SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2023
High prevalence of meniscal ramp lesions in anterior cruciate ligament injuries.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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Who cites it
30 citing papers in PubMed, 62 citations in OpenAlex.
- Sports injury: biomechanical approach to interpretation of knee MRI.Skeletal radiology · 2026Review
- Angiocatheter-Assisted All-Inside Repair of Meniscal Ramp Lesions: A Simple and Cost-Effective Technique.Arthroscopy techniques · 2026Article
- Diagnostic Performance of MRI for Posterolateral Meniscocapsular Detachment in ACL-Injured Knees: A Retrospective Study.Diagnostics (Basel, Switzerland) · 2026Article
- Early Patellofemoral Osteoarthritis Following ACL Reconstruction: A Narrative Review.Healthcare (Basel, Switzerland) · 2026Review
- Meniscus Pathology in the Setting of Revision ACL Surgery: Unique Considerations.Current reviews in musculoskeletal medicine · 2026Review
- Reliability of MRI diagnosis of RAMP lesions with and without a structured checklist: A study of 200 MRIs.Journal of experimental orthopaedics · 2026Article
- Finite element analysis of stress distributions in knee ligaments and menisci during the Taekwondo Roundhouse Kick.Scientific reports · 2026Article
- Magnetic Resonance Imaging Analysis of Associated Anterolateral, Deep Medial Collateral Ligament, and Meniscal Findings in Acute Anterior Cruciate Ligament-Injured Knees.Orthopaedic journal of sports medicine · 2026Article
- Beyond the ACL: The Hidden Impact of Ramp Tears on Knee Stability.The archives of bone and joint surgery · 2026Review
- Is the Lind or LaPrade Technique Able to Control Anterior and Rotational Laxity in Medial-Side Knee Injuries? A Controlled Laboratory Study of 18 Knees.Orthopaedic journal of sports 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
- 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
- High Detection Rate of Posterolateral Tibial Plateau Fractures and Poor Functional Outcomes in Type IIIB Impaction Fractures After Anterior Cruciate Ligament Rupture and Reconstruction.Orthopaedic surgery · 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
- Single-stage ACL reconstruction and displaced bucket handle Meniscus repair is associated with lower Meniscus repair failure rates compared to two-stage surgery.Journal of experimental orthopaedics · 2025Article
- High prevalence of associated injuries in anterior cruciate ligament tears: A detailed magnetic resonance imaging analysis of 254 patients.Skeletal radiology · 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
- Biomechanical characteristics of the meniscocapsular junction of the posterior segment of the medial meniscus.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- 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
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate the prevalence of and factors associated with meniscal ramp lesions on magnetic resonance imaging (MRI) in patients with anterior cruciate ligament (ACL) injuries.
methodsData from the Natural Corollaries and Recovery after ACL injury multicentre longitudinal cohort study (NACOX) were analysed. Only patients who underwent MRI were included in this study. All MRI scans were reviewed by an orthopaedic knee surgeon and a musculoskeletal radiologist. The patients were divided into two groups, those with and without ramp lesions according to MRI findings. Univariable and stepwise forward multiple logistic regression analyses were used to evaluate patient characteristics (age, gender, body mass index, pre-injury Tegner activity level, activity at injury) and concomitant injuries on MRI (lateral meniscus, medial collateral ligament [MCL], isolated deep MCL, lateral collateral ligament, pivot-shift-type bone bruising, posteromedial tibial [PMT] bone bruising, medial femoral condyle bone bruising, lateral femoral condyle [LFC] impaction and a Segond fracture) associated with the presence of meniscal ramp lesions.
resultsA total of 253 patients (52.2% males) with a mean age of 25.4 ± 7.1 years were included. The overall prevalence of meniscal ramp lesions was 39.5% (100/253). Univariate analyses showed that contact sports at ACL injury, pivot-shift-type bone bruising, PMT bone bruising, LFC impaction and the presence of a Segond fracture increased the odds of having a meniscal ramp lesion. Stepwise forward multiple logistic regression analysis revealed that the presence of a meniscal ramp lesion was associated with contact sports at ACL injury [odds ratio (OR) 2.50; 95% confidence intervals (CI) 1.32-4.72; P = 0.005], pivot-shift-type bone bruising (OR 1.29; 95% CI 1.01-1.67; P = 0.04), PMT bone bruising (OR 4.62; 95% CI 2.61-8.19; P < 0.001) and the presence of a Segond fracture (OR 4.38; 95% CI 1.40-13.68; P = 0.001).
conclusionThe overall prevalence of meniscal ramp lesions in patients with ACL injuries was high (39.5%). Contact sports at ACL injury, pivot-shift-type bone bruising, PMT bone bruising and the presence of a Segond fracture on MRI were associated with meniscal ramp lesions. Given their high prevalence, meniscal ramp lesions should be systematically searched for on MRI in patients with ACL injuries. Knowledge of the factors associated with meniscal ramp lesions may facilitate their diagnosis, raising surgeons' and radiologists' suspicion of these tears. LEVEL OF EVIDENCE: III.
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