Evidence map›Paper›PMID 42069586›Full record

ReviewJournal of orthopaedic surgery and research2026

Medial meniscus RAMP lesions: a novel magnetic resonance arthrography-based classification.

Luigi Tessitore, Chiara Macina, Attilio Prato, Marco Calvi, Eugenio Annibale Genovese

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Journal of orthopaedic surgery and research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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.

Luigi TessitoreDepartment of Diagnostic and Interventional Radiology, University of Insubria, Ospedale di Circolo e Fondazione Macchi, 21100, Varese, Italy.ORCID http://orcid.org/0009-0001-0081-8756
Chiara MacinaDepartment of Diagnostic and Interventional Radiology, University of Insubria, Ospedale di Circolo e Fondazione Macchi, 21100, Varese, Italy.
Attilio PratoDepartment of Diagnostic and Interventionl Radiology, ASST Santi Paolo e Carlo, Università degli Studi di Milano, 20153, Milano, Italy.
Marco CalviDepartment of Diagnostic and Interventionl Radiology, ASST dei Sette Laghi, University of Insubria, Ospedale di Circolo e Fondazione Macchi, 21100, Varese, Italy.ORCID http://orcid.org/0000-0003-1458-568X
Eugenio Annibale GenoveseMedicine and Surgery Department, Medical Clinical Institute Intermedica - Columbus, University of Insubria, 20145, Milano, Italy. eugenio.genovese@uninsubria.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Meniscal ramp lesions (RAMP) are longitudinal tears at the meniscocapsular or meniscotibial attachments of the posterior horn of the medial meniscus, commonly associated with anterior cruciate ligament (ACL) tears. Their preoperative detection on standard MRI remains limited, especially for "hidden" variants. Magnetic resonance arthrography (MRA) may theoretically enhance visualization of the posteromedial compartment through capsular distension and improved tissue contrast; however, its diagnostic superiority remains to be validated. This pictorial review introduces a conceptual MRA-based framework for describing ramp lesions (types A-E), derived from previously reported anatomical and imaging concepts in the literature and illustrated with representative institutional cases. The proposed framework emphasizes lesion topography, morphology, and contrast-medium behavior on MRA and is intended as an educational and hypothesis-generating model rather than as a validated diagnostic tool. Further studies with arthroscopic correlation, reproducibility assessment, and prospective validation are needed to determine the diagnostic and clinical value of this framework.

Indexed as

ArthrographyMagnetic Resonance ImagingMenisci, TibialTibial Meniscus InjuriesHumansAnterior cruciate ligamentMagnetic resonance imagingMeniscocapsular tearMeniscotibial ligamentMR arthrographyRamp lesion

Identifiers

PMID42069586
PMCPMC13335150

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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.