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Yusuf Omar Qalib Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China
These authors contributed equally to this work

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Yicun Tang Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China
These authors contributed equally to this work

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Dawei Wang Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China

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Baizhou Xing Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China

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Xingming Xu Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China

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Huading Lu Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China

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Overview of ramp lesion of the medial meniscus The medial meniscus is attached to the posterior tibial plateau and articular capsule, serving as the fundamental structure in knee joint kinematics. 1 It has a multitude of functions such as

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Vicente Carlos da Silva Campos Hospital Curry Cabral, Lisboa, Portugal

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Francisco Guerra Pinto Hospital Ortopédico de Sant’Ana, Hospital Cruz Vermelha Portuguesa, Universidad de Barcelona, Nova Medical School, Lisboa, Portugal

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Diogo Constantino Hospital Curry Cabral, Lisboa, Portugal

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Renato Andrade Clínica Do Dragão, Espregueira-Mendes Sports Centre – FIFA Medical Centre of Excellence, Porto, Portugal
Porto Biomechanics Laboratory (LABIOMEP), Faculty of Sports, University of Porto, Porto, Portugal

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João Espregueira-Mendes Clínica Do Dragão, Espregueira-Mendes Sports Centre – FIFA Medical Centre of Excellence, Porto, Portugal
Dom Henrique Research Centre, Porto, Portugal
ICVS/3Bs, PT Government Associate Laboratory, Braga/Guimarães, Portugal
School of Medicine, Minho University, Braga, Portugal

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posteromedial compartment may represent a technical challenge during arthroscopy in patients with a tight tibiofemoral joint space ( Fig. 1 ). In fact, the posterior horn of the medial meniscus is one of the most difficult areas for knee arthroscopy to access

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N. Reha Tandogan Çankaya Orthopedics, Ankara, Turkey

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Asim Kayaalp Çankaya Orthopedics, Ankara, Turkey

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collateral ligament (dMCL) originates 1 cm distally from the insertion of the sMCL on the medial epicondyle and courses deep to the sMCL. It has strong attachments to the medial meniscus and attaches a few millimetres distal to the joint line on the tibia. It

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Sebastian Kopf Center of Orthopaedics and Traumatology, Brandenburg Medical School Theodor Fontane, Germany

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Manuel-Paul Sava Orthopedics and Traumatology 2nd Department, Colentina Clinical Hospital, Bucharest, Romania

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Christian Stärke Department of Orthopaedic Surgery, Otto-von-Guericke University Magdeburg, Germany

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Roland Becker Center of Orthopaedics and Traumatology, Brandenburg Medical School Theodor Fontane, Germany

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ligament including the ‘meniscus ramp’. The meniscus ramp is the part of the coronary ligament which connects the posterior horn of the medial meniscus to the tibial head. Fig. 1 Top-down view onto the tibial plateau showing the medial and lateral

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Philippe Beaufils Department of Orthopaedics and Traumatology, Centre Hospitalier de Versailles, 78150 Le Chesnay, France

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Roland Becker Department of Orthopaedics and Traumatology, Hospital Brandenburg, Medical School Theodor Fontane, Hochstrasse 26, 14770 Brandburg/Havel, Germany

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Sebastian Kopf Center for Musculoskeletal Surgery, Charité University Medicine, Berlin, Charitéplatz 1, 10117 Berlin, Germany

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Ollivier Matthieu Department of Orthopaedics and Traumatology, Centre Hospitalier de Versailles, 78150 Le Chesnay, and Aix Marseille Univ, CNRS, ISM, Inst Movement Sci, 13000 Marseille, France

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Nicolas Pujol Department of Orthopaedics and Traumatology, Centre Hospitalier de Versailles, 78150 Le Chesnay, France

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. In stable knees (intact ACL), about 6% of acutely injured knees sustain a meniscus tear. 10 In chronic ACL-ruptured knees, the rate of meniscal tears is very high, 11 and increases with time with the medial meniscus while it remains the same

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Alberto Grassi IIa Clinica Ortopedica e Traumatologica, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

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Nicola Pizza IIa Clinica Ortopedica e Traumatologica, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

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Gian Andrea Lucidi IIa Clinica Ortopedica e Traumatologica, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

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Luca Macchiarola IIa Clinica Ortopedica e Traumatologica, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

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Massimiliano Mosca IIa Clinica Ortopedica e Traumatologica, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

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Stefano Zaffagnini IIa Clinica Ortopedica e Traumatologica, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
Dipartimento di Scienze Biomediche e Neuromotorie DIBINEM, Università di Bologna, Italy

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and loose posterior capsule and the interruption of its capsular attachments at the popliteal hiatus represent important features that differentiate the lateral meniscus from the medial meniscus. 1 These are believed to derive from the

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Manuel Saavedra Universidad Austral de Chile, Valdivia, Chile

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Matías Sepúlveda Universidad Austral de Chile, Valdivia, Chile
AO Foundation, PAEG Expert Group, Davos, Switzerland
Hospital Base de Valdivia, Valdivia, Chile

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María Jesús Tuca Clinica Alemana, Santiago, Chile
Universidad del Desarrollo, Santiago, Chile
Hospital Clínico Mutual de Seguridad, Santiago, Chile

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Estefanía Birrer Universidad Austral de Chile, Valdivia, Chile
AO Foundation, PAEG Expert Group, Davos, Switzerland

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characteristic ‘C’ configuration. The condition was initially described exclusively for the lateral meniscus in 1889 by Young, based on cadaveric studies. 1 Later, in 1930, Watson-Jones also described medial discoid meniscus, which is a very rare finding

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Mahmut Nedim Doral Hacettepe University, Faculty of Medicine, Department of Orthopaedics and Traumatology, Department of Sports Medicine, Ankara, Turkey

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Onur Bilge Konya N.E. University, Meram Faculty of Medicine, Department of Orthopaedics and Traumatology, Department of Sports Medicine, Konya, Turkey

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Gazi Huri Hacettepe University, Faculty of Medicine, Department of Orthopaedics and Traumatology, Ankara, Turkey

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Egemen Turhan Hacettepe University, Faculty of Medicine, Department of Orthopaedics and Traumatology, Ankara, Turkey

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René Verdonk Ghent University, Faculty of Medicine, Department of Orthopaedics and Traumatology, De Pintelaan, Ghent, Belgium

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-tissue structures in the medial and lateral tibiofemoral compartments of the knee joint, respectively. They are not solely a separate structure; they are a part of the ‘meniscus-meniscal ligament complex’ together with the surrounding ligamentous structures (menisco

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Sohrab Keyhani Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

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Mohammad Movahedinia Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

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Arash Sherafat Vaziri Center of Orthopedic Trans-Disciplinary Applied Research, Tehran University of Medical Sciences, Tehran, Iran

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Mehran Soleymanha Orthopedic Surgery, Poursina Hospital Orthopaedic Research Center, Guilan University of Medical Sciences, Rasht, Iran

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Fardis Vosoughi Department of Orthopaedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

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Mohammad Tahami Bone and Joint Disease Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

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Robert F LaPrade Department of Orthopedic Surgery, University of Minnesota, Minneapolis, Minnesota, USA

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posteromedial portal, one can reach the medial aspect of the PCL attached to the posterior septum and the posterior third of the medial meniscus (the entire ramp area from the corner point to the posterior root) ( 7 ) ( Fig. 1A ). Entering the posterolateral

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Alfonso Vaquero-Picado Department of Orthopaedic Surgery, ‘La Paz’ University Hospital, Spain

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E. Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, ‘La Paz’ University Hospital, Spain

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structures of the meniscus are determined by its functions. Alteration of its morphology could lead to early degenerative osteoarthritis. 11 The medial meniscus is C-shaped and slightly smaller than the lateral meniscus. 12 The lateral meniscus is

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