Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Clin Pediatr. Dec 9, 2026; 15(4): 120301
Published online Dec 9, 2026. doi: 10.5409/wjcp.120301
Published online Dec 9, 2026. doi: 10.5409/wjcp.120301
Meniscocapsular ramp lesions in the paediatric knee: A review of diagnosis and surgical management
Yizhe Lim, Timothy Bonner, Lisa Wood, Victoria Moss, Louw Van Niekerk, Andrea Volpin, Department of Trauma and Orthopedics, James Cook Hospital, Middlesbrough TS4 3BW, Redcar and Cleveland, United Kingdom
Author contributions: Lim Y led the conception and design of the study, conducted the literature review and data synthesis, and prepared the original draft of the manuscript; Bonner T, Wood L, Moss V, and Van Niekerk L contributed to manuscript development, provided critical revisions for important intellectual content, and approved the final version for publication; Volpin A is the senior author; supervised the study and approved the final manuscript; and all authors approved the final manuscript and agree to be accountable for all aspects of the work.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
Corresponding author: Andrea Volpin, MD, Consultant, Department of Trauma and Orthope
Received: February 24, 2026
Revised: March 8, 2026
Accepted: March 26, 2026
Published online: December 9, 2026
Processing time: 208 Days and 11.1 Hours
Revised: March 8, 2026
Accepted: March 26, 2026
Published online: December 9, 2026
Processing time: 208 Days and 11.1 Hours
Core Tip
Core Tip: Ramp lesions are commonly encountered when systematically sought, with reported prevalence of 20%-27% in paediatric anterior cruciate ligament (ACL) injuries. This is lower than many adult series. It is highly dependent on surgeon vigilance and exploration technique; therefore, prevalence is likely detection-dependent and not reflective of true incidence. Systematic exploration should therefore be strongly considered in high-risk cases, such as patients undergoing delayed ACL reconstruction, high-grade instability, or suggestive magnetic resonance imaging features. Biomechanical evidence suggests that repair may contribute to improved stability and graft protection, although paediatric clinical confirmation is lacking.