J Surg 46(5):350–358PubMed
9.
Zurück zum Zitat Dashefsky J (1971) Discoid lateral meniscus in three membres of a family:case reports. J Bone joint Surg Am 53A:1208–1210 Dashefsky J (1971) Discoid lateral meniscus in three membres of a family:case reports. J Bone joint Surg Am 53A:1208–1210
10.
Zurück zum Zitat Fleissner PR, Ellert RE (1999) Discid lateral meniscus. Am J Knee Surg 12:125–131PubMed Fleissner PR, Ellert RE (1999) Discid lateral meniscus. Am J Knee Surg 12:125–131PubMed
11.
Zurück zum Zitat Ghosh P, Taylort TKF (1987) The knee joint meniscus. A fibrocartilage of some distinction. Clin Orthop 224:52–63 Ghosh P, Taylort TKF (1987) The knee joint meniscus. A fibrocartilage of some distinction. Clin Orthop 224:52–63
12.
Zurück zum Zitat Gebhart MR, Rosenthal RK (1979) Bilateral lateral discoid meniscus in identical twins. J Bone Joint Surg 61:1110–1111 Gebhart MR, Rosenthal RK (1979) Bilateral lateral discoid meniscus in identical twins. J Bone Joint Surg 61:1110–1111
13.
Zurück zum Zitat Gaillard JM (1966) Les menisques de l’articulation du genou. Etude morphologique et fonctionnelle. Archieves d’anatomie, d’ histologie et d’ embryologie 49:327–357 Gaillard JM (1966) Les menisques de l’articulation du genou. Etude morphologique et fonctionnelle. Archieves d’anatomie, d’ histologie et d’ embryologie 49:327–357
14.
Zurück zum Zitat Husson JL, Meadeb J, Cameau J, Blouet JM, Masse A, Duval JM (1985) Aspect discoide des menisques externe et interne d’un meme genou a propos d’un cas. Bulletin de l’Association des Anatomistes 69:201–208PubMed Husson JL, Meadeb J, Cameau J, Blouet JM, Masse A, Duval JM (1985) Aspect discoide des menisques externe et interne d’un meme genou a propos d’un cas. Bulletin de l’Association des Anatomistes 69:201–208PubMed
15.
Zurück zum Zitat Hall FM (1977) Arthrography of the discoid lateral meniscus. Am J Roentgenol 128:993–1002 Hall FM (1977) Arthrography of the discoid lateral meniscus. Am J Roentgenol 128:993–1002
16.
Zurück zum Zitat Ikeuchi H (1982) Arthroscopic treatment of the discoid lateral meniscus. Technique and long-term results. Clin Orthop 167:19–28PubMed Ikeuchi H (1982) Arthroscopic treatment of the discoid lateral meniscus. Technique and long-term results. Clin Orthop 167:19–28PubMed
17.
Zurück zum Zitat Kocher MS, Klingele K, Rassman SO (2003) Meniscal disorders: normal, discoid, and cycts. Orthop Clin North Am 34(3):329–40PubMedCrossRef Kocher MS, Klingele K, Rassman SO (2003) Meniscal disorders: normal, discoid, and cycts. Orthop Clin North Am 34(3):329–40PubMedCrossRef
18.
Zurück zum Zitat Kelly BT, Green DW (2002) Discoid lateral meniscus in children. Curr Opin Pediatr 14(1):54–61PubMedCrossRef Kelly BT, Green DW (2002) Discoid lateral meniscus in children. Curr Opin Pediatr 14(1):54–61PubMedCrossRef
19.
Zurück zum Zitat Kim SJ, Lee YT, Kim DW (1998) Intraarticular anatomic variants associated with discoid meniscus in Koreans. Clin Orthop Nov(356):202–207CrossRef Kim SJ, Lee YT, Kim DW (1998) Intraarticular anatomic variants associated with discoid meniscus in Koreans. Clin Orthop Nov(356):202–207CrossRef
20.
Zurück zum Zitat Kim SJ, Choi CH (1996) Bilateral complete discoid medial menisci combined with anomalous insertion and cyst formation. Arthroscopy 12(1):112–115PubMedCrossRef Kim SJ, Choi CH (1996) Bilateral complete discoid medial menisci combined with anomalous insertion and cyst formation. Arthroscopy 12(1):112–115PubMedCrossRef
21.
Zurück zum Zitat Kim SJ, Kim DW, Min BH (1995) Discoid lateral meniscus associated with anomalous insertion of the medial meniscus. Clin Orthop Jun(315):234–237 Kim SJ, Kim DW, Min BH (1995) Discoid lateral meniscus associated with anomalous insertion of the medial meniscus. Clin Orthop Jun(315):234–237
22.
Zurück zum Zitat Kaplan E (1957) Discoid lateral meniscus of the knee joint. Nature, mechanism, and operative treatment. J Bone Joint Surg 39A:77–87 Kaplan E (1957) Discoid lateral meniscus of the knee joint. Nature, mechanism, and operative treatment. J Bone Joint Surg 39A:77–87
23.
Zurück zum Zitat Kaplan E (1955) Discoid lateral meniscus of the knee joint. Bull Hosp Joint Dis 16:111–124PubMed Kaplan E (1955) Discoid lateral meniscus of the knee joint. Bull Hosp Joint Dis 16:111–124PubMed
24.
Zurück zum Zitat Le Mınor JM (1990) Comparative morphology of the lateral meniscus of the knee in primates. J Anat 170:161–171PubMed Le Mınor JM (1990) Comparative morphology of the lateral meniscus of the knee in primates. J Anat 170:161–171PubMed
25.
Zurück zum Zitat Min BH, Ha HK, Khang SY (2001) Medial discoid meniscus completely coalesced with the anterior cruciate ligament. Arthroscopy 17(7):E27PubMedCrossRef Min BH, Ha HK, Khang SY (2001) Medial discoid meniscus completely coalesced with the anterior cruciate ligament. Arthroscopy 17(7):E27PubMedCrossRef
26.
Zurück zum Zitat Moore KL, Dalley AF (1999) Clinically oriented anatomy, 4th edn. Lippincott & Williams, Wilkins, Philadelphia, pp 620–621 Moore KL, Dalley AF (1999) Clinically oriented anatomy, 4th edn. Lippincott & Williams, Wilkins, Philadelphia, pp 620–621
27.
Zurück zum Zitat Monllau JC, Leon A, Cugat R, Ballester J (1998) Ring-shaped lateral meniscus. Arthroscopy 14(5):502–504PubMedCrossRef Monllau JC, Leon A, Cugat R, Ballester J (1998) Ring-shaped lateral meniscus. Arthroscopy 14(5):502–504PubMedCrossRef
28.
Zurück zum Zitat Merida-Velasco JA, Sanchez-Montesinos I, Espin-Ferra J, Rodriquez-Vazquez JF, Merida-Velasco JR, Jimenez-Collado J (1997) Development of the human knee joint. Anat Rec 248(2):269–278PubMedCrossRef Merida-Velasco JA, Sanchez-Montesinos I, Espin-Ferra J, Rodriquez-Vazquez JF, Merida-Velasco JR, Jimenez-Collado J (1997) Development of the human knee joint. Anat Rec 248(2):269–278PubMedCrossRef
29.
Zurück zum Zitat Pinar H, Akseki D, Karaoglan O, Ozkan M, Uluc E (2000) Bilateral discoid medial menisci. Arthroscopy 16(1):96–101PubMedCrossRef Pinar H, Akseki D, Karaoglan O, Ozkan M, Uluc E (2000) Bilateral discoid medial menisci. Arthroscopy 16(1):96–101PubMedCrossRef
30.
Zurück zum Zitat Ring P (1970) Contribution a l etude la structure fonctionnelle des bourrelets marginaux et des menisques des articulations des membres. Arch Anat Hist Embryol 53:143–199 Ring P (1970) Contribution a l etude la structure fonctionnelle des bourrelets marginaux et des menisques des articulations des membres. Arch Anat Hist Embryol 53:143–199
31.
Zurück zum Zitat Snell RS (1995) Clinical anatomy for medical students, 4th edn. Little, Brown and Company, pp 580–581 Snell RS (1995) Clinical anatomy for medical students, 4th edn. Little, Brown and Company, pp 580–581
32.
Zurück zum Zitat Schvingt E, Gillet M, Lavernhe G, Janser JC, Weill D (1968) Les lesions dysplasiques des menisques externes. A propos de 21 observations. Annales de Chirurgie 22:191–197PubMed Schvingt E, Gillet M, Lavernhe G, Janser JC, Weill D (1968) Les lesions dysplasiques des menisques externes. A propos de 21 observations. Annales de Chirurgie 22:191–197PubMed
33.
Zurück zum Zitat Smillie IS (1948) The congenital discoid meniscus. J Bone Joint Surg 30B:671–682 Smillie IS (1948) The congenital discoid meniscus. J Bone Joint Surg 30B:671–682
34.
Zurück zum Zitat Tachibana Y, Yamazaki YY, Ninomiya S (2003) Discoid medial meniscus. Arthrosc J Arthrosc Relat Surg 19(7):59–65CrossRef Tachibana Y, Yamazaki YY, Ninomiya S (2003) Discoid medial meniscus. Arthrosc J Arthrosc Relat Surg 19(7):59–65CrossRef
35.
Zurück zum Zitat William LP et al (1995) Gray’s anatomy, 38th edn. Churchill Livingstone, London, pp 350–351 William LP et al (1995) Gray’s anatomy, 38th edn. Churchill Livingstone, London, pp 350–351
36.
Zurück zum Zitat Woods GW Whelan JM (1990) Discoid meniscus. Clin Sports Med 9:695–706 Woods GW Whelan JM (1990) Discoid meniscus. Clin Sports Med 9:695–706
37.
Zurück zum Zitat Watanabe M, Takada S, Ikeuchi H (1969) Atlas of arthroscopy. Igaku-Shoin, Tokyo Watanabe M, Takada S, Ikeuchi H (1969) Atlas of arthroscopy. Igaku-Shoin, Tokyo
Metadaten
Titel
Anatomic variations of the shape of the menisci: a neonatal cadaver study
verfasst von
Aysin Kale
Cem Kopuz
Mete Edýzer
Mennan Ece Aydin
Mehmet Demýr
Yener Ýnce
Publikationsdatum
01.10.2006
Verlag
Springer-Verlag
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 10/2006
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-006-0069-y

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