Risk Factors for Articular Cartilage Lesions in Symptomatic Discoid Lateral Meniscus
Received 25 November 2008; accepted 22 June 2009.
Purpose
To investigate risk factors related to articular cartilage lesions in discoid lateral meniscus (DLM) and to analyze the possible mechanisms associated with articular cartilage lesions.
Methods
From October 2004 to April 2008, 103 knees in 97 patients with DLM confirmed by arthroscopy were operated on at our clinical center. Among them, 16 knees were accompanied by articular cartilage injury. Data on risk factors, including patient age, traumatic history, DLM type, presence or absence of tear, symptomatic duration, and meniscal shape, were analyzed to investigate the relation with articular cartilage lesion by logistic regression analysis.
Results
Only symptomatic duration and meniscal shape had a significant relation with articular cartilage lesion. Symptomatic duration and meniscal shape can be regarded as risk factors, and their odds ratios were 4.983 (P < .01) and 5.356 (P < .05), respectively.
Conclusions
Long symptomatic duration (>6 months) and asymmetrical shape of DLM were more frequently related to articular cartilage lesions than other factors.
Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital Affiliated to JiaoTong University, Shanghai, China
Address correspondence and reprint requests to Jian Ding, M.D., Ph.D., Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital Affiliated to JiaoTong University, 600 YiShan Rd, Shanghai 200233, People's Republic of China
The authors report no conflict of interest.
Note: To access the supplementary videos accompanying this report, visit the December issue of Arthroscopy at www.arthroscopyjournal.org.
ABSTRACT