title: An 11-year-old girl presenting with chronic knee pain: a case report with diagnostic dilemma.
abstract: Discoid meniscus is the commonest anatomical aberration of the knee joint, among rare cases such as bilateral separated lateral meniscus, accessory lateral meniscus, partial deficiency of the lateral meniscus and double-layered lateral meniscus. An 11-year-old girl presented with history of chronic pain in her right knee for the last 6 months. The problem disturbed her involvement in the sport activities at school. Clinical examination revealed a clicking sensation on knee extension with lateral joint line tenderness. Magnetic resonance imaging (MRI) of her right knee showed torn posterior horn of lateral meniscus. Arthroscopy examination revealed a discoid meniscus with absence posterior horn. Posterior horn deficient discoid meniscus is a rare form of a congenital meniscus anomaly. We as clinicians believe that the abnormal shaped meniscus may pose a diagnostic challenge clinically and radiologically. Presentation of this case may be beneficial for orthopaedicians in their daily clinical practice.
authors.affiliation: Department of Orthopaedic and Traumatology, University Kebangsaan Malaysia Medical Centre, Faculty of Medicine, Kuala Lumpur, Malaysia. drkortho@gmail.com
authors.forename: M Kamal
authors.initials: MK
authors.lastname: Maj
authors.forename: Abdul Halim
authors.initials: AH
authors.lastname: Ar
authors.forename: Syed A
authors.initials: SA
authors.lastname: Faisal
authors.forename: Johan
authors.initials: J
authors.lastname: Ahmad
authors.forename: Srijit
authors.initials: S
authors.lastname: Das
mesh_terms: D018771:Arthralgia / Q000209:etiology*; D001182:Arthroscopy; D002648:Child; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007719:Knee Joint; D008592:Menisci, Tibial / Q000002:abnormalities*