Meniscus Preservation Strategies: Restoration to Transplantation (2023 Annual Meeting)-Meniscus Ramp Lesions

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Video Summary

Alex Golan from NYU discusses ramp lesions, meniscal injuries often linked to ACL tears, highlighting their increasing recognition over the past decade. These lesions occur at the posterior medial meniscus' peripheral zone, are often missed without detailed arthroscopic evaluation, and show limited MRI sensitivity. Biomechanical studies reveal that unstable ramp lesions increase tibial translation and rotational knee instability, especially alongside ACL tears, warranting repair. Stable lesions with minimal displacement might not require intervention. Treatment typically involves suture repair via a posterior medial portal during ACL reconstruction. Golan emphasizes careful diagnosis, especially in younger male patients, using high-quality MRI and thorough arthroscopic assessment for optimal outcomes.

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Alexander Golant, M.D.

Keywords

ramp lesions

meniscal injuries

ACL tears

arthroscopic evaluation

suture repair