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

JBJS Rev · Jan 01 2026 · Review

Misir A, Yuce A

Department of Orthopedics and Traumatology, Prof Dr Cemil Tascioglu City Hospital, Istanbul, Turkey

SUMMARY — THE REDUCTIONRamp lesions, present in up to 40% of ACL injuries, require systematic posteromedial arthroscopic evaluation and repair when unstable, yielding excellent outcomes and >80% return-to-sport rates.

Abstract, as published

» 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.

Read the article: PubMed · Publisher (DOI)

Featured in the 2026-08-20 issue.

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