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

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.