How should a medial meniscus ramp lesion associated with an ACL rupture be managed?

Doctor’s answer

A meniscus ramp lesion is a tear at the posterior meniscocapsular junction of the medial meniscus, commonly occurring with acute ACL tears. Because it may be occult from standard anterior portals, posteromedial trans-notch exploration is recommended. Unstable or full-thickness ramp tears typically warrant surgical suture repair to support joint stability, while small, stable partial tears may be managed with debridement, trephination, or repair based on surgical judgment.

This content is for education. Diagnosis, treatment, and rehabilitation require an individual assessment by a sports medicine specialist.