Meniscus ramp lesions were frequently associated with anterior cruciate ligament (ACL) injuries. Some authors suggest that this entity results from disruption of the meniscotibial ligaments of the posterior horn of the medial meniscus, whereas others support the idea that it is created by a tear of the peripheral attachment of the posterior horn of the medial meniscus. Magnetic resonance imaging (MRI) scans have been reported to have a low sensitivity and as a result, ramp lesions are not often diagnosed. For this reason, to exclude a ramp lesion, the posterior horn of the medial meniscus should be examined arthroscopically with the probe. Several treatment options have been reported, including conservative treatment, inside-out ramp repair or all-inside ramp repair. For isolated ramp lesions, a standard meniscus repair rehabilitation protocol should be followed. However, if simultaneous ACL reconstruction (ACLR) is performed, postoperative rehabilitation protocol of ACLR should be followed.