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[Ramp lesions : Tips and tricks in diagnostics and therapy].

R Seil1,2, A Hoffmann3, S Scheffler4

  • 1Abt. für Orthopädische Chirurgie, Centre Hospitalier de Luxembourg - Clinique d'Eich, Akademisches Lehrkrankenhaus der Universitätskliniken des Saarlandes Homburg/Saar, 78, rue d'Eich, 1460, Luxembourg, Luxemburg. seil.romain@chl.lu.

Der Orthopade
|September 16, 2017
PubMed
Summary
This summary is machine-generated.

Posterior medial meniscus ramp lesions, often missed during anterior cruciate ligament (ACL) surgery, can cause persistent knee laxity. Understanding these hidden lesions is crucial for successful ACL reconstruction outcomes.

Keywords:
BiomechanicsKneeMechanism of injuryMeniscosynovial lesionMeniscus

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Knee Biomechanics

Background:

  • Meniscal lesions, particularly in the posterior medial meniscus (ramp lesions), are increasingly recognized.
  • These lesions often occur with anterior cruciate ligament (ACL) injuries and are frequently missed during standard arthroscopy.
  • Ramp lesions can contribute to knee instability and may lead to ACL reconstruction failure.

Purpose of the Study:

  • To provide a comprehensive overview of ramp lesions.
  • To discuss their pathomechanism, classification, and biomechanical significance.
  • To review current treatment and repair techniques.

Main Methods:

  • Literature review of current knowledge on ramp lesions.
  • Analysis of biomechanical and anatomical factors.
  • Discussion of diagnostic and surgical approaches.

Main Results:

  • Ramp lesions are often occult, requiring specific diagnostic attention.
  • They significantly impact knee anteroposterior laxity.
  • These lesions can compromise ACL reconstruction success.

Conclusions:

  • Accurate diagnosis and management of ramp lesions are essential for optimal knee function after ACL injury.
  • Further research into the natural history and healing potential of ramp lesions is warranted.
  • Surgical repair techniques should address these specific meniscal injuries to prevent persistent laxity.