Evidence map›Paper›PMID 27504467›Full record

ArticleOrthopaedic journal of sports medicine2016

Meniscal Ramp Lesions: Anatomy, Incidence, Diagnosis, and Treatment.

Jorge Chahla, Chase S Dean, Gilbert Moatshe, Justin J Mitchell, Tyler R Cram, Carlos Yacuzzi, Robert F LaPrade

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 3 pooled it
13.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 3 syntheses or guidelines pooled it, 147 citations in OpenAlex.

  1. Good results after treatment of  RAMP lesions in association with ACL reconstruction: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Pooled it
  2. Pooled it
  3. Ramp lesions are frequently missed in ACL-deficient knees and should be repaired in case of instability.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    Pooled it
  4. Article
  5. Article
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  8. Review
  9. Article
  10. Review
  11. Beyond the ACL: The Hidden Impact of Ramp Tears on Knee Stability.The archives of bone and joint surgery · 2026
    Review
  12. Article
  13. Article
  14. Review
  15. Association between ACL tear chronicity and ramp lesion subtypes: double longitudinal ramp lesions are predominant in chronic ACL tears.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025
    Article
  16. Article
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  19. Review
  20. Biomechanical impact of meniscal ramp lesions on knee joint contact characteristics in ACL deficient knees: a cadaveric analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article

8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Jorge ChahlaThe Steadman Philippon Research Institute, Vail, Colorado, USA.
Chase S DeanThe Steadman Philippon Research Institute, Vail, Colorado, USA.
Gilbert MoatsheThe Steadman Philippon Research Institute, Vail, Colorado, USA.; Department of Orthopedic Surgery, Oslo University Hospital, Oslo, Norway.; OSRTC, The Norwegian School of Sports Sciences, Oslo, Norway.
Justin J MitchellThe Steadman Philippon Research Institute, Vail, Colorado, USA.; The Steadman Clinic, Vail, Colorado, USA.
Tyler R CramThe Steadman Philippon Research Institute, Vail, Colorado, USA.
Carlos YacuzziThe Steadman Philippon Research Institute, Vail, Colorado, USA.
Robert F LaPradeThe Steadman Philippon Research Institute, Vail, Colorado, USA.; The Steadman Clinic, Vail, Colorado, USA.
Steadman Philippon Research Institute · USSteadman Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Meniscal ramp lesions are more frequently associated with anterior cruciate ligament (ACL) injuries than previously recognized. Some authors suggest that this entity results from disruption of the meniscotibial ligaments of the posterior horn of the medial meniscus, whereas others support the idea that it is created by a tear of the peripheral attachment of the posterior horn of the medial meniscus. Magnetic resonance imaging (MRI) scans have been reported to have a low sensitivity, and consequently, ramp lesions often go undiagnosed. Therefore, to rule out a ramp lesion, an arthroscopic evaluation with probing of the posterior horn of the medial meniscus should be performed. Several treatment options have been reported, including nonsurgical management, inside-out meniscal repair, or all-inside meniscal repair. In cases of isolated ramp lesions, a standard meniscal repair rehabilitation protocol should be followed. However, when a concomitant ACL reconstruction (ACLR) is performed, the rehabilitation should follow the designated ACLR postoperative protocol. The purpose of this article was to review the current literature regarding meniscal ramp lesions and summarize the pertinent anatomy, biomechanics, diagnostic strategies, recommended treatment options, and postoperative protocol.

Indexed as

ACLhidden lesionmeniscocapsularmeniscus tearramp lesion

Identifiers

PMID27504467
PMCPMC4963625
OpenAlexW2488844658

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.