Kambhampati Srinivas B S, Chittoor Sai Prasad, Akella Suryanarayana Rao
Sri Dhaatri Orthopaedic, Maternity & Gynaecology Center, SKDGOC, Vijayawada, Andhra Pradesh, 531127, India.
Viswa Chakra Orthopaedic Hospital, Buttaipet, Machilipatnam, Andhra Pradesh, 521001, India.
J Clin Orthop Trauma. 2021 Feb 25;16:264-268. doi: 10.1016/j.jcot.2021.02.020. eCollection 2021 May.
Ramp lesions are important injuries that are difficult to detect on MRI and pose a challenge to diagnose on arthroscopy since they require inspection of the posteromedial compartment. No bony injury has been reported in the literature as an associated injury with the ramp lesion. We report a rare case of complete ramp tear of the posterior capsule-meniscal junction associated with fracture of the rim of the posterior medial tibial plateau and a double injury to the posterior medial meniscus forming a terrible triad with poor prognosis. This report has implications on the classifications of ramp lesions, posterior root injuries of the medial meniscus and meniscal tears as fracture of the rim adds a new dimension to these injuries.
后交叉韧带胫骨止点撕脱骨折（Ramp损伤）是一种重要的损伤，在磁共振成像（MRI）上难以检测到，并且在关节镜检查时诊断具有挑战性，因为它们需要检查后内侧间室。文献中没有报道过与Ramp损伤相关的骨损伤。我们报告了一例罕见病例，后关节囊-半月板交界处完全性Ramp撕裂，伴有胫骨后内侧平台边缘骨折以及后内侧半月板双重损伤，形成了预后不良的“三联征”。本报告对Ramp损伤、内侧半月板后根损伤和半月板撕裂的分类具有启示意义，因为边缘骨折为这些损伤增添了新的维度。
