ArticleSkeletal radiology2022
The accuracy of MRI for the diagnosis of ramp lesions.
Article in Skeletal radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Meniscal injuries in skeletally immature children with tibial eminence fractures. Systematic review of literature.International orthopaedics · 2023Pooled it
- High prevalence of meniscal ramp lesions in anterior cruciate ligament injuries.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- K-Space Data Reconstruction Algorithm-Based MRI Diagnosis and Influencing Factors of Knee Anterior Cruciate Ligament Injury.Contrast media & molecular imaging · 2022Trial
- Medial meniscal stabilizers, variants, and injuries of the knee.Skeletal radiology · 2026Review
- Clinical efficacy of ramp lesion treatment: a systematic review and meta analysis study.European journal of translational myology · 2026Article
- Intraoperative Failure of Meniscus Fixation Devices After Range of Motion Cycling: A Survey of the Pediatric Research in Sports Medicine Society Membership.Orthopaedic journal of sports medicine · 2026Article
- Medial meniscus RAMP lesions: a novel magnetic resonance arthrography-based classification.Journal of orthopaedic surgery and research · 2026Review
- Reliability of MRI diagnosis of RAMP lesions with and without a structured checklist: A study of 200 MRIs.Journal of experimental orthopaedics · 2026Article
- Beyond the ACL: The Hidden Impact of Ramp Tears on Knee Stability.The archives of bone and joint surgery · 2026Review
- Understanding the Ramp Tears of the Knee Joint: Types, Consequences, and Treatment.The Indian journal of radiology & imaging · 2025Article
- Variability of the posteromedial meniscocapsular junction of the knee on MRI: Pitfall to imaging diagnosis of ramp lesions.European journal of radiology open · 2025Article
- Saving the Meniscus: A Retrospective Observational Study of the Incidence, Treatment, and Failure Rate of the Main Meniscal Tear Types at 24-Month Follow-Up.Journal of clinical medicine · 2025Article
- Is Trochlear Dysplasia Associated with a High Prevalence of Repaired Anterior Medial Portal Lesions in Anterior Cruciate Ligament-Deficient Knees?The Indian journal of radiology & imaging · 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
- How to repair medial meniscal ramp lesions: A systematic review of surgical techniques.Journal of experimental orthopaedics · 2024Review
- Reverse Ramp Lesion Repair in Patients With Meniscotibial Ligament Avulsion Injury: The Hidden AMRI.Arthroscopy techniques · 2024Article
- A Case Report on the Hidden Lesion of the Knee: Ramp Lesion.Journal of orthopaedic case reports · 2024Article
- Medial meniscal posterior horn tears and ramp lesions in pediatric patients: lessons learned.Pediatric radiology · 2023Article
- Meniscal ramp lesions: a lot is known, but a lot is also unknown….Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Meniscal ramp lesions: rediscovering the past.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
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
objectivesTo assess the diagnostic accuracy of MRI in diagnosing ramp lesions in patients with an acute lesion of the anterior cruciate ligament (ACL). MATERIALS AND
methodsAll consecutive patients over 15 years of age who underwent surgical repair of the ACL at a single hospital between January and May 2019, with MRI data available, were included in this retrospective study, except patients who had previous knee surgery. The gold standard was arthroscopic evaluation. Two trained radiologists with 5 and 14 years of experience did a blinded review of the MRIs. The following pathological signs were studied: complete fluid filling between the capsule and the posterior horn of the medial meniscus, irregular appearance of the posterior wall of the medial meniscus, oedema of the capsule, fluid hyperintensity in contact with the medial meniscus and anterior subluxation of the medial meniscus. Logistic regressions in univariate then multivariate analysis were carried out and measures of diagnostic accuracy and interobserver agreement were calculated with R software (version 3.6).
resultsFifty-seven patients were included. Twelve had a ramp lesion diagnosed by arthroscopy (21%). Only complete fluid hyperintensity between the posterior horn of the medial meniscus and the capsule was significantly associated with ramp lesions (P value < 0.01). The diagnostic accuracy of this specific sign was moderate, with a specificity of 84%, sensitivity of 75%, PPV of 56%, NPV of 93% and a good level of inter-observer agreement (k = 0.79).
conclusionThe complete fluid filling is the only significant pathological MRI sign for ramp lesions, with moderate accuracy.
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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.