{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T12:19:00Z","timestamp":1778156340132,"version":"3.51.4"},"reference-count":33,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T00:00:00Z","timestamp":1761177600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T00:00:00Z","timestamp":1761177600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T00:00:00Z","timestamp":1761177600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T00:00:00Z","timestamp":1761177600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:00:00Z","timestamp":1760572800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate the correlation between surgical delay and the incidence of ramp lesions by performing meticulous arthroscopic evaluation of the posterior compartment in patients undergoing anterior cruciate ligament (ACL) reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study included patients who underwent primary ACL reconstruction between July 2015 and January 2023. To minimize underdiagnosis of ramp lesions, all patients received comprehensive arthroscopic evaluation of the posterior compartment via intercondylar notch view and posteromedial or posterolateral portals. Meniscal tears were classified on the basis of Cooper\u2019s system, and radial and longitudinal tear components were analyzed separately. Patients were categorized into 3 groups according to time from injury to surgery: group 1 (&lt;6 weeks), group 2 (6 weeks\u20136 months), and group 3 (&gt;6 months). Incidence and tear patterns were compared among groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 201 patients were included in the study. The overall incidence of meniscal tears was lowest in group 2 (50%) compared with group 1 (73%;\n                      <jats:italic>P<\/jats:italic>\n                      = .02) and increased again in group 3 (75%;\n                      <jats:italic>P<\/jats:italic>\n                      = .04 vs group 2). Ramp lesions were significantly more common in group 3 than in group 2 (52.8% vs 23.1%;\n                      <jats:italic>P<\/jats:italic>\n                      = .02). Medial bucket\u2010handle tears also increased significantly in group 3 (22.2%) compared to group 1 (2.9%) and group 2 (0%) (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .01 and\n                      <jats:italic>P<\/jats:italic>\n                      = .02, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A surgical delay of more than 6 months was associated with a higher incidence of medial ramp lesions, which can progress to bucket\u2010handle tears in ACL\u2010deficient knees. Early surgical intervention should be considered in ACL ruptures accompanied by rotational instability to prevent progression of medial meniscal pathology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2025.101298","type":"journal-article","created":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T05:40:48Z","timestamp":1761370848000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical Delay Increases the Incidence of Ramp Lesions and Bucket\u2010Handle Tears in Anterior Cruciate Ligament Injuries"],"prefix":"10.1002","volume":"7","author":[{"given":"Dong Hwi","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Chosun University Hospital Chosun University School of Medicine Gwangju Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Do Kyung","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Samsung Changwon Hospital Sungkyunkwan University School of Medicine Changwon 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America\u00e9","name":"copyright","label":"Copyright"}],"article-number":"101298"}}