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  • Title: Symptomatic Accessory Medial Meniscus Associated With Popliteal Pterygium Syndrome.
    Author: Funk SS, Block JJ, Martus JE, Schoenecker JG.
    Journal: J Pediatr Orthop; 2015; 35(7):e76-9. PubMed ID: 25992493.
    Abstract:
    BACKGROUND: Anomalies of the meniscus are uncommon. These anomalous formations have been predominately described in the lateral compartment of the knee. Congenital abnormalities of the medial meniscus are rare. METHODS: Chart and radiographic review of a single patient with a symptomatic congenital abnormality of the medial meniscus. RESULTS: The patient was a 5-year-old boy with popliteal pterygium who developed painful snapping in the medial knee after anterior hemiepiphyseodesis to improve his knee extension. The patient had achieved full-knee extension from a preoperative 45-degree flexion contracture. The newly developed snapping was attributed to the hemiepiphyseodesis implants. After implant removal, the snapping persisted and was localized at the medial joint line. Through an arthrotomy, a medial meniscus abnormality was identified and excised with resolution of symptoms. CONCLUSIONS: This report describes a symptomatic congenital abnormality of the medial meniscus in a child with popliteal pterygium. The patient was treated with excision of the anomalous structure with complete resolution of the symptoms. This is the first report of an intra-articular knee anomaly associated with popliteal pterygium syndrome.
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