VKB-assoziierte Rampenläsionen des medialen Meniskus

Translated title of the contribution: ACL-associated ramp lesions of the medial meniscus

A. Hoffmann*, C. Mouton, D. Pape, R. Seil

*Corresponding author for this work

    Research output: Contribution to journalArticleResearchpeer-review

    Abstract

    Meniscosynovial lesions (MSL) are often associated with injuries of the anterior cruciate ligament (ACL). The detection of these injuries is often limited or even not possible using a routine anterior arthroscopy of the knee joint or by preoperative radiological diagnostics. The clinical relevance of these lesions is not yet fully clarified. Recent biomechanical studies have shown an increased anteroposterior and rotational laxity of the joint in unrepaired MSL. For these reasons, they are thought to be connected with the premature failure of ACL reconstructions. Inspection of the posteromedial knee joint compartment in arthroscopically confirmed ACL lesions via the trans-notch portal and examination of the meniscocapsular structures with a hook probe via a posteromedial access portal should be routinely carried out. In the diagnosis of MSL the repair contributes to a significant improvement of the knee joint laxity and therefore possibly to better long-term results with simultaneous ACL reconstruction. Reconstruction of the posteromedial structures is technically demanding and is arthroscopically carried out via one or two posteromedial access portals.

    Translated title of the contributionACL-associated ramp lesions of the medial meniscus
    Original languageGerman
    Pages (from-to)92-99
    Number of pages8
    JournalArthroskopie
    Volume30
    Issue number2
    DOIs
    Publication statusPublished - 1 Jun 2017

    Keywords

    • Anterior cruciate ligament
    • Biomechanics
    • Knee joint
    • Mechanism of injury
    • Meniscosynovial lesion

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