These authors contributed equally to this work
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These authors contributed equally to this work
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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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Porto Biomechanics Laboratory (LABIOMEP), Faculty of Sports, University of Porto, Porto, Portugal
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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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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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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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. 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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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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AO Foundation, PAEG Expert Group, Davos, Switzerland
Hospital Base de Valdivia, Valdivia, Chile
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Universidad del Desarrollo, Santiago, Chile
Hospital Clínico Mutual de Seguridad, Santiago, Chile
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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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-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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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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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