title: Bilateral combined discoid lateral menisci and lateral femoral condyle osteochondritis dissecans lesions in a division I varsity athlete: a case report.
abstract: Discoid menisci can be a source of pain for patients, and pose treatment challenges to the treating surgeon. Additional associated intra-articular pathology, specifically osteochondral defects, can further complicate the clinical picture. The incidence of lateral discoid meniscus is variable based on the population, with a range of 0.4 to 17%, with bilateral involvement in up to 19% of these cases. Osteochondritis dissecans (OCD) is exceedingly rare, with an incidence of 0.015% in one study; however, some authors have suggested a correlation between the development of OCD and the presence of an unstable or torn lateral discoid meniscus. We present a case, the first to our knowledge, of bilateral lateral femoral condyle OCD in the presence of bilateral, asymptomatic, complete lateral discoid menisci.
authors.affiliation: Department of Orthopaedic Surgery, Walter Reed National Military Medical Center, Washington, District of Columbia.
authors.forename: Kelly G
authors.initials: KG
authors.lastname: Kilcoyne
authors.affiliation: Department of Orthopaedic Surgery, Walter Reed National Military Medical Center, Washington, District of Columbia.
authors.forename: Jonathan F
authors.initials: JF
authors.lastname: Dickens
authors.affiliation: Department of Orthopaedics and Sports Medicine, United States Naval Academy, Annapolis, Maryland.
authors.forename: John-Paul
authors.initials: JP
authors.lastname: Rue
authors.affiliation: Department of Orthopaedics and Sports Medicine, United States Naval Academy, Annapolis, Maryland.
authors.forename: David J
authors.initials: DJ
authors.lastname: Keblish
mesh_terms: D018771:Arthralgia / Q000209:etiology; D001182:Arthroscopy; D056352:Athletes; D005269:Femur / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008592:Menisci, Tibial / Q000002:abnormalities*; D010008:Osteochondritis Dissecans / Q000175:diagnosis* / Q000601:surgery; D016059:Range of Motion, Articular; D055815:Young Adult