ArticleThe American journal of sports medicine2020
Sex Differences in Anatomic Features Linked to Anterior Cruciate Ligament Injuries During Skeletal Growth and Maturation.
Article in The American journal of sports medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- An increased posterior tibial slope is associated with a higher risk of graft failure following ACL reconstruction: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- Notch-referenced mediolateral verification of tibial tunnel position in anterior cruciate ligament reconstruction: a 3D imaging validation study.Archives of orthopaedic and trauma surgery · 2026Article
- A Thematic Narrative Review of Osteoarthritis Risk Factors Across the Female Life Course.International journal of molecular sciences · 2026Review
- Morphologic Factors Associated With Secondary Anterior Cruciate Ligament Injury After Primary Anterior Cruciate Ligament Reconstruction.Orthopaedic journal of sports medicine · 2026Article
- Machine learning model identifies tibial anatomical variables as potential risk factors for anterior cruciate ligament injury.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Association Between Lateral Femoral Condyle Height and Depth Ratio, Medial Tibial Plateau Slope, and Isolated Posterior Cruciate Ligament Rupture.Orthopaedic journal of sports medicine · 2025Article
- Understanding ACL injuries in volleyball: a systematic review of epidemiology and risk factors.Frontiers in sports and active living · 2025Review
- The Clinical Significance of Femoral and Tibial Anatomy for Anterior Cruciate Ligament Injury and ReconstructionCurrent medical imaging · 2025Review
- Review
- The effect of bony morphology on anterior cruciate ligament injury and surgery.Acta orthopaedica et traumatologica turcica · 2024Review
- Changes in Functional Meniscal Morphology During Skeletal Growth and Maturation.Orthopaedic journal of sports medicine · 2024Article
- Boys demonstrate greater knee frontal moments than girls during the impact phase of cutting maneuvers, despite age-related increases in girls.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Morphometric characteristics of the knee are associated with the injury of the meniscus.Journal of orthopaedic surgery and research · 2022Article
- Sex-Specific Changes in Physical Risk Factors for Anterior Cruciate Ligament Injury by Chronological Age and Stages of Growth and Maturation From 8 to 18 Years of Age.Journal of athletic training · 2022Article
- Medial and Lateral Posterior Tibial Slope in the Skeletally Immature: A Cadaveric Study.Orthopaedic journal of sports medicine · 2022Article
- Comparison of mechanical properties in interference screw fixation technique and organic anterior cruciate ligament reconstruction method: a biomechanical study.BMC musculoskeletal disorders · 2021Article
- Feasibility study of early prediction of postoperative MRI findings for knee stability after anterior cruciate ligament reconstruction.BMC musculoskeletal disorders · 2021Article
- What is the impact of knee morphology on posterior cruciate ligament avulsion fracture in men and women: a case control study.BMC musculoskeletal disorders · 2021Article
- Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
backgroundSeveral anatomic features of the knee have been shown to affect joint and anterior cruciate ligament (ACL) loading and the risk of subsequent injuries. While several studies have highlighted sex differences between these anatomic features, little is known on how these differences develop during skeletal growth and maturation. HYPOTHESES: (A) Anatomic features linked to an ACL injury will significantly change during skeletal growth and maturation. (B) The age-related changes in anatomic features linked to an ACL injury are different between male and female patients. STUDY
designCross-sectional study; Level of evidence, 3.
methodsAfter institutional review board approval, magnetic resonance imaging data from 269 unique knees (patient age 3-18 years; 51% female), free from any injuries, were used to measure femoral notch width, posterior slope of the lateral tibial plateau (lateral tibial slope), medial tibial depth, tibial spine height, and posterior lateral meniscal bone angle. Linear regression was used to test the associations between age and quantified anatomic indices. Patients were then divided into 4 age groups: preschool (3-6 years), prepubertal (7-10 years), early adolescent (11-14 years), and late adolescent (15-18 years). Also, 2-way analysis of variance with the Holm-Sidak post hoc test was used to compare morphology between male and female patients in each age group.
resultsThe femoral notch width, medial tibial depth, and tibial spine height significantly increased with age (
conclusionOverall, the findings supported our hypotheses, showing sex-specific changes in anatomic features linked to an ACL injury during skeletal growth and maturation. These observations help to better explain the reported age and sex differences in the prevalence of ACL injuries. The fact that most of these anatomic features undergo substantial changes during skeletal growth and maturation introduces the hypothesis that prophylactic interventions (ie, activity modification) would have the potential to reshape a maturing knee in a manner that lowers the risk of noncontact ACL injuries.
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Registered trials
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