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Discoid meniscus is a congenital abnormality of the knee joint, characterized by the presence of a meniscus that is thicker, more circular, and disc-shaped compared to the normal meniscus, which has a crescent shape. This condition most commonly affects the lateral meniscus and is believed to occur due to improper development during fetal growth. The discoid meniscus can be classified into three types: a complete type that covers the entire femoral condyle, an incomplete type that partially covers it, and a Wrisberg variant, which is a smaller, more mobile structure connected by a thin piece of tissue. Often, individuals with a discoid meniscus do not present symptoms; however, when symptoms do occur, they can range from pain, swelling, and clicking sounds during knee movement to episodes of locking or instability. This is particularly true when the discoid meniscus predisposes the individual to tears, which may happen due to the abnormal geometry and increased stress on the knee during physical activities. The exact prevalence of discoid meniscus is not well-established, but it is more commonly identified in children and adolescents, with a tendency to present in athletic populations engaged in activities that involve pivoting or twisting movements. Diagnosis is primarily achieved through imaging techniques, such as MRI, which can reveal the characteristic shape and structure of the meniscus along with any associated knee joint pathology. Treatment options can vary depending on the severity of symptoms and the degree of meniscal tear, ranging from conservative management, which includes physical therapy and activity modification, to surgical intervention. Arthroscopic surgery is often employed to either remove the symptomatic portion of the meniscus or repair it if a tear is present. Surgical outcomes are generally favorable, with many patients experiencing significant pain relief and improved functional abilities post-operatively. Awareness of discoid meniscus is essential for healthcare providers, particularly those in sports medicine, as early identification and appropriate management can help prevent long-term complications like early onset osteoarthritis. Regular follow-up and monitoring are often recommended to ensure that the knee function remains optimal and to manage any recurrent symptoms. Understanding the unique characteristics and implications of discoid meniscus is crucial for optimizing care and ensuring that patients can return to their desired level of physical activity without limiting their quality of life. In conclusion, discoid meniscus is a rare but significant knee pathology that can lead to complications if not properly diagnosed and managed, emphasizing the importance of thorough evaluation and individualized treatment plans for affected individuals.