Medial Meniscal Ramp Lesions: Current Concepts in Diagnosis and Treatment.

IF 2.8 Q2 SURGERY

JBJS Reviews Pub Date : 2026-01-13 eCollection Date: 2026-01-01 DOI:10.2106/JBJS.RVW.25.00220

Abdulhamit Misir, Ali Yuce

引用次数: 0

Abstract

» Ramp lesions occur in up to 40% of anterior cruciate ligament (ACL) injuries and are easily missed without systematic posteromedial inspection.» Magnetic resonance imaging has 70% sensitivity; arthroscopic probing using the posteromedial portal remains the diagnostic gold standard.» Unstable ramp lesions require repair; stable lesions may heal spontaneously with ACL reconstruction.» Repair restores knee stability and yields excellent outcomes comparable with isolated ACL reconstruction.» Return-to-sport rates exceed 80%, with rehabilitation mirroring standard ACL reconstruction protocols.

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内侧半月板斜坡病变：当前诊断和治疗的概念。

斜坡病变发生在高达40%的前交叉韧带（ACL）损伤中，如果没有系统的后内侧检查，很容易被遗漏。»磁共振成像灵敏度70%；使用后内侧门静脉的关节镜探查仍然是诊断的金标准。不稳定斜坡病变需要修复；稳定的病变可以通过前交叉韧带重建自行愈合。修复可恢复膝关节稳定性，并产生与孤立前交叉韧带重建相当的优异结果。恢复率超过80%，康复与标准ACL重建方案一致。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JBJS Reviews SURGERY-

CiteScore

4.40

自引率

4.30%

发文量

132

期刊介绍： JBJS Reviews is an innovative review journal from the publishers of The Journal of Bone & Joint Surgery. This continuously published online journal provides comprehensive, objective, and authoritative review articles written by recognized experts in the field. Edited by Thomas A. Einhorn, MD, and a distinguished Editorial Board, each issue of JBJS Reviews, updates the orthopaedic community on important topics in a concise, time-saving manner, providing expert insights into orthopaedic research and clinical experience. Comprehensive reviews, special features, and integrated CME provide orthopaedic surgeons with valuable perspectives on surgical practice and the latest advances in the field within twelve subspecialty areas: Basic Science, Education & Training, Elbow, Ethics, Foot & Ankle, Hand & Wrist, Hip, Infection, Knee, Oncology, Pediatrics, Pain Management, Rehabilitation, Shoulder, Spine, Sports Medicine, Trauma.