Meniscocapsular ramp lesions in the paediatric knee: A review of diagnosis and surgical management
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.
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BibTeX
@article{lim2026meniscocapsular,
title = {{Meniscocapsular ramp lesions in the paediatric knee: A review of diagnosis and surgical management}},
author = {Yizhe Lim and Timothy Bonner and Lisa Wood and Victoria Moss and Louw Van Niekerk and Andrea Volpin},
journal = {World Journal of Clinical Pediatrics},
year = {2026},
month = nov,
doi = {10.5409/wjcp.120301},
url = {https://doi.org/10.5409/wjcp.120301},
note = {CC BY-NC 4.0},
}
RIS
TY - JOUR
TI - Meniscocapsular ramp lesions in the paediatric knee: A review of diagnosis and surgical management
AU - Yizhe Lim
AU - Timothy Bonner
AU - Lisa Wood
AU - Victoria Moss
AU - Louw Van Niekerk
AU - Andrea Volpin
PY - 2026
DA - 2026/11/03
JO - World Journal of Clinical Pediatrics
DO - 10.5409/wjcp.120301
UR - https://doi.org/10.5409/wjcp.120301
AB - 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.
SN - 2219-2808
ER -