ArticleOrthopaedic journal of sports medicine2021
Association of Ligamentous Laxity, Male Sex, Chronicity, Meniscal Injury, and Posterior Tibial Slope With a High-Grade Preoperative Pivot Shift: A Post Hoc Analysis of the STABILITY Study.
Registry-linked trialOpen access · goldAbstract read
In one paragraph
Article in Orthopaedic journal of sports medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06341192 (Clinical Comparison and Motion Analysis of Sports Function Between Combined Anterolateral Ligament Reconstruction With Single Bundle and Double Bundle Anterior Cruciate Ligament Reconstruction), which is not on this map. Cited by 22 papers.
0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
5.2field-weighted citation impact, top 4% of its field
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Clinical Comparison and Motion Analysis of Sports Function Between Combined Anterolateral Ligament Reconstruction With Single Bundle and Double Bundle Anterior Cruciate Ligament Reconstruction
Who cites it
22 citing papers in PubMed, 35 citations in OpenAlex.
- Predictors of Graft Failure in Young Active Patients Undergoing Hamstring Autograft Anterior Cruciate Ligament Reconstruction With or Without a Lateral Extra-articular Tenodesis: The Stability Experience.The American journal of sports medicine · 2022Trial
- Association of Tibial Slope Morphology and Lateral-Medial Tibial Slope Asymmetry With Revision ACL Reconstruction in an Asian Cohort.Orthopaedic journal of sports medicine · 2026Article
- Lateral meniscus injuries have more impact on pivot shift than anterolateral complex injuries in anterior cruciate ligament-injured knees.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Generalised joint hypermobility and excess knee hyperextension are associated with an increased risk for second ACL injury, but not primary ACL injury, in female football players: A 5-year follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Lateral meniscus repair contributes to controlling pivot shift in patients undergoing anterior cruciate ligament reconstruction with steeper lateral posterior tibial slope.Journal of experimental orthopaedics · 2026Article
- Beighton Scoring System Use in Generalized Joint Hypermobility Studies Has Greater Scientific Rigor Than Joint-Specific or Arthroscopy Joint Hypermobility Studies.Arthroscopy, sports medicine, and rehabilitation · 2026Review
- Age is not a primary risk factor for anterior cruciate ligament injury-A comprehensive review of anterior cruciate ligament injury and reinjury risk factors confounded by young patient age.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Review
- High return to sports and favorable long-term clinical outcomes in professional elite skiers following anterior cruciate ligament reconstruction utilizing hamstring tendon autografts.BMC musculoskeletal disorders · 2025Article
- Posterior tibial slope has no impact on treatment outcome in anterior cruciate ligament revision patients.Journal of experimental orthopaedics · 2025Article
- When Should I Be Associating a Lateral Extra-Articular Procedure to My Anterior Cruciate Ligament Reconstruction? AI vs. Surgeon Decision-Making.Advances in orthopedics · 2025Article
- Anterior Slope-Modifying Osteotomies Alter the Length Change Behavior of the Superficial Medial Collateral Ligament: A Biomechanical Study.The American journal of sports medicine · 2024Article
- Single-bundle ACL combined with ALL reconstruction yields comparable outcomes in patients with varied anatomical risk factors for ACL graft failure.BMC musculoskeletal disorders · 2024Article
- Double-bundle ACL combined with ALL reconstruction for patients at high risk of ACL failure: clinical and radiological results.BMC musculoskeletal disorders · 2024Article
- The increased lateral tibial slope may result in inferior long-term clinical outcome after DB-ACL reconstruction.Archives of orthopaedic and trauma surgery · 2024Article
- Anterolateral augmentation procedures during anterior cruciate ligament reconstructions in skeletally immature patients: Scoping review of surgical techniques and outcomes.Journal of experimental orthopaedics · 2024Article
- What it takes to have a high-grade pivot shift-focus on bony morphology.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Greater Knee Rotatory Instability After Posterior Meniscocapsular Injury Versus Anterolateral Ligament Injury: A Proposed Mechanism of High-Grade Pivot Shift.Orthopaedic journal of sports medicine · 2023Article
- Steeper lateral posterior tibial slope and greater lateral-medial slope asymmetry correlate with greater preoperative pivot-shift in anterior cruciate ligament injury.Journal of experimental orthopaedics · 2022Article
- Anterior Closing Wedge Osteotomy for Failed Anterior Cruciate Ligament Reconstruction: State of the Art.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- Posterior Tibial Slope in Patients With Torn ACL Reconstruction Grafts Compared With Primary Tear or Native ACL: A Systematic Review and Meta-analysis.Orthopaedic journal of sports medicine · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
77 authors at 1 institution in 1 country.
Lachlan M BattyInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Andrew FirthInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Gilbert MoatsheInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Dianne M BryantInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Mark HeardInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Robert G McCormackInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Alex RezansoffInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Devin C PetersonInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Davide BardanaInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Peter B MacDonaldInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Peter C M VerdonkInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Tim SpaldingInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Alan M J GetgoodInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
STABILITY Study Group
Kevin WillitsInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Trevor BirminghamInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Chris HewisonInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Stacey WanlinInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Andrew FirthInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Ryan PintoInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Ashley MartindaleInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Lindsey O'NeillInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Morgan JenningsInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Michal DanilukInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Dory BoyerInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Mauri ZomarInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Karyn MoonInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Raely PritchettInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Krystan PayneInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Brenda FanInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Bindu MohanInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Gregory M BuchkoInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Laurie A HiemstraInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Sarah KerslakeInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Jeremy TynedalInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Greg StrangesInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Sheila McraeInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
LeeAnne GullettInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Holly BrownInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Alexandra LegaryInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Alison LongoInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Mat ChristianInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Celeste FergusonInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Nick MohtadiInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Rhamona BarberInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Denise ChanInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Caitlin CampbellInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Alexandra GarvenInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Karen PulsiferInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Michelle MayerInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Nicole SimunovicInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Andrew DuongInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
David RobinsonInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
David LevyInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Matt SkellyInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Ajaykumar ShanmugarajInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Fiona HowellsInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Murray ToughInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Pete ThompsonInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Andrew MetcalfeInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Laura AsplinInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Alisen DubeInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Louise ClarksonInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Jaclyn BrownInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Alison BolsoverInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Carolyn BradshawInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Larissa BelgroveInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Francis MillanInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Sylvia TurnerInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Sarah VerdugoInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Janet LoweInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Debra DunneInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Kerri McGowanInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Charlie-Marie SuddensInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Geert DeclercqInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Kristien VuylstekeInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Mieke Van HaverInvestigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.
Western University · CA
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA spectrum of anterolateral rotatory laxity exists in anterior cruciate ligament (ACL)-injured knees. Understanding of the factors contributing to a high-grade pivot shift continues to be refined. PURPOSE: To investigate factors associated with a high-grade preoperative pivot shift and to evaluate the relationship between this condition and baseline patient-reported outcome measures (PROMs). STUDY
designCross-sectional study; Level of evidence, 3.
methodsA post hoc analysis was performed of 618 patients with ACL deficiency deemed high risk for reinjury. A binary logistic regression model was developed, with high-grade pivot shift as the dependent variable. Age, sex, Beighton score, chronicity of the ACL injury, posterior third medial or lateral meniscal injury, and tibial slope were selected as independent variables. The importance of knee hyperextension as a component of the Beighton score was assessed using receiver operator characteristic curves. Baseline PROMs were compared between patients with and without a high-grade pivot.
resultsSix factors were associated with a high-grade pivot shift: Beighton score (each additional point; odds ratio [OR], 1.17; 95% CI, 1.06-1.30;
conclusionLigamentous laxity, male sex, posterior third medial or lateral meniscal injury, increased posterior tibial slope, and chronicity were associated with a high-grade pivot shift in this population deemed high risk for repeat ACL injury. The effect of tibial slope may be accentuated by the presence of meniscal injury, supporting the need for meniscal preservation. Baseline PROMs were similar between patients with and without a high-grade pivot shift.
Indexed as
anterior cruciate ligamenthyperextensioninstabilitykneelaxitypivot shift
Identifiers
What OpenQuestion holds
Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390
Registered trials
NCT06341192ClinicalTrials.gov
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.