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Predictive factors for osteochondritis dissecans of the lateral femoral condyle concurrent with a discoid lateral meniscus

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

Osteochondritis dissecans (OCD) of the lateral femoral condyle is relatively rare, and it is often reported in combination with discoid lateral meniscus. However, little is known about the mechanism underlying this connection. Predictive factors for OCD coinciding with discoid lateral meniscus in Japanese children and adolescents were assessed.

Methods

During 2000–2015, 152 knees in 133 patients aged 5–15 years were diagnosed with symptomatic complete discoid lateral meniscus. Patients were evaluated using radiography and magnetic resonance imaging (MRI). OCD was radiographically graded using the Brückl classification. Based on Ahn’s MRI classifications, discoid lateral meniscus was divided into four types of meniscal shift: no shift (N), anterocentral (AC), posterocentral (PC), or central (C). Relationships between OCD and patient sex, age and Ahn’s shift type were analysed.

Results

OCD of the lateral femoral condyle was associated with discoid lateral meniscus in 22 (14.5%) of 152 knees. OCD was classified as Brückl’s stage 1 in 5 knees, stage 2 in 12, stage 3 in 3, stage 4 in 1, and stage 5 in 1. OCD was found in 12 of 96 knees (12.5%) with type N meniscal shift, 4 of 24 knees (16.7%) with type AC, 0 of 21 knees (0%) with type PC, and 6 of 11 knees (54.5%) with type C. Multivariate logistic regression analysis showed that males had a significantly increased odds ratio (OR) [14.8; 95% confidence interval (CI) 2.6–83.4]. Those aged 5–11 years had a significantly higher OR (12.5; 95% CI 2.8–55.9) than those aged 12–15 years. The OR for type C coinciding with OCD was significantly elevated (13.4; 95% CI 2.3–78.7).

Conclusions

Concurrent OCD was found in 22 (14.5%) of 152 knees with discoid lateral meniscus. Male sex, young age (5–11 years), and having a type C meniscal shift of the discoid lateral meniscus as shown by MRI were found to be predictive factors for OCD of the LFC.

Level of evidence

III.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Shimada Hospital, 100-1 Kashiyama, Habikino, Osaka, 583-0875, Japan

    Junsei Takigami & Tomohiro Tomihara

  2. Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka, 545-8585, Japan

    Yusuke Hashimoto, Koji Tamai & Hiroaki Nakamura

  3. Department of Public Health, Osaka City University Faculty of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka, 545-8585, Japan

    Kyoko Kondo

  4. Department of Orthopaedic Surgery, Osaka City General Hospital, 2-13-22 Miyakojima-hondori, Miyakojima-ku, Osaka, 534-0021, Japan

    Shinya Yamasaki

Authors
  1. Junsei Takigami
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  2. Yusuke Hashimoto
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  4. Shinya Yamasaki
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  7. Hiroaki Nakamura
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Corresponding author

Correspondence to Yusuke Hashimoto.

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Funding sources

This study was funded by a grant from the Japanese Foundation for Research and Promotion of Endoscopy.

Conflict of interest

The authors declare no conflict of interest associated with this manuscript.

Ethical approval

This study was approved by the internal review board of Osaka City University School of Medicine (approval number 2727).

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Takigami, J., Hashimoto, Y., Tomihara, T. et al. Predictive factors for osteochondritis dissecans of the lateral femoral condyle concurrent with a discoid lateral meniscus. Knee Surg Sports Traumatol Arthrosc 26, 799–805 (2018). https://doi.org/10.1007/s00167-017-4451-8

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  • DOI: https://doi.org/10.1007/s00167-017-4451-8

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