Evidence map›Paper›PMID 32978704›Full record

ReviewJournal of experimental orthopaedics2020

Ramp lesions: a systematic review of MRI diagnostic accuracy and treatment efficacy.

José Moreira, Margarida Almeida, Nuno Lunet, Manuel Gutierres

Open access · goldAbstract readReview
In one paragraph

Review in Journal of experimental orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 32 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Beyond the ACL: The Hidden Impact of Ramp Tears on Knee Stability.The archives of bone and joint surgery · 2026
    Review
  5. [Update on Meniscal Injury Treatment].Revista brasileira de ortopedia · 2025
    Article
  6. Update on Meniscal Injury Treatment.Revista brasileira de ortopedia · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Ramp Lesions of the Medial Meniscus.Current reviews in musculoskeletal medicine · 2023
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
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

4 authors at 1 institution in 2 countries.

José MoreiraFaculty of Medicine, University of Porto, Alameda Hernâni Monteiro, 4200-319, Porto, Portugal. jcpmoreira96@gmail.com.ORCID http://orcid.org/0000-0001-7445-285X
Margarida AlmeidaFaculty of Medicine, University of Porto, Alameda Hernâni Monteiro, 4200-319, Porto, Portugal.
Nuno LunetEPIUnit-Instituto de Saúde Pública, University of Porto, Porto, Portugal.
Manuel GutierresFaculty of Medicine, University of Porto, Alameda Hernâni Monteiro, 4200-319, Porto, Portugal.
Universidade do Porto · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe conducted a systematic review of the published literature to assess the accuracy of Magnetic Resonance Imaging (MRI) in establishing the presence of ramp lesions (RLs) in Anterior Cruciate Ligament (ACL) deficient knees and the clinical efficacy of the surgical repair of RLs.

methodsA comprehensive search of the MEDLINE, Web of Science and Scopus databases was performed according to PRISMA guidelines. Studies assessing MRI diagnostic accuracy for RLs or the clinical effect of RL repair in participants with ACL injuries were included. Diagnostic accuracy measures were pooled and plotted in forest plots. Preoperative and at last follow-up treatment efficacy outcome measures were extracted and plotted in forest plots, for graphical comprehension.

resultsSixteen studies met the criteria and were included. The diagnostic analysis showed a pooled sensitivity, specificity, positive and negative likelihood ratios of 65.1% (95% CI, 59.73 to 70.42), 91.6% (95% CI, 89.14 to 94.05), 2.91 (95% CI, 2.38-3.55) and 0.53 (95% CI, 0.44-0.64), respectively, with high heterogeneity (I

conclusionAlthough the results present considerable heterogeneity, MRI seems to demonstrate moderate accuracy in the diagnosis of RLs in patients with ACL tear and the surgical repair of RLs can be associated with improved overall outcomes.

Indexed as

Anterior cruciate ligamentKnee instabilityMagnetic resonance imagingMeniscal repairRamp lesions

Identifiers

PMID32978704
PMCPMC7519018
OpenAlexW3088307508

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.