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Ramp Lesions: An Unrecognized Posteromedial Instability?
Bertrand Sonnery-Cottet1, Raphael Serra Cruz2, Thais Dutra Vieira1
1Centre Orthopédique Santy, FIFA Medical Centre of Excellence, Groupe Ramsay-Générale de Santé, Hôpital Privé Jean Mermoz, 24 Avenue Paul Santy, Lyon 69008, France.
Clinics in Sports Medicine
|November 27, 2019
Summary
Meniscal ramp lesions are common, especially with ACL injuries, but often missed due to lack of awareness and diagnostic challenges. Prompt identification and repair are crucial for knee stability.
Area of Science:
- Orthopedics
- Sports Medicine
- Knee Surgery
Background:
- Meniscal ramp lesions are increasingly recognized as a frequent injury, particularly in conjunction with anterior cruciate ligament (ACL) tears.
- Historically, diagnostic rates have been low due to unfamiliarity and challenges in identifying these specific meniscal injuries.
- Untreated ramp lesions can lead to ongoing anterior and posteromedial knee instability.
Purpose of the Study:
- To highlight the prevalence and diagnostic difficulties of meniscal ramp lesions.
- To emphasize the importance of systematic examination for accurate diagnosis.
- To underscore the clinical significance of recognizing and managing these injuries.
Main Methods:
- Systematic exploration of the posteromedial compartment of the knee is essential for diagnosis.
- Understanding the biomechanics and epidemiology of ramp lesions aids in clinical suspicion.
- Review of diagnostic challenges and implications of missed diagnoses.
Main Results:
- Meniscal ramp lesions occur more frequently than previously thought, especially in ACL-injured knees.
- Diagnostic challenges contribute to a high rate of missed injuries.
- Failure to diagnose and treat can result in persistent knee instability.
Conclusions:
- Orthopedic surgeons must be aware of the increased incidence of meniscal ramp lesions.
- Thorough examination of the posteromedial knee is mandatory for reliable diagnosis.
- Proper identification and surgical repair are vital for restoring knee stability and function.
