When ACL tear meets medial tibial plateau bone contusion, assess for medial meniscal ramp lesion

On knee MRI, an ACL tear with a posterior medial tibial plateau bone contusion warrants close inspection of the posterior horn of the medial meniscus for a meniscocapsular separation (ramp lesion).

• Educational radiology pearl (YouTube short) demonstrating this search pattern upgrade.
• A Type 1 ramp lesion is a complete tear of the meniscotibial ligament, as shown in the case.
• Based on a single illustrative case; diagnostic performance of this sign not reported.

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