Editorial Commentary: Medial Meniscal Ramp Lesions in the Setting of Anterior Cruciate Ligament Tears Contribute to High-Grade Anterior and Rotatory Laxity That Are Normalized by Repair.
| Autor: | Nielsen WW; University of Vermont (W.W.N.)., Geeslin AG; University of Vermont (W.W.N.). |
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| Jazyk: | angličtina |
| Zdroj: | Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association [Arthroscopy] 2024 Jun 30. Date of Electronic Publication: 2024 Jun 30. |
| DOI: | 10.1016/j.arthro.2024.06.031 |
| Abstrakt: | Meniscal ramp lesions are reported to occur in 9% to 42% of anterior cruciate ligament tears. Biomechanical research shows that the presence of a meniscal ramp lesion, in the setting of an anterior cruciate ligament tear, leads to increased knee anteroposterior and rotatory laxity when compared with an uninjured medial meniscus. This finding also has been verified clinically. Repair of ramp lesions has been shown to improve biomechanics. Accordingly, the influence of meniscal ramp lesions on knee laxity necessitates a comprehensive physical examination, imaging review, and diagnostic arthroscopy to support identification and treatment of these injuries. Arthroscopic probing is required to assess ramp lesion stability. It is generally accepted that up to 30% of ramp lesions are unstable and warrant repair, as determined by tear ≤1 cm, displacement into the medial compartment with probing, and extension beyond the lower pole of the femoral condyle. Competing Interests: Disclosures The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: A.G. reports consulting or advisory, speaking and lecture fees, and travel reimbursement from Smith & Nephew; speaking and lecture fees and travel reimbursement from Ossur Americas; Editorial Board of Arthroscopy; and Infographics Editor for Arthroscopy. W.W.N. declares that he has no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (Copyright © 2024 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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