Meniscocapsular ramp lesions in the paediatric knee: A review of diagnosis and surgical management
Year: 2026
Type: review
Abstract: Meniscocapsular ramp lesions, which are tears of the posterior horn of the medial meniscus at the meniscocapsular junction, are increasingly recognised as associated injuries, particularly in the setting of anterior cruciate ligament injuries. While extensively studied in adults, their prevalence, diagnostic challenges, and management in the paediatric and adolescent populations remain areas of active investigation. This review synthesises current evidence regarding the epidemiology, biomechanical significance, diagnostic and treatment modalities for paediatric ramp lesions. We further evaluate surgical repair techniques, including all-inside and inside-out approaches, and discuss clinical outcomes. Despite the high prevalence of these lesions in children, significant gaps exist in long-term follow-up data and standardised treatment algorithms, underscoring the need for further research to optimise care for this vulnerable patient group.
DOI: 10.5409/wjcp.120301
Institution: James Cook University Hospital
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7163200773