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conferenceseries.com
Volume 8 Journal of Sports Medicine & Doping Studies
ISSN: 2161-0673 Sports Medicine 2018
November 14-15, 2018
November 14-15, 2018 | Edinburgh, Scotland
4th International Conference on
Sports Medicine and Fitness
Ramp lesion - menisco-capsular tears
Fahad Nasser Al-Khalaf
Al Razi Orthopedic Hospital, Kuwait
Meniscal tears are seen frequently with ACL injuries. Literature shows about 40% meniscal injuries are associated with
ACL rupture. Since the late 1980’s medial meniscus posterior horn injuries has been described. Recent literature has
shown more detailed classifications of the posterior horn injuries and its meniscocapsular separation which is now known as
ramp lesions. Ramp lesions are difficult to diagnose. Images such as MRI have low sensitivity for diagnosing meniscocapsular
tears. The gold standard diagnostic tool is arthroscopy. Since ramp lesion are at the “blind spot” of the posterior knee
compartment, it became a standard step in the diagnostic arthroscopy to visualize the postro-medial compartment to roll
out ramp lesion in the setting of ACL rupture which its incidence can be up to 17%. Unrecognized large ramp lesions can be
responsible for failed reconstructed ACL. Biomechanical and laboratory studies shown that un-repaired RAMP lesions can be
responsible for increased tibio-femral joint laxity and increased tibial external/internal rotation which increases the stress over
the reconstructed ACL and might be a direct cause of graft failure. Surgical repair of ramp lesion can be technically demanding
with increased risk of saphenous nerve injury. Different approaches have been proposed for repair, and each repair can carry its
own advantages and disadvantages. Out side-in technique carries the highest risk and should be done with caution. All-inside
and inside-out techniques demonstrated higher success and it’s more supported by literature. There is no specific rehab protocol
for ramp lesion repair. Currently ACL rehab protocol is used for isolated ramp or concomitant ramp and ACL reconstruction
with similar result as isolated ACL rehab.
Biography
Fahad Nasser Al-Khalaf has completed his Medical Bachelor’s degree at the Royal College of Surgeon in Ireland-Dublin, in 2006. In 2014, he completed his Orthopedic
Training and Saudi Board of Orthopedic Surgery at King Faisal Specialist Hospital and Research Center-Riyadh, Kingdom of Saudi Arabia. In 2017, he completed his
Sport Medicine Surgery Fellowship at Queens University-Kingston, Ontario Canada. Currently, he is an Orthopedic and Sport Medicine Surgery Specialist practicing at Al
Razi Hospital-Ministry of Health in Kuwait.
Fahad Nasser Al-Khalaf, J Sports Med Dop Stud 2018, Volume 8
DOI: 10.4172/2161-0673-C2-017