Return to sport after meniscus RAMP lesion with anterior cruciate ligament injury management: A Systematic Reviews and protocol management

The RAMP lesion is related to anterior cruciate ligament injury, and the management of the sport occupational patient is still lacking evidence and inconclusive on many issues, including return to sport timing, rehabilitation protocol, and whether to repair or leave the lesion (non-repair) during anterior cruciate ligament reconstruction. Several databases were used to search for results in PRISMA 2009 guideline was used to discuss the term "return to sport" in the RAMP lesion. Several studies were selected by the level of sport, type of sport injury, return to sport timing, level of return to sport, and post-operative rehabilitation. Totally, four studies were selected by inclusion criteria. In three studies, the follow-up timing was more than 24 months. The total of 215 patients were analyzed, and conclusions were reached. Result of the range of return to sport timing was 7 to 9 months until be able to return to same level (> 80%) both of repair RAMP lesion with ACLR except non-repair might be delayed. However, the most studies found that patient-reported outcomes did not differ significantly between the non-repair and repair RAMP sport activity groups. Most authors still recommend repair of the unstable and extended RAMP lesion with ACLR.