RAMP Lesions of the Meniscus

Ramp Lesion of Meniscus

Definition

• Peripheral tear at the posteromedial attachment of the medial meniscus
• Usually involves:
  • Meniscocapsular junction
  • Meniscotibial ligament
• Commonly associated with Anterior cruciate ligament injury

Key Features

• Typically occurs with ACL tears
• Causes increased anteroposterior and rotational instability
• Often missed on routine MRI and arthroscopy
• Best visualized through posteromedial arthroscopic portal