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Surgical debridement and repair
4%
136/3194
Ligamentous reconstruction
1%
32/3194
Casting in 45 degrees of flexion
2%
75/3194
Knee immobilizer and non weight bearing for 6 weeks
5%
148/3194
Observation
87%
2790/3194
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The clinical presentation and MRI are consistent with an asymptomatic lateral discoid meniscus without evidence of tear. No intervention is indicated for asymptomatic discoid menisci. When these are symptomatic, surgical saucerization and possible repair are indicated. Klingele et al reviewed a series of 112 surgically treated patients and found that 28% were unstable, and 69% had an associated meniscus tear. Ogut et al reported their follow-up on 11 surgically treated discoid mensici, and had 82% excellent results and 18% good results. Davidson et al reported their results in 32 children who underwent partial, complete or no excision of the discoid meniscus, with 16 excellent, 10 good, 6 fair and 4 poor results.
3.2
(29)
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