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Posterior tibial slope measurement on lateral knee radiographs as a risk factor of anterior cruciate ligament injury: A cross-sectional study
Authors:V. Kızılgöz  A.K. Sivrioğlu  G.R. Ulusoy  K. Yıldız  H. Aydın  T. Çetin
Affiliation:1. Kafkas University, Faculty of Medicine, Department of Radiology, Kars, Turkey;2. Kocaeli University, Faculty of Medicine, Department of Radiology, Kocaeli, Turkey;3. Kafkas University, Faculty of Medicine, Department of Orthopaedics, Kars, Turkey;4. Abdurrahman Yurtaslan Ankara Oncology Research and Training Hospital, Department of Radiology, Ankara, Turkey
Abstract:

Introduction

The posterior tibial slope (PTS) is believed to be a risk factor for anterior cruciate ligament (ACL) injury. The aim of this study was to reveal the differences in terms of PTS measurements on lateral knee radiographs between ruptured and non-injured cases as well as between males and females in regard to ACL alignment.

Methods

The study cohort included 92 patients (61 males and 31 females) with ACL rupture and 101 individuals (59 males and 42 females) who visited the Orthopedics Department but had no ACL injury. PTS measurements on lateral knee radiographs were compared by two blinded reviewers. The results were analyzed in terms of ACL injury and sex differences. The intraclass correlation coefficient was used to calculate interobserver agreements.

Results

Notably, there was an excellent agreement between the reviewers with regard to PTS measurements. In addition, although a statistically significant difference existed in terms of PTS measurements between the patient and control groups (p < 0.0001), a significant difference was not observed between males and females (p = 0.179).

Conclusion

Lateral knee radiographs are useful for PTS measurements to estimate the risk of ACL injury.
Keywords:Anterior cruciate ligament  Injury  Posterior tibial slope  Magnetic resonance imaging  Lateral knee radiograph  ACL  Anterior cruciate ligament  ATC  Anterior tibial cortex  AUC  Area under the ROC curve  ICC  Interclass correlation coefficient  LAT  Longitudinal axis of the tibia  MPA  Mean of PTA and ATC  MR  Magnetic resonance  PTC  Posterior tibial cortex  PTS  Posterior tibial slope  ROC  Receiver operating characteristic
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