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Orthopaedics · Knee: discoid meniscus
Sample itemA child has a snapping knee with a clunk on extension and no trauma. MRI shows a thick, disc-shaped meniscus. Which meniscus is typically affected?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Lateral meniscus
Discoid meniscus is a congenital variant in which the meniscus is thickened and does not take the normal semilunar shape, and it is much more common on the lateral side. It is prone to tears and may cause snapping, and treatment is saucerisation if symptomatic.
Option by option
A. Lateral meniscus (correct)
Correct. The lateral meniscus is the usual site.
B. Neither, since the meniscus is not involved
The meniscus is the abnormal structure.
C. Medial meniscus
The medial meniscus is rarely discoid.
D. Both menisci equally
Bilateral occurrence is possible but is predominantly lateral.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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