Summary: Meniscal ramp lesion has diagnostic particularities and should not be missed. Faced with the risk of ACL ligamentoplasty failure if the ramp is not repaired, a codified protocol and recommendations are necessary.

Background

Meniscal ramp lesions (MRL), once considered rare, are associated with anterior cruciate ligament rupture (ACL). Arthroscopic surgery has led to the discovery of an increasing number of MRL that are not diagnosed preoperatively.

Objective

The aim of our work was to study the frequency and risk factors of meniscal ramp lesions.

Methods

We studied retrospectively the last 100 patients operated for ACL rupture between 2019 and 2020. We looked for factors involved in the genesis of these lesions. MRI sensitivity, specificity, reliability and predictive values were calculated. Lesional associations were sought.

Results

The frequency of MRL was 25%. This injury was more frequent in male (85%) sportsmen (69%) under 30 years old (61%) and the trauma causing this type of injury was a sports accident (76%), of the leaning type (84%) affecting the dominant side (88%). The only parameter with a statistically significant result was the duration of the trauma. In our work MRI had a sensitivity of 72%, specificity of 75%, negative predictive value of 89% and positive predictive value of 49%. Based on these results, the reliability of MRI was 74%. Arthroscopic surgery is considered as the "gold standard" in the diagnosis of these lesions but the classical approaches remain insufficient to fully explore and repair MRL.

Conclusion

Meniscal ramp lesion has diagnostic particularities: MRI imaging has insufficient detection and with arthroscopic surgery lesions may go unnoticed. Faced with the risk of ACL ligamentoplasty failure if the ramp is not repaired, a codified protocol and recommendations are necessary.

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Meniscus Repair Augmentation Using Blood Clot ePoster Presentation Peter T. Myers, AM, MBBS, FRACS, FAOrthA, AUSTRALIA John Dabis, MBBS, MSc SEM, MRCS, FRCS(Tr&Orth), UNITED KINGDOM Michael Goldberg, MBBS, FRACS, AUSTRALIA Andrew Stillwell, MBBS(Hons), FRACS, FA(ortho)A, AUSTRALIA
"Repair Or Resect? That Is The Question!" Inside-Out Repair Of Long Meniscus Tears Is Used to Identify Prognostic Factors and Improve Decision-Making ePoster Presentation Iftach Hetsroni, MD, Associate Prof., ISRAEL Yakir Carmeli, B.Ed., ISRAEL Shiri Bretter, M.ed, ISRAEL Gabriel Marino, MD, ISRAEL Ayelet Gonen-Vonkler, BA, ISRAEL Altaieb Agbaria, MD, ISRAEL Gideon Mann, MD, Prof., ISRAEL Nissim Ohana, MD, ISRAEL Moshe Ayalon, PhD, ISRAEL
Popliteomeniscal Fascicles Tears with Lateral Meniscus Instability: Outcomes of Arthroscopic Surgical Technique at Mid-Term Follow-Up ePoster Presentation Simone Cerciello , DR, ITALY Gianluca Ciolli, MD, ITALY Fabrizio Mocini, MD, ITALY Dario Candura, ITALY Lorenzo Proietti, MD, ITALY Roberto Simonetta, ITALY Katia Corona, MD, ITALY Gianni Di Vico, MD, ITALY
Can Local Anesthesia be Considered as Gold Standard in Knee Arthroscopy? ePoster Presentation Tilemachos Papageorgiou, MD, GREECE Stefanos Christos Papageorgiou, MD, GREECE ILIAS SOTIRIADIS, MD, GREECE Tsoumanis Dimitrios, MD, GREECE Christos D. Papageorgiou, MD, PhD, GREECE
Bidirectional Evaluation for the Lateral Meniscal Extrusion After Repairing Isolated Longitudinal Tear ePoster Presentation Akira Tsujii, MD, PhD, JAPAN Seira Sato, MD, PhD, JAPAN Tomoki Ohori, MD, PhD, JAPAN Tatsuo Mae, MD, PhD, JAPAN Kazutaka Kinugasa, MD, PhD, JAPAN Yasukazu Yonetani, MD, PhD, JAPAN Masayuki Hamada, MD, JAPAN Ken Nakata, MD, PhD, JAPAN
No Dynamic Extrusion of the Medial Meniscus in Ultrasound Examination in Patients with Confirmed Root Tear Lesion ePoster Presentation Katrin Karpinski, MD, GERMANY Theresa Diermeier, MD, GERMANY Lukas Willinger, MD, GERMANY Andreas B. Imhoff, MD, Prof. Emeritus, GERMANY Andrea E. Achtnich, Assoc. Prof., GERMANY Wolf Petersen, MD, Prof, GERMANY
Clinical Characteristics Of Isolated Meniscal Tears During Sports Activities Among Young Athletes ePoster Presentation Yuta Tachibana, M.D., Ph.D., JAPAN Kazutaka Kinugasa, MD, PhD, JAPAN Hiroshi Amano, MD, PhD, JAPAN Keisuke Kita, MD, PhD, JAPAN Yasukazu Yonetani, MD, PhD, JAPAN Shuji Horibe, MD, PhD, JAPAN Yoshinari Tanaka, MD, PhD, JAPAN
Meniscus Transplants Delay Arthroplasty in Patients Over 50 Years of Age ePoster Presentation Kevin R. Stone, MD, UNITED STATES Ann W. Walgenbach, RN, NP, MSN, UNITED STATES Shadera Slatter, MS, UNITED STATES Thomas J. Turek, PhD, UNITED STATES Caroline Ferguson-Dryden, BA, UNITED STATES Marie Dicker, BASc, UNITED STATES Emma Miltenberger, BS, UNITED STATES Riley Horn, BS, UNITED STATES Haley Cowles, BA, UNITED STATES Vivian Liu, BA, UNITED STATES Stephanie Wu, BS, UNITED STATES Mani Vessal, MA, PhD, UNITED STATES
Outcomes of Arthroscopic All-Inside Repair are Improved Compared to Transtibial Pull-Out Repair of Medial Meniscus Posterior Root Tears ePoster Presentation Kyoung Ho Yoon, MD, PhD, Prof., KOREA, REPUBLIC OF Jae-Young Park, MD, KOREA, REPUBLIC OF Cheol Hee Park, MD, PhD, KOREA, REPUBLIC OF Sang-Gyun Kim, MD, PhD, KOREA, REPUBLIC OF Yoon-Seok Kim, MD, KOREA, REPUBLIC OF Hee Sung Lee, MD, KOREA, REPUBLIC OF Sung Hyun Hwang, MD, KOREA, REPUBLIC OF Dae Keun Suh, MD, PhD, KOREA, REPUBLIC OF Bo Seung Bae, MD, KOREA, REPUBLIC OF
Meniscal Ramp Lesion, A Contact Characteristic Analysis In Cadaver ePoster Presentation Artit Boonrod, MD, THAILAND Khananut Jaruwanneechai, MD, THAILAND Sermsak Sumanont, MD, THAILAND Nadhaporn Saengpetch, MD, THAILAND

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