Meniscal tears are a common comorbidity of ACL injuries. With the continuous advances in diagnostic and treatment techniques for ACL injuries, the majority of meniscal tears that coexist with ACL injuries can be diagnosed relatively accurately through clinical physical examinations and imaging examinations (e.g., MRI MRI, etc.). However, there are some specific types of meniscal tears that are not easily determined accurately and even easily missed during the treatment of ACL injuries. One type, which involves the migrating area from the posterior horn of the medial meniscus to the posterior medial capsule, is called a “ramp injury” by clinicians. This type of medial meniscus tear is difficult to diagnose with general MRI and is sometimes missed during surgery, which has attracted the attention of many specialists. Through a detailed summary of previous medical records, ? The average incidence of ramp injury was 16.6% (11.5%-22.8%). Of these, 107 (74.3%) were simple ramp injuries. There were 37 (25.7%) combined with other meniscal injuries, 5 (3.5%) combined with a medial meniscal injury other than the ramp region, and 32 (22.2%) combined with a lateral meniscal injury. The incidence of ramp injury was 18.56% in male patients and 11.97% in female patients. the incidence of ramp injury was significantly higher in patients under 30 years of age than in patients over 30 years of age. The incidence of ramp injury in the acute phase was significantly lower than in the old injury group (mean 12.7% in the acute phase group and 18.8% in the old injury group). This shows that this particular type of medial meniscal ramp injury is highly represented among patients with ACL injuries. In our current clinical experience, it is difficult to fully define ramp region meniscal tears by preoperative MRI or by routine use of anteromedial and anterolateral arthroscopic approaches during surgery, especially for injury types that remain stable after tearing. In view of the significant incidence of ramp injuries, we suggest that during arthroscopic surgery for anterior cruciate ligament injuries, the principle of “careful and comprehensive” examination should be used to consciously screen for ramp injuries to avoid missed diagnoses. In the actual clinical work, we have established a relatively complete treatment process from the time we receive the patient, through detailed physical examination, perfect auxiliary examinations (imaging) and scientific, thorough surgical planning, and strive to improve the accuracy of diagnosis to the greatest extent. This has laid an important foundation for patients to receive more timely treatment. Finally, we hope that our patients and friends can have more knowledge about their own sports injury-related diseases, and we also hope that we can build up stronger confidence that through our joint efforts, we will be able to find the most suitable diagnosis and treatment strategies for even the most “special” diseases, and help everyone to get back to We hope that through our joint efforts, we will be able to find appropriate diagnosis and treatment strategies for even the most “special” diseases, and help everyone to re-engage in sports and enjoy life more!