Meniscal Ramp Lesions

Meniscal Ramp Lesions

Meniscal ramp lesions are more frequently associated with anterior cruciate ligament (ACL) injuries than previously recognized. Some authors suggest that this entity results from disruption of the meniscotibial ligaments of the posterior horn of the medial meniscus, whereas others support the idea that it is created by a tear of the peripheral attachment of the posterior horn of the medial meni...

Inside-Out Repair of Meniscal Ramp Lesions

Meniscal ramp lesions have been reported to be present in 9% to 17% of patients undergoing anterior cruciate ligament reconstruction. Detection at the time of arthroscopy can be accomplished based upon clinical suspicion and careful evaluation without the use of an accessory posteromedial portal. Options for surgical treatment include arthroscopic repair using an all-inside or inside-out techni...

Physiopathology of the Meniscal Lesions

Meniscal Ramp Lesion Repair by a Trans-septal Portal Technique

The identification of meniscal ramp lesions can be quite difficult or even impossible with conventional anterior arthroscopic viewing and working portals. Although even the use of transnotch viewing maneuvers into the posteromedial compartment increases the likelihood of diagnosis, it is the posteromedial and trans-septal portals that provide the best direct visualization of these many times "h...

Diagnosis of meniscal lesions of the knee.

The precise diagnosis of internal dearrangement of the knee can be elusive since the signs and symptoms are frequently so similar, and standard roentgenograms are often nondiagnostic, Even at arthrotomy, it can be difficult to be certain that all etiological anatomical abnormalities have been properly visualised. For these reasons, diagnostic aids have long been sought and arthrography has been...