Medial meniscus ramp tears: State of the art.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Maria Jesus Tuca reports a relationship with International Society of Arthroscopy Knee Surgery and Orthopaedic Sports Medicine that includes board membership. Maria Jesus Tuca reports a relationship with Arthrex Inc. that includes consulting or advisory. Robert F. LaPrade reports a relationship with Ossur Americas that includes consulting or advisory. Robert F. LaPrade reports a relationship with Smith and Nephew Inc that includes consulting or advisory. Robert F. LaPrade reports a relationship with Linvatec Europe that includes consulting or advisory. Robert F. LaPrade reports a relationship with Responsive Arthroscopy that includes consulting or advisory. Robert F. LaPrade reports a relationship with Ossur Americas Inc that includes funding grants. Robert F. LaPrade reports a relationship with Smith and Nephew Inc that includes funding grants. Robert F. LaPrade reports a relationship with Arthroscopy Association of North America that includes funding grants. Robert F. LaPrade reports a relationship with American Orthopaedic Society for Sports Medicine that includes funding grants. Sachin Tapasvi reports a relationship with Smith and Nephew Inc that includes consulting or advisory. Sachin Tapasvi reports a relationship with Newclip Technics that includes consulting or advisory. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Luke V. Tollefson has nothing to disclose. 10. J Orthop Case Rep. 2024 May;14(5):88-93. doi: 10.13107/jocr.2024.v14.i05.4444. Incidental Arthroscopic Finding of Rheumatoid Arthritis in a Post-traumatic Ligamentous Injury to Knee Joint. Kembhavi R(1), Bagewadi RM(1), Hublikar AA(1), Nerune SM(2). Author information: (1)Department of Orthopaedics, Shri B. M. Patil Medical College, BLDE (Deemed to be University), Vijayapura, Karnataka, India. (2)Department of Pathology, Shri B. M. Patil Medical College, BLDE (Deemed to be University), Vijayapura, Karnataka, India. INTRODUCTION: The relationship between physical trauma and subsequent symptoms of rheumatoid arthritis (RA) has been described in the past though onset of newer disease of RA in apparently normal patient is doubtful. Trauma can cause precipitation of RA symptoms. Such trauma includes fractures, joint injuries, road traffic accidents, and also surgeries and deliveries. Although post-traumatic osteoarthritis following anterior cruciate ligament (ACL) injury is more common pathology, association of RA following ACL injury has not been reported in the literature. This case report highlights on one rare incidental diagnosis of RA postoperatively in a patient with traumatic ACL tear with previously no features of RA and how patient was managed successfully both by surgical and by medical management. CASE REPORT: A 30-year-old male patient presented to us with complaints of pain over right knee associated with recurrent swelling, instability, clicking sounds, and occasional locking episodes since 6 months following twisting injury with no other symptoms in other joints of the body. Based on clinicoradiological workup, the diagnosis of traumatic complete ACL tear with medial meniscus bucket handle tear of body and posterior horn with early osteoarthritic changes was made. The patient was operated with ACL reconstruction with quadrupled hamstring graft, partial medial meniscectomy and debridement + microfracture for cartilage defects. The patient was worked up for inflammatory arthritis post operatively considering unusual synovitis of knee. Based on histopathological and serological investigations (rheumatoid factor and anticitrullinated protein antibody), the patient was put on disease modifying antirheumatoid drugs for 1 year. At 1-year follow-up, the patient was back to his normal activities with full range of movements with Lysholm Knee Score of 89. CONCLUSION: Traumatic ACL tear can result in onset of RA following trauma and needs to be worked up further when there are findings of unusual synovitis or cartilage damage arthroscopically. Such association is rare and concomitant diagnosis of RA or other inflammatory arthritis can be easily missed out if not addressed properly. Copyright: © Indian Orthopaedic Research Group. DOI: 10.13107/jocr.2024.v14.i05.4444 PMCID: PMC11111253