Editorial Commentary: Ramp Lesion: The Eye Sees Only What the Mind Is Prepared to Comprehend.
editorial · Level V
Where this comes from
- Record sourced from PubMed, PMID 33172589.
- Also identified by DOI 10.1016/j.arthro.2020.06.032.
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Abstract
If our consciousness is not prepared, it is difficult to identify a ramp lesion on preoperative magnetic resonance imaging due to its low sensitivity. In clinical practice, the prevalence of ramp lesion in the anterior cruciate ligament (ACL)-injured knee can be up to 30%, with an increased frequency in chronic ACL injuries and in revision ACL. To identify the ramp lesion, routine arthroscopic exploration of the posteromedial portion of knee using a trans-notch view during ACL reconstruction therefore seems essential. A decrease in reoperation rate for secondary meniscectomy from 25% to 7% since 2013 was published by our department, after the adoption of a systematic repair through a posteromedial portal with a suture hook device for ramp lesions identified at the time of ACL reconstruction.
Medical subject headings
- Anterior Cruciate Ligament Injuries
- Anterior Cruciate Ligament Reconstruction
- Tibial Meniscus Injuries
Anatomy
- tibia