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Biomechanical research shows that the presence of a meniscal ramp lesion, in the setting of an anterior cruciate ligament tear, leads to increased knee anteroposterior and rotatory laxity when compared with an uninjured medial meniscus. This finding also has been verified clinically. Repair of ramp lesions has been shown to improve biomechanics. Accordingly, the influence of meniscal ramp lesions on knee laxity necessitates a comprehensive physical examination, imaging review, and diagnostic arthroscopy to support identification and treatment of these injuries. Arthroscopic probing is required to assess ramp lesion stability. 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