CC2021: Risk Factors for Ramp Lesions of the Medial Meniscus (November 2021)-CC2021: Risk Factors for Ramp Lesions of the Medial Meniscus (November 2021)

CC2021: Risk Factors for Ramp Lesions of the Medial Meniscus (November 2021)

Pdf Summary

A systematic review and meta-analysis of 12 studies was conducted to identify risk factors for ramp lesions of the medial meniscus in patients undergoing anterior cruciate ligament reconstruction (ACLR). The review included a total of 8,410 patients. The overall prevalence of ramp lesions was found to be 21.9%. The study identified several significant risk factors for ramp lesions, including male sex, age below 30 years, complete ACL tears, concomitant lateral meniscal tears, and posteromedial tibial edema on MRI. These risk factors were found to be associated with increased odds of having a ramp lesion. On the other hand, contact injury and revision ACLR were not significantly associated with the presence of ramp lesions. <br /><br />The findings of this study highlight the importance of identifying and repairing ramp lesions during ACLR to prevent graft failure and improve outcomes. Surgeons should pay particular attention to patients with the identified risk factors, as they are more likely to have ramp lesions. Additionally, preoperative MRI assessment can be useful in detecting posteromedial tibial edema, which is strongly associated with ramp lesions. This information can aid clinicians in raising suspicion for ramp lesions and implementing appropriate treatment strategies. Further research is warranted to better understand the relationship between risk factors and ramp lesions and to validate the findings of this study.

Keywords

ramp lesions

medial meniscus

ACLR

risk factors

prevalence

MRI

graft failure

outcomes

surgeons

treatment strategies