半月板斜坡损伤：重新发现过去。 - Suppr

Meniscal ramp lesions: rediscovering the past.

作者信息

Cristiani Riccardo, Stålman Anders, Eriksson Karl, Hamberg Per, Lysholm Jack, Seil Romain

机构信息

Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Stockholm, Sweden.

Capio Artro Clinic, FIFA Medical Centre of Excellence, Sophiahemmet Hospital, Valhallavägen 91, 11486, Stockholm, Sweden.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2022 Dec;30(12):3929-3931. doi: 10.1007/s00167-022-07184-z. Epub 2022 Oct 6.

DOI:10.1007/s00167-022-07184-z

PMID:36201010

Abstract

摘要

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Meniscal ramp lesions: rediscovering the past.半月板斜坡损伤：重新发现过去。

Knee Surg Sports Traumatol Arthrosc. 2022 Dec;30(12):3929-3931. doi: 10.1007/s00167-022-07184-z. Epub 2022 Oct 6.

Magnetic Resonance Imaging Diagnosis of Medial Meniscal Ramp Lesions in Patients With Anterior Cruciate Ligament Injuries.磁共振成像诊断前交叉韧带损伤患者内侧半月板前角病变。

Arthroscopy. 2018 May;34(5):1631-1637. doi: 10.1016/j.arthro.2017.12.022. Epub 2018 Feb 15.

The effect of a longitudinal tear of the medial meniscus on medial meniscal extrusion in anterior cruciate ligament injury patients.内侧半月板纵向撕裂对前交叉韧带损伤患者内侧半月板挤出的影响。

Knee. 2019 Dec;26(6):1292-1298. doi: 10.1016/j.knee.2019.07.019. Epub 2019 Sep 10.

Meniscal ramp lesions should be considered in anterior cruciate ligament-injured knees, especially with larger instability or longer delay before surgery.半月板前角损伤应考虑在前交叉韧带损伤的膝关节，尤其是对于较大的不稳定或更长的手术延迟。

Knee Surg Sports Traumatol Arthrosc. 2020 Nov;28(11):3569-3575. doi: 10.1007/s00167-020-06161-8. Epub 2020 Aug 7.

Evaluation of Anterolateral Ligament Injuries and Concomitant Lesions on Magnetic Resonance Imaging After Acute Anterior Cruciate Ligament Rupture.急性前交叉韧带断裂后磁共振成像评估前外侧韧带损伤及合并损伤。

Arthroscopy. 2018 Aug;34(8):2398-2406. doi: 10.1016/j.arthro.2018.02.048. Epub 2018 May 3.

Management of traumatic meniscal tear and degenerative meniscal lesions. Save the meniscus.创伤性半月板撕裂和退行性半月板病变的处理。保留半月板。

Orthop Traumatol Surg Res. 2017 Dec;103(8S):S237-S244. doi: 10.1016/j.otsr.2017.08.003. Epub 2017 Sep 2.

Analysis of Risk Factors for Ramp Lesions Associated With Anterior Cruciate Ligament Injury.前交叉韧带损伤相关的前交叉韧带损伤相关的斜坡病变的危险因素分析。

Am J Sports Med. 2020 Jun;48(7):1673-1681. doi: 10.1177/0363546520918207. Epub 2020 May 8.

Confirming the Presence of Unrecognized Meniscal Injuries on Magnetic Resonance Imaging in Pediatric and Adolescent Patients With Anterior Cruciate Ligament Tears.在患有前交叉韧带撕裂的儿童和青少年患者中，通过磁共振成像确认未被识别的半月板损伤的存在。

J Pediatr Orthop. 2019 Oct;39(9):e661-e667. doi: 10.1097/BPO.0000000000001331.

MRI can accurately detect meniscal ramp lesions of the knee.MRI 能准确检测膝关节半月板斜坡状撕裂。

Knee Surg Sports Traumatol Arthrosc. 2017 Dec;25(12):3955-3960. doi: 10.1007/s00167-017-4523-9. Epub 2017 Mar 25.

Medial meniscus ramp and lateral meniscus posterior root lesions are present in more than a third of primary and revision ACL reconstructions.内侧半月板前角和外侧半月板后根部病变在初次和翻修 ACL 重建中超过三分之一。

Knee Surg Sports Traumatol Arthrosc. 2021 Sep;29(9):3059-3067. doi: 10.1007/s00167-020-06352-3. Epub 2020 Nov 9.

引用本文的文献

Variability of the posteromedial meniscocapsular junction of the knee on MRI: Pitfall to imaging diagnosis of ramp lesions.膝关节后内侧半月板-关节囊交界处MRI表现的变异性：斜坡损伤影像诊断的陷阱

Eur J Radiol Open. 2025 Mar 24;14:100647. doi: 10.1016/j.ejro.2025.100647. eCollection 2025 Jun.

本文引用的文献

Meniscal Ramp Repair: A 2-Portal Posteromedial Approach.半月板斜坡修复：双切口后内侧入路

Arthrosc Tech. 2022 Jun 14;11(7):e1163-e1169. doi: 10.1016/j.eats.2022.02.026. eCollection 2022 Jul.

Meniscal ramp lesions - Skillful neglect or routine repair?半月板斜坡损伤——巧妙忽视还是常规修复？

J Orthop. 2022 May 9;32:31-35. doi: 10.1016/j.jor.2022.05.001. eCollection 2022 Jul-Aug.

The accuracy of MRI for the diagnosis of ramp lesions.MRI 诊断斜坡病变的准确性。

Skeletal Radiol. 2022 Mar;51(3):525-533. doi: 10.1007/s00256-021-03858-w. Epub 2021 Jul 3.

Ramp Lesion Subtypes: Prevalence, Imaging, and Arthroscopic Findings in 2156 Anterior Cruciate Ligament Reconstructions.斜坡状病灶亚型：2156 例前交叉韧带重建中的流行率、影像学和关节镜检查结果。

Am J Sports Med. 2021 Jun;49(7):1813-1821. doi: 10.1177/03635465211006103. Epub 2021 Apr 21.

Meniscal ramp lesions: frequency, natural history, and the effect on knee cartilage over 2 years in subjects with anterior cruciate ligament tears.半月板前角撕裂：2 年时的发生率、自然病史及对膝关节软骨的影响。

Skeletal Radiol. 2021 Mar;50(3):551-558. doi: 10.1007/s00256-020-03596-5. Epub 2020 Sep 8.

Analysis of Risk Factors for Ramp Lesions Associated With Anterior Cruciate Ligament Injury.前交叉韧带损伤相关的前交叉韧带损伤相关的斜坡病变的危险因素分析。

Am J Sports Med. 2020 Jun;48(7):1673-1681. doi: 10.1177/0363546520918207. Epub 2020 May 8.

MRI appearance of the different meniscal ramp lesion types, with clinical and arthroscopic correlation.不同半月板前角损伤类型的 MRI 表现，并与临床和关节镜检查相关联。

Skeletal Radiol. 2020 May;49(5):677-689. doi: 10.1007/s00256-020-03381-4. Epub 2020 Jan 25.

Ramp lesions of the medial meniscus are associated with a higher grade of dynamic rotatory laxity in ACL-injured patients in comparison to patients with an isolated injury.内侧半月板后角水平撕裂与 ACL 损伤患者相比，单纯 ACL 损伤患者的动态旋转松弛度更高。

Knee Surg Sports Traumatol Arthrosc. 2020 Apr;28(4):1023-1028. doi: 10.1007/s00167-019-05579-z. Epub 2019 Jun 27.

Ramp Lesions of the Medial Meniscus in Patients Undergoing Primary and Revision ACL Reconstruction: Prevalence and Risk Factors.初次和翻修前交叉韧带重建患者内侧半月板的斜坡损伤：患病率及危险因素

Orthop J Sports Med. 2019 May 15;7(5):2325967119843509. doi: 10.1177/2325967119843509. eCollection 2019 May.

Quantitative and Qualitative Assessment of the Posterior Medial Meniscus Anatomy: Defining Meniscal Ramp Lesions.后内侧半月板解剖的定量和定性评估：定义半月板斜坡病变。

Am J Sports Med. 2019 Feb;47(2):372-378. doi: 10.1177/0363546518814258. Epub 2018 Dec 7.

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Meniscal ramp lesions: rediscovering the past.

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