{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T13:47:01Z","timestamp":1792331221449,"version":"4.4.0"},"reference-count":15,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T00:00:00Z","timestamp":1792281600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T00:00:00Z","timestamp":1792281600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["arthrosc. tech."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Discoid lateral meniscus (DLM) is a congenital variant of the knee characterized by an abnormally shaped meniscus prone to tearing and instability. When symptomatic, the treatment plan is based on the location and pattern of the tear, as well as the presence of instability. In most cases, posterior horn instability is present, but some meniscotibial or root attachments remain. This technical note describes a comprehensive arthroscopic approach to a Wrisberg variant DLM, with a complete absence of posterior root and lateral capsular attachments. A comprehensive arthroscopic reconstruction using a physeal\u2010sparing, knotless anchor technique is described to recreate the posterior root attachment while avoiding danger to the growth plate that can result from standard transtibial drilling. This anchor\u2010first, retensionable method allowed for precise adjustment of root tension. Meniscal saucerization, all\u2010inside and inside\u2010out peripheral stabilization, and biologic augmentation through microfracture were performed to restore hoop stress transmission and long\u2010term function. This approach highlights a growth plate\u2010conscious than standard DLM repair in a uniquely unstable DLM variant.<\/jats:p>","DOI":"10.1002\/atn2.70319","type":"journal-article","created":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T13:16:51Z","timestamp":1792329411000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Arthroscopic Saucerization and Anatomic Repair of a Wrisberg Variant Discoid Lateral Meniscus: A Physeal\u2010Sparing Knotless Anchor Technique"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5422-637X","authenticated-orcid":false,"given":"Stephen","family":"Rossettie","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery MedStar Georgetown University Hospital  Washington District of Columbia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"Hu","sequence":"additional","affiliation":[{"name":"Georgetown University School of Medicine  Washington District of Columbia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7950-5815","authenticated-orcid":false,"given":"Dan","family":"Griffin","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery MedStar Georgetown University Hospital  Washington District of Columbia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0041-134X","authenticated-orcid":false,"given":"Greg","family":"Perraut","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery MedStar Georgetown University Hospital  Washington District of Columbia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Murray","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery MedStar Georgetown University Hospital  Washington District of Columbia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,18]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"crossref","first-page":"1702","DOI":"10.1016\/j.arthro.2025.03.003","article-title":"Discoid lateral meniscus evaluation and treatment","volume":"41","author":"Beck JJ","year":"2025","journal-title":"Arthroscopy."},{"key":"e_1_2_6_3_1","doi-asserted-by":"crossref","first-page":"255","DOI":"10.5792\/ksrr.16.050","article-title":"Diagnosis and treatment of discoid meniscus","volume":"28","author":"Kim JG","year":"2016","journal-title":"Knee Surg Relat Res."},{"key":"e_1_2_6_4_1","doi-asserted-by":"crossref","first-page":"491","DOI":"10.5435\/JAAOS-D-19-00102","article-title":"Meniscal root injuries","volume":"28","author":"Krych AJ","year":"2020","journal-title":"J Am Acad Orthop Surg."},{"key":"e_1_2_6_5_1","doi-asserted-by":"crossref","first-page":"1353","DOI":"10.1007\/s00264-023-05756-3","article-title":"Arthroscopic percutaneous pullout suture transverse tunnel technique repair for tibial spine fractures in skeletally immature patients","volume":"47","author":"Zhou Y","year":"2023","journal-title":"Int Orthop."},{"key":"e_1_2_6_6_1","doi-asserted-by":"crossref","first-page":"1033","DOI":"10.2106\/JBJS.J.01047","article-title":"Volumetric injury of the distal femoral physis during double\u2010bundle ACL reconstruction in children: A three\u2010dimensional study with use of magnetic resonance imaging","volume":"93","author":"Shea KG","year":"2011","journal-title":"J Bone Joint Surg Am."},{"key":"e_1_2_6_7_1","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/j.knee.2025.09.008","article-title":"Transphyseal anterior cruciate ligament reconstruction in skeletally immature patients: Quantification of physeal damage using a three\u2010dimensional simulation model study","volume":"57","author":"Fernandez\u2010Comparini T","year":"2025","journal-title":"Knee."},{"key":"e_1_2_6_8_1","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1016\/j.arthro.2017.08.266","article-title":"Survivorship analysis and clinical outcomes of transtibial pullout repair for medial meniscus posterior root tears: A 5\u2010 to 10\u2010year follow\u2010up study","volume":"34","author":"Chung KS","year":"2018","journal-title":"Arthroscopy."},{"key":"e_1_2_6_9_1","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1097\/00003086-199202000-00041","article-title":"Longitudinal growth and growth\u2010plate activity in the lower extremity","volume":"275","author":"Pritchett JW","year":"1992","journal-title":"Clin Orthop Relat Res."},{"key":"e_1_2_6_10_1","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1016\/j.cuor.2006.03.002","article-title":"Paediatric epiphyseal fractures around the knee","volume":"20","author":"Moran M","year":"2006","journal-title":"Curr Orthop."},{"key":"e_1_2_6_11_1","doi-asserted-by":"crossref","first-page":"2540","DOI":"10.1177\/0363546513500633","article-title":"Biomechanical properties of suture anchor repair compared with transosseous sutures in patellar tendon ruptures: A cadaveric study","volume":"41","author":"Ettinger M","year":"2013","journal-title":"Am J Sports Med."},{"key":"e_1_2_6_12_1","doi-asserted-by":"crossref","first-page":"2076","DOI":"10.1177\/0363546516643811","article-title":"Comparison of the suture anchor and transosseous techniques for patellar tendon repair: A biomechanical study","volume":"44","author":"Lanzi JT","year":"2016","journal-title":"Am J Sports Med."},{"key":"e_1_2_6_13_1","first-page":"e209","article-title":"Arthroscopic transtibial pull\u2010out repair for meniscal posterior root tear: The slip knot technique","volume":"11","author":"Chen HY","year":"2022","journal-title":"Arthrosc Tech."},{"key":"e_1_2_6_14_1","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1007\/s12178-023-09824-4","article-title":"Discoid lateral meniscus","volume":"16","author":"Campbell AL","year":"2023","journal-title":"Curr Rev Musculoskeletal Med."},{"key":"e_1_2_6_15_1","doi-asserted-by":"crossref","first-page":"e4221","DOI":"10.1016\/j.asmr.2024.100915","article-title":"Arthroscopic saucerization with repair of discoid lateral meniscus in pediatric patient younger than 12 years results in excellent outcomes","volume":"6","author":"Rublev GA","year":"2024","journal-title":"Arthrosc Sports Med Rehabil."},{"key":"e_1_2_6_16_1","doi-asserted-by":"crossref","first-page":"2758","DOI":"10.1177\/03635465241272393","article-title":"Characteristics and outcomes of operatively treated discoid lateral meniscus in pediatric and young adult patients","volume":"52","author":"Sheasley JA","year":"2024","journal-title":"Am J Sports Med."}],"container-title":["Arthroscopy Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/atn2.70319","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/atn2.70319","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/atn2.70319","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T13:16:58Z","timestamp":1792329418000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/atn2.70319"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,18]]},"references-count":15,"alternative-id":["10.1002\/atn2.70319"],"URL":"https:\/\/doi.org\/10.1002\/atn2.70319","archive":["Portico"],"relation":{},"ISSN":["2212-6287","2212-6287"],"issn-type":[{"value":"2212-6287","type":"print"},{"value":"2212-6287","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,18]]},"assertion":[{"value":"2026-02-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70319"}}