{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:06:20Z","timestamp":1792109180783,"version":"4.4.0"},"reference-count":45,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2016,7,1]],"date-time":"2016-07-01T00:00:00Z","timestamp":1467331200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2016,7,1]]},"abstract":"<jats:p>Meniscal ramp lesions are more frequently associated with anterior cruciate ligament (ACL) injuries than previously recognized. Some authors suggest that this entity results from disruption of the meniscotibial ligaments of the posterior horn of the medial meniscus, whereas others support the idea that it is created by a tear of the peripheral attachment of the posterior horn of the medial meniscus. Magnetic resonance imaging (MRI) scans have been reported to have a low sensitivity, and consequently, ramp lesions often go undiagnosed. Therefore, to rule out a ramp lesion, an arthroscopic evaluation with probing of the posterior horn of the medial meniscus should be performed. Several treatment options have been reported, including nonsurgical management, inside-out meniscal repair, or all-inside meniscal repair. In cases of isolated ramp lesions, a standard meniscal repair rehabilitation protocol should be followed. However, when a concomitant ACL reconstruction (ACLR) is performed, the rehabilitation should follow the designated ACLR postoperative protocol. The purpose of this article was to review the current literature regarding meniscal ramp lesions and summarize the pertinent anatomy, biomechanics, diagnostic strategies, recommended treatment options, and postoperative protocol.<\/jats:p>","DOI":"10.1177\/2325967116657815","type":"journal-article","created":{"date-parts":[[2016,7,26]],"date-time":"2016-07-26T22:43:56Z","timestamp":1469573036000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":148,"title":["Meniscal Ramp Lesions"],"prefix":"10.1177","volume":"4","author":[{"given":"Jorge","family":"Chahla","sequence":"first","affiliation":[{"name":"The Steadman Philippon Research Institute, Vail, Colorado, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chase S.","family":"Dean","sequence":"additional","affiliation":[{"name":"The Steadman Philippon Research Institute, Vail, Colorado, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilbert","family":"Moatshe","sequence":"additional","affiliation":[{"name":"The Steadman Philippon Research Institute, Vail, Colorado, USA."},{"name":"Department of Orthopedic Surgery, Oslo University Hospital, Oslo, Norway."},{"name":"OSRTC, The Norwegian School of Sports Sciences, Oslo, Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin J.","family":"Mitchell","sequence":"additional","affiliation":[{"name":"The Steadman Philippon Research Institute, Vail, Colorado, USA."},{"name":"The Steadman Clinic, Vail, Colorado, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyler R.","family":"Cram","sequence":"additional","affiliation":[{"name":"The Steadman Philippon Research Institute, Vail, Colorado, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Yacuzzi","sequence":"additional","affiliation":[{"name":"The Steadman Philippon Research Institute, Vail, Colorado, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert F.","family":"LaPrade","sequence":"additional","affiliation":[{"name":"The Steadman Philippon Research Institute, Vail, Colorado, USA."},{"name":"The Steadman Clinic, Vail, Colorado, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,7,20]]},"reference":[{"key":"bibr1-2325967116657815","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(04)00656-5"},{"key":"bibr2-2325967116657815","doi-asserted-by":"publisher","DOI":"10.1016\/S1048-6666(95)80041-7"},{"key":"bibr3-2325967116657815","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(97)90120-1"},{"key":"bibr4-2325967116657815","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513490649"},{"key":"bibr5-2325967116657815","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.92B2.22974"},{"key":"bibr6-2325967116657815","doi-asserted-by":"publisher","DOI":"10.1007\/BF01466627"},{"key":"bibr7-2325967116657815","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511406871"},{"key":"bibr8-2325967116657815","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198062020-00013"},{"key":"bibr9-2325967116657815","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2015.10.017"},{"key":"bibr10-2325967116657815","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509339010"},{"key":"bibr11-2325967116657815","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198365040-00018"},{"key":"bibr12-2325967116657815","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515604622"},{"key":"bibr13-2325967116657815","unstructured":"Edgar C, Ware J, Obopilwe E, Ziegler C, Reed D, Arciero RA. Posteromedial meniscocapsular tear: prevalence, detection sensitivity, biomechanics, and repair technique. http:\/\/aaos2015.conferencespot.org\/58906-aaos-1.1965581\/t004-1.1971711\/f004-1.1971712\/a096-1.1971713\/se81-1.1971728#tab_0=0. Accessed June 13, 2016."},{"key":"bibr14-2325967116657815","first-page":"85","volume":"25","author":"Galliera E","year":"2011","journal-title":"J Biol Regul Homeost Agents"},{"key":"bibr15-2325967116657815","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2014.12.009"},{"key":"bibr16-2325967116657815","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511411701"},{"key":"bibr17-2325967116657815","doi-asserted-by":"publisher","DOI":"10.1177\/1941738112468416"},{"key":"bibr18-2325967116657815","unstructured":"Hatayama K, Kimura M, Ogoshi A, Takagishi K. Ramp lesion associated with anterior cruciate ligament rupture. https:\/\/www.isakos.com\/meetings\/2013congress\/onsite\/AbstractView?EventID=7751. 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