2016
DOI: 10.1016/j.eats.2016.04.009
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Classification and Surgical Repair of Ramp Lesions of the Medial Meniscus

Abstract: Ramp lesions of the medial meniscus are commonly associated with anterior cruciate ligament ruptures and consist of longitudinal peripheral tears of the posterior horn of the medial meniscus. Given the frequency of partialthickness tears, they can be difficult to diagnose arthroscopically from the anterior compartment. We describe a classification of the different types of ramp lesions depending on both tear pattern (partial-or full-thickness tear) and associated meniscotibial ligament disruption. An original … Show more

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Cited by 145 publications
(157 citation statements)
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“…28 Forty percent of ramp lesions are not identified through standard anterior portal visualization and inspection of the posterior compartment via a trans-notch view, and posteromedial probing is required to identify them. 6,7 This is of particular importance, because these missed tears are repairable. 6,31 CLASSIFICATION Ramp lesions may be classified into 5 types according to their morphology 7 ( Fig.…”
Section: Objective Diagnosismentioning
confidence: 99%
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“…28 Forty percent of ramp lesions are not identified through standard anterior portal visualization and inspection of the posterior compartment via a trans-notch view, and posteromedial probing is required to identify them. 6,7 This is of particular importance, because these missed tears are repairable. 6,31 CLASSIFICATION Ramp lesions may be classified into 5 types according to their morphology 7 ( Fig.…”
Section: Objective Diagnosismentioning
confidence: 99%
“…6 To better assess this region, a trans-notch approach is recommended because it provides better visualization of the posterior meniscocapsular junction. 6,7 Although a ramp lesion may be suspected by increased mobility of the meniscus, it is essential to perform a direct visualization of the posterior meniscocapsular junction, because some of these tears (types I and II) may seem stable when inspected through anterior portals, even after probing. 7 Observing this scenario, Sonnery-Cottet and colleagues 6 have proposed a systematic arthroscopic exploration of the knee joint, 6,7 using a 30 scope, which includes 4 steps:…”
Section: Arthroscopic Assessmentmentioning
confidence: 99%
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“…Ramp lesions are characterized as a continuum of tears located along the posteromedial meniscocapsular junction and/or meniscotibial attachment of the posterior horn of the medial meniscus, associated with anterior cruciate ligament (ACL) tears. 6,7,23,24 The collective awareness of such injuries has led to improved diagnostic strategies, 3,21 knowledge of tear incidence at the time of ACL reconstruction (ACLR), 1,13 and reported risk factors for increased risk of meniscus ramp tear. 18,22 Despite this improved awareness, there is a paucity of literature reporting on the results of surgical treatment.…”
mentioning
confidence: 99%