Seil R, Hoffmann A, Scheffler S, Theisen D, Mouton C, Pape D
Abt. für Orthopädische Chirurgie, Centre Hospitalier de Luxembourg - Clinique d'Eich, Akademisches Lehrkrankenhaus der Universitätskliniken des Saarlandes Homburg/Saar, 78, rue d'Eich, 1460, Luxembourg, Luxemburg.
Sports Medicine Research Laboratory, Luxembourg Institute of Health, Centre Médical Norbert Metz, 76, rue d'Eich, 1460, Luxembourg, Luxemburg.
Orthopade. 2017 Oct;46(10):846-854. doi: 10.1007/s00132-017-3461-z.
There is an increasing biomechanical and anatomical understanding of the different types of meniscal lesions. Lesions of the posterior part of the medial meniscus in the meniscosynovial area have recently received increased attention. They generally occur in association with anterior cruciate ligament (ACL) injuries. They are often missed ("hidden lesions") due to the fact that they cannot be seen by routine anterior arthroscopic inspection. Furthermore, meniscosynovial lesions play a role in anteroposterior knee laxity and, as such, they may be a cause of failure of ACL reconstruction or of postoperative persistent laxity. Little information is available regarding their cause with respect to injury mechanism, natural history, biomechanical implications, healing potential and treatment options. This article presents an overview of the currently available knowledge of these ramp lesions, their possible pathomechanism, classification, biomechanical relevance as well as repair techniques.
人们对不同类型半月板损伤的生物力学和解剖学认识日益加深。半月板滑膜区域内侧半月板后部的损伤近来受到了更多关注。它们通常与前交叉韧带（ACL）损伤相关。由于常规前入路关节镜检查无法看到这些损伤，它们常常被漏诊（“隐匿性损伤”）。此外，半月板滑膜损伤在膝关节前后向松弛中起作用，因此，它们可能是ACL重建失败或术后持续松弛的原因。关于其损伤机制、自然病程、生物力学影响、愈合潜力和治疗选择等方面的病因，目前所知甚少。本文概述了目前关于这些边缘后角损伤的现有知识、其可能的发病机制、分类、生物力学相关性以及修复技术。
