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Sports Medicine
intermediate
X-Type

Meniscal Ramp Lesions - Hidden Lesions and Peripheral Tears

Meniscal Injuries

A 24-year-old footballer undergoes ACL reconstruction. During arthroscopy, standard viewing from the anterolateral portal shows an apparently intact medial meniscus. The surgeon then inserts the arthroscope through the intercondylar notch to view the posteromedial compartment. Regarding meniscal ramp lesions:

Mark each as TRUE or FALSE

A

A meniscal ramp lesion is a tear at the peripheral attachment of the posterior horn of the medial me...

B

Ramp lesions are frequently associated with ACL injuries, with reported incidence of 9-24% in ACL-de...

C

MRI has excellent sensitivity (greater than 95%) for detecting ramp lesions; the lesion is always vi...

D

Diagnosis requires systematic examination of the posteromedial compartment; techniques include viewi...

E

Untreated ramp lesions can lead to increased anterior tibial translation, as the posterior horn of t...

Answer the questions to see explanations

Click T (True) or F (False) for each option