Ramp lesion (meniscus)

Changed by Henry Knipe, 13 Nov 2019

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Ramp lesion (medial meniscus(meniscus)
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Ramp lesion lesions areis defined defined as a longitudinal tear of the peripheral attachment of the posterior horn of the medial meniscus at the meniscocapsular junction 1. It is a type of meniscal injuriesinjury affecting the posterior horn medial meniscus, most frequently in the setting of pivot shift mechanism of injury (e.g. anterior cruciate ligament (ACL) injuries) 2

As it is a minor injury and has a hidden location using standard anterolateral and anteromedial arthroscopic portals, its identification guides the orthopedicianorthopedic surgeon to identify it on arthroscopy by probing of the posterior horn of the medial meniscus. 

Pathology

It is suggested to be due to disruption of the meniscotibial ligaments, or as a result of a tear of the peripheral attachment of the posterior horn of the medial meniscus 2.

Radiographic features

On MRI, it appears as an abnormal signal at the peripheral most portion of the posterior horn medial meniscus.

  • -<p><strong>Ramp lesion </strong>is defined as a longitudinal tear of the peripheral attachment of the posterior horn of the medial meniscus at the meniscocapsular junction <sup>1</sup>. It is a type of meniscal injuries affecting the posterior horn <a href="/articles/knee-menisci">medial meniscus</a>, most frequently in the setting of <a href="/articles/anterior-cruciate-ligament">anterior cruciate ligament (ACL)</a> <a href="/articles/anterior-cruciate-ligament-tear">injuries</a> <sup>2</sup>.  </p><p>As it is a minor injury and has a hidden location using standard anterolateral and anteromedial arthroscopic portals, its identification guides the orthopedician to identify it on arthroscopy by probing of the posterior horn of the medial meniscus. </p><h4>Pathology</h4><p>It is suggested to be due to disruption of the meniscotibial ligaments, or as a result of a tear of the peripheral attachment of the posterior horn of the medial meniscus <sup>2</sup>.</p><h4>Radiographic features</h4><p>On MRI, it appears as an abnormal signal at the peripheral most portion of the posterior horn medial meniscus.</p>
  • +<p><strong>Ramp lesions are</strong> defined as a longitudinal tear of the peripheral attachment of the posterior horn of the <a title="Medial meniscus" href="/articles/knee-menisci">medial meniscus</a> at the meniscocapsular junction <sup>1</sup>. It is a type of meniscal injury affecting the posterior horn medial meniscus, most frequently in the setting of pivot shift mechanism of injury (e.g. <a href="/articles/anterior-cruciate-ligament">anterior cruciate ligament (ACL)</a> <a href="/articles/anterior-cruciate-ligament-tear">injuries</a>) <sup>2</sup>. </p><p>As it is a minor injury and has a hidden location using standard anterolateral and anteromedial arthroscopic portals, its identification guides the orthopedic surgeon to identify it on arthroscopy by probing of the posterior horn of the medial meniscus. </p><h4>Pathology</h4><p>It is suggested to be due to disruption of the meniscotibial ligaments, or as a result of a tear of the peripheral attachment of the posterior horn of the medial meniscus <sup>2</sup>.</p><h4>Radiographic features</h4><p>On MRI, it appears as an abnormal signal at the peripheral most portion of the posterior horn medial meniscus.</p>

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  • sports medicine

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  • Musculoskeletal

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