SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
Ramp lesions are frequently missed in ACL-deficient knees and should be repaired in case of instability.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 82 citations in OpenAlex.
- High prevalence of meniscal ramp lesions in anterior cruciate ligament injuries.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- 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 · 2023Pooled it
- An Acta Orthopaedica educational article: Current strategies for meniscal preservation in anterior cruciate ligament reconstruction.Acta orthopaedica · 2026Review
- Reliability of MRI diagnosis of RAMP lesions with and without a structured checklist: A study of 200 MRIs.Journal of experimental orthopaedics · 2026Article
- Comparison of All-Inside Suture Implant Versus Suture Hook Technique for Meniscal Ramp Lesions: A Systematic Review and Meta-analysis.Orthopaedic journal of sports medicine · 2026Review
- Beyond the ACL: The Hidden Impact of Ramp Tears on Knee Stability.The archives of bone and joint surgery · 2026Review
- Surgical Delay Beyond Three Months for Primary Anterior Cruciate Ligament Reconstruction Does not Increase Risk of Medial Meniscal Ramp Lesions or Lateral Root Tears.Arthroscopy, sports medicine, and rehabilitation · 2025Article
- Incidence and Treatment Strategy of Lateral Meniscus Posterior Root Tears and Ramp Lesions Identified During Isolated ACL Reconstructions: Report From a Nationwide Knee Ligament Register.Orthopaedic journal of sports medicine · 2025Article
- Steeper tibial and meniscal slopes as predictive factors for ramp lesions in anterior cruciate ligament injuries.Scientific reports · 2025Article
- High-grade medial femoral condyle and medial tibial plateau bone bruises predict ramp lesions of the medial meniscus in patients with anterior cruciate ligament tears: A prospective clinical and MRI evaluation.Journal of experimental orthopaedics · 2025Article
- Failure Rate of Meniscal Repair With ACL Reconstruction Among Professional Athletes: A Study of 196 Patients From the SANTI Study Group With a Mean Follow-up of 96 Months.Orthopaedic journal of sports medicine · 2025Article
- Unrepaired ramp lesions are associated with a higher risk of secondary medial meniscus bucket handle tear compared to lateral meniscus bucket handle tear after anterior cruciate ligament reconstruction.Journal of experimental orthopaedics · 2025Article
- Comparing Postoperative Outcomes of Isolated Anterior Cruciate Ligament Reconstruction and the "Terrible Triad" Anterior Cruciate Ligament Reconstruction With Medial Meniscus Ramp and Lateral Meniscus Root Repairs.Orthopaedic journal of sports medicine · 2024Article
- Approaching ramp lesions from the different world of posterior knee compartment: A review of evidence with a proposal of a new classification and treatment.Journal of experimental orthopaedics · 2024Review
- Technique for Medial Meniscus Ramp Repair: An Anatomic Approach.Arthroscopy techniques · 2024Article
- Management of Meniscus Pathology with Concomitant Anterior Cruciate Ligament Injury.Current reviews in musculoskeletal medicine · 2024Review
- Identifying unstable ramp lesions using ultrasonography.Journal of medical ultrasonics (2001) · 2024Article
- Effects of an untreated medial meniscal ramp lesion on histological deterioration findings of the medial meniscus: A study in a porcine anterior cruciate ligament reconstruction model.Journal of experimental orthopaedics · 2024Article
- A High-Grade Lachman's Exam Predicts a Ramp Tear of the Medial Meniscus in Patients with Anterior Cruciate Ligament Tear: A Prospective Clinical and Radiological Evaluation.Journal of clinical medicine · 2024Article
- Diagnosis by Manual Maneuver of Medial Meniscus Ramp Lesions.Arthroscopy techniques · 2023Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of the current study was (1) to provide an overview of common definitions and classification systems of ramp lesions (RL) and (2) to systematically review the available literature with regard to the diagnosis and treatment of RLs in anterior cruciate ligament (ACL)-deficient knees.
methodsFollowing the PRISMA guidelines, MEDLINE and Scopus were searched for articles (1) reporting on acute or chronic ACL injuries, (2) with concomitant medial meniscus injury, (3) located at the posterior meniscocapsular attachment site (and red-red zone). Ex vivo studies, reviews and technical notes were excluded.
resultsTwenty-seven studies were included based on the criteria mentioned above. RLs are common in ACL-deficient knees with a prevalence ranging from 9 to 24%. RLs should especially be suspected in younger patients, patients with an increased meniscal slope and in patients with prolonged time from injury to surgery. The sensitivity of MRI for the detection of RLs ranges from 48 to 86% at a specificity of 79-99%. For arthroscopy, RLs are easily missed through standard anterior portals (sensitivity 0-38%). RL repair leads to a significant improvement of subjective knee scores, regardless of the specific fixation technique. For stable RLs, the literature suggests equivalent postoperative stability for trephination and abrasion compared to surgical RL repair.
conclusionRamp lesions are frequently missed in ACL-deficient knees on standard arthroscopy with anterior portals only. If a RL is suspected, exploration via an additional posteromedial portal is indicated. In case of instability, RL repair should be performed. LEVEL OF EVIDENCE: IV.
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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.