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Classification and Surgical Repair of Ramp Lesions of the Medial Meniscus
Author(s) -
Mathieu Thaunat,
Jean Marie Fayard,
Tales Mollica Guimarães,
Nicolas Jan,
Colin G. Murphy,
Bertrand SonneryCottet
Publication year - 2016
Publication title -
arthroscopy techniques
Language(s) - English
Resource type - Journals
ISSN - 2212-6287
DOI - 10.1016/j.eats.2016.04.009
Subject(s) - medicine , medial meniscus , tears , fibrous joint , surgery , meniscus , anterior horn , anatomy , arthroscopy , hook , anterior cruciate ligament , compartment (ship) , osteoarthritis , pathology , physics , alternative medicine , incidence (geometry) , dentistry , psychiatry , spinal cord , optics , oceanography , geology
Ramp lesions of the medial meniscus are commonly associated with anterior cruciate ligament ruptures and consist of longitudinal peripheral tears of the posterior horn of the medial meniscus. Given the frequency of partial-thickness tears, they can be difficult to diagnose arthroscopically from the anterior compartment. We describe a classification of the different types of ramp lesions depending on both tear pattern (partial- or full-thickness tear) and associated meniscotibial ligament disruption. An original technique of arthroscopic suture placement through a single posteromedial portal with a 25° curved suture hook device is described.

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