Ramp lesions are not uncommon injuries. However, their prevalence, diagnostic sensitivity of MRI in detecting them & treatment guidelines are still unclear. Our study aims at evaluating the prevalence of ramp lesions in patients undergoing ACL Reconstruction(ACLR), analyse the sensitivity of MRI in detecting them & analyse the functional outcomes & anterior laxity in patients with conservatively treated stable Ramp lesions(Group A) & unstable Ramp lesions (Group B) requiring repair.

Methodology

This was a prospective study including patients undergoing ACLR between November2019 to February2021. All MRI images were scanned for signs of Ramp lesion by a senior MSK radiologist. Systematic arthroscopic examination for Ramp was carried out & Repair was done when found unstable. Functional scores(IKDC, Lysholm & KOOS score) & anterior laxity using stress radiography were assessed postoperatively between Group A & Group B & compared to patients undergoing ACLR without Ramp lesions(Group C).

Results

31/347 patients had Ramp tears with a prevalence of 8.9% with more prevalence in acute(12.4%) than chronic(6.4%) ACL tears. The sensitivity of MRI in detecting these lesions was 51%. Functional scores & anterior laxity were comparable postoperatively between Group A & Group C, Group B & Group C respectively.

Conclusion

Our study concludes that Ramp tears have a prevalence of 8.9% with more prevalence in acute ACL tears. MRI has a limited role in diagnosing these lesions with a sensitivity of 52%. Conservatively treated Stable Ramp lesions & Repaired Unstable Ramp lesions have comparable outcomes and stability to knees without Ramp lesions.

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Meniscal Repair Is A Solution In “Older” Patients: A Systematic Literature Review with Meta-Analysis ePoster Presentation Alan Getgood, MD, FRCS(Tr&Orth), DipSEM, CANADA Chris Saunders, PhD MBChB BMedSci (Hons), UNITED KINGDOM Matthew Sedgwick, Ph.D., UNITED KINGDOM
Meniscal Ramp Lesion, A Contact Characteristic Analysis In Cadaver ePoster Presentation Artit Boonrod, MD, THAILAND Khananut Jaruwanneechai, MD, THAILAND Sermsak Sumanont, MD, THAILAND Nadhaporn Saengpetch, THAILAND
Anatomical Survival of the Graft After Medial Meniscal Allograft Transplantation is Better in Patients with Lower-Grade ICRS Lesions: MRI-Based Objective Evaluation ePoster Presentation Seong-Il Bin, MD, PhD, KOREA, REPUBLIC OF Jong-Min Kim, MD, PhD, KOREA, REPUBLIC OF Bum-Sik Lee, MD, KOREA, REPUBLIC OF seonjong Lee, MD, KOREA, REPUBLIC OF Ju-Ho Song, MD, KOREA, REPUBLIC OF Ho Yeon Kim, MD, KOREA, REPUBLIC OF Jaejung Ryu, MD, KOREA, REPUBLIC OF
Biomechanical Comparison Of Novel Meniscus Cap Repair Technique With Simple Meniscus Suture And Collagen Matrix Meniscus Suture Techniques For Complex Tears Of The Medial Meniscus ePoster Presentation Kinga Ciemniewska-Gorzela, PhD, POLAND
Bone Bridge Technique For Lateral Meniscal Allograft Transplantation – No Difference In Clinical Outcome Compared To The Soft Tissue Technique ePoster Presentation Rahul Bhattacharyya, MBCHB (Hons), MD (Res), FRCS (Orth), MSc, MRCS, UNITED KINGDOM Harry Krishnan, FRCS(Tr&Orth),MEd(ULT), MBBS, BSc (Hons), UNITED KINGDOM Nicole Bausch, MSc physiotherapy and education, UNITED KINGDOM Adam Richard Pilarski, MBBS, MRCS, MBA, BA (hons), UNITED KINGDOM Niall McGoldrick, MB MCh FRCS (Tr & Orth), IRELAND Peter Thompson, MBChB, UNITED KINGDOM Andrew Metcalfe, PhD, UNITED KINGDOM Tim Spalding, FRCS(Orth), UNITED KINGDOM
Polyurethane Meniscal Scaffold In Postmeniscectomy Syndrome Presented Good Clinical Results At Minimum 10-Years Of Follow-Up ePoster Presentation Maximiliano Ibañez, MD, SPAIN Raúl Torres-Claramunt, PhD, SPAIN Pablo E. Gelber, MD, PhD, SPAIN Simone Perelli, MD,PhD, SPAIN Daniel Pérez-Prieto, MD, SPAIN Àngel Masferrer-Pino, MD PhD, SPAIN Joan Carles Monllau, MD, PhD, Prof., SPAIN
No Dynamic Extrusion of the Medial Meniscus in Ultrasound Examination in Patients with Confirmed Root Tear Lesion ePoster Presentation Katrin Karpinski, MD, GERMANY Theresa Diermeier, MD, GERMANY Lukas Willinger, MD, GERMANY Andreas B. Imhoff, MD, Prof. Emeritus, GERMANY Andrea E. Achtnich, Assoc. Prof., GERMANY Wolf Petersen, MD, Prof, GERMANY
Mid-Term Clinical And Radiological Outcomes of Lateral Meniscal Allograft Transplantation With Suture-Only Fixation Plus Capsulodesis ePoster Presentation Àngel Masferrer-Pino, MD PhD, SPAIN Rodolfo Morales-Avalos, MD, PhD., MEXICO Maximiliano Ibañez, MD, SPAIN Simone Perelli, MD,PhD, SPAIN Pablo E. Gelber, MD, PhD, SPAIN Joan Carles Monllau, MD, PhD, Prof., SPAIN
A New Arthroscopic Pull-In All-Suture Anchor Meniscus Root Tear Repair Shows Comparable Biomechanical Properties as Conventional Trans-Osseous Pull-Out and Anchor Repair ePoster Presentation Thorben Briese, MD, GERMANY Amaris Kieninger, MD, GERMANY Elmar Herbst, MD, PhD, GERMANY Johannes Glasbrenner, MD, GERMANY Christian Peez, MD, GERMANY Adrian Deichsel, MD, GERMANY Maurice Balke, MD, GERMANY Jens Wermers, MD, GERMANY Matthias Klimek, M. Sc., GERMANY Michael J. Raschke, MD, Prof., GERMANY Christoph Kittl, MD, MD(res), GERMANY

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Do All Meniscal Ramp Lesions Require Repair? A Prospective Study Of Ramp Lesions with Concomitant ACL Injury?

Do All Meniscal Ramp Lesions Require Repair? A Prospective Study Of Ramp Lesions with Concomitant ACL Injury?

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Conclusion

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Do All Meniscal Ramp Lesions Require Repair? A Prospective Study Of Ramp Lesions with Concomitant ACL Injury?

Do All Meniscal Ramp Lesions Require Repair? A Prospective Study Of Ramp Lesions with Concomitant ACL Injury?

Introduction

Methodology

Results

Conclusion

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