Rapports de cas cliniques et médicaux

Clinical and Medical Case Reports is a peer reviewed Journal that publishes novel research work conducted as case reports in the medical field on various types of Cases, covering their respective clinical and diagnosis issues. Clinical and Medical Case reports is using Editorial Tracking for maintaining the quality in peer review process. Editorial Manager is an online manuscript submission, review and tracking system. Review processing is performed by the editorial board members of Journal of Clinical Case Reports or by outside experts. At least two independent reviewers approval followed by editor approval is required for acceptance of any citable manuscript. Authors may submit manuscripts and track their progress through the system, hopefully to publication. Reviewers can download manuscripts and submit their opinions to the editor. Editors can manage the whole submission/review/revise/publish process.

Objective: Bucket-handle tears constitute about 10% of all meniscal tears. We aimed to report a case of a bucket-handle tear in a lateral discoid meniscus due to sports injury and to review the current pertaining literature.

Case Report: A 32-year-old male presented with pain, intermittent swelling, clicking and locking symptoms of his right knee for 3 months following a twisting injury while playing football. On physical examination, there were neither effusion, redness, nor scars. He had tender medial and lateral joint lines with a full range of motion. Radiograph of the knee showed widened lateral joint space and medial joint space narrowing. MRI showed increased thickness and flattening of the lateral meniscus with loss of the natural bow-tie configuration reflecting the presence of discoid meniscus. There was signal alteration within the meniscal substance extending across the entire lateral compartment indicating the presence of a tear. Diagnostic arthroscopy confirmed the presence of a bucket-handle tear in the discoid lateral meniscus. Partial meniscectomy with saucerization of the discoid lateral meniscus was performed. Postoperatively, early active range of motion with non-weight bearing mobilization was started. At 6 months postoperatively, the pain has resolved and he had no more locking or clicking symptoms.

Conclusion: Satisfactory outcome of injured patients with a bucket-handle tear in a discoid meniscus can be obtained through arthroscopic partial meniscectomy with saucerization and early rehabilitation.

Coronary ectasias are relatively rare and poorly understood pathologies. Atherosclerosis is mostly incriminated. They expose to the risk of intracoronary thrombosis by blood stasis. Stenosing lesions may be associate. We report the case of acute coronary syndrome occurring on ectatic and thrombotic artery.