Evidence map›Paper›PMID 37014609›Full record

ReviewCurrent reviews in musculoskeletal medicine2023

Ramp Lesions of the Medial Meniscus.

Renaud Siboni, Charles Pioger, Christophe Jacquet, Caroline Mouton, Romain Seil

Abstract readReview
In one paragraph

Review in Current reviews in musculoskeletal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

5 authors.

Renaud SiboniUniversity of Reims Champagne-Ardennes, Reims, France.
Charles PiogerDepartment of Orthopaedic Surgery, Centre Hospitalier Luxembourg - Clinique d'Eich, Luxembourg City, Luxembourg.
Christophe JacquetDepartment of Orthopaedic Surgery, Centre Hospitalier Luxembourg - Clinique d'Eich, Luxembourg City, Luxembourg.
Caroline MoutonDepartment of Orthopaedic Surgery, Centre Hospitalier Luxembourg - Clinique d'Eich, Luxembourg City, Luxembourg.
Romain SeilDepartment of Orthopaedic Surgery, Centre Hospitalier Luxembourg - Clinique d'Eich, Luxembourg City, Luxembourg. rseil@yahoo.com.ORCID http://orcid.org/0000-0001-8806-9384

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewTo provide an overview of the recent scientific literature about ramp lesions of the medial meniscus and to summarise the current evidence on their prevalence, classification, biomechanics, surgical techniques and clinical outcomes. RECENT

findingsRamp lesions may be present in more than 1 patient undergoing ACL reconstruction out of 5 and almost half of the medial meniscal tears observed in this population. Due to the risk of persistent anterior and rotational laxity after ACL reconstruction, their repair has been advocated. There is no general agreement to date on whether and when ramp lesions should be treated surgically. Comparative studies have failed to show that the repair of stable lesions was superior in comparison to nonoperative approaches. A lower failure rate and secondary meniscectomy has been reported with a suture hook repair through the posteromedial portal in comparison with an all-inside technique. Furthermore, reconstructions of the anterolateral complex in association with ACL reconstruction may have a protective effect on ramp repair. Ramp lesions of the medial meniscus in ACL-injured knees cannot be neglected anymore. Given their novelty, their clinical impact has not been fully assessed yet, but the evidence is growing that they need to be systematically identified and eventually repaired, for which they require advanced surgical knowledge. There is, to date, no consensus on whether and when ramp lesions should be treated surgically. Their subtypes, size and stability may influence the decision-making process.

Indexed as

ACLMedial meniscusOutcomesPrevalenceRamp lesionRepair

Identifiers

PMID37014609
PMCPMC10188848

What OpenQuestion holds

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Registered trials

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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.