ArticleArchives of orthopaedic and trauma surgery2022
Tibial slope in the posterolateral quadrant with and without ACL injury.
Article in Archives of orthopaedic and trauma surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Imaging of the medial collateral ligament of the knee: a systematic review.Archives of orthopaedic and trauma surgery · 2022Pooled it
- Posterior tibial plateau fractures: distinguishing valgus and varus patterns to guide surgical management.International orthopaedics · 2026Review
- Return-to-Sports Rates After Anterior Cruciate Ligament Reconstruction with High-Grade Impaction Fracture of the Posterolateral Tibial Plateau.Orthopaedic journal of sports medicine · 2026Article
- Morphometric Evaluation of Anterior Cruciate Ligament Orientation and Tibial Footprint Location Using Magnetic Resonance Imaging.Diagnostics (Basel, Switzerland) · 2026Article
- Young Athletes Perceiving Greater Improvement After Return to Sport Bridge Program Sustained More Ipsilateral ACL Graft or Contralateral ACL Injuries During Their First Season Back: An Observational Study.Journal of functional morphology and kinesiology · 2025Article
- No differences in knee anthropometric-related risk factors between unilateral and bilateral ACL reconstruction: A matched MRI-based cohort study.Journal of experimental orthopaedics · 2025Article
- Bone bruise assessment in knees with ACL lesions: semi-quantitative scores outperform quantitative evaluation.Archives of orthopaedic and trauma surgery · 2025Article
- Measuring Posterior Tibial Slope: A Comparison Using a 10-cm Anatomic Axis Versus 15-cm Anatomic Axis.Orthopaedic journal of sports medicine · 2025Article
- Association of tibial slope alterations with anterior cruciate ligament (ACL) injury and mucoid degeneration.Skeletal radiology · 2025Article
- Correlation of medial tibial slope and lateral tibial slope measured on radiographs and magnetic resonance imaging in patients with anterior cruciate ligament injury.Joint diseases and related surgery · 2024Article
- Do age, gender, and region affect tibial slope? A multi-center study.Archives of orthopaedic and trauma surgery · 2023Article
- [Possibilities and limits of intraoperative 2D imaging in trauma surgery].Unfallchirurgie (Heidelberg, Germany) · 2023Review
- The influence of distribution, severity and volume of posttraumatic bone bruise on functional outcome after ACL reconstruction for isolated ACL injuries.Archives of orthopaedic and trauma surgery · 2023Article
- The "Bankart knee": high-grade impression fractures of the posterolateral tibial plateau lead to increased translational and anterolateral rotational instability of the ACL-deficient knee.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- High Prevalence of Persistent Measurable Postoperative Knee Joint Laxity in Patients with Tibial Plateau Fractures Treated by Open Reduction and Internal Fixation (ORIF).Journal of clinical medicine · 2023Article
- Letter to the editor of: "posterior tibial plateau impaction fractures are not associated with increased knee instability: a quantitative pivot shift analysis".Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Dimensions of the anterior cruciate ligament and thickness of the distal femoral growth plate in children: a MRI-based study.Archives of orthopaedic and trauma surgery · 2023Article
- Anterolateral versus modified posterolateral approach for tibial plateau fractures with involvement of the posterior column: a cadaveric study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Tibial slope in the posterolateral quadrant with and without ACL injury.Archives of orthopaedic and trauma surgery · 2022Article
- Application of CT-MRI Fusion-Based Three-Dimensional Reconstruction Technique in the Anatomic Study of Posterior Cruciate Ligament.Orthopaedic surgery · 2022Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAn increased tibial slope is a risk factor for rupture of the anterior cruciate ligament. In addition, a tibial bone bruise or posterior lateral impression associated with slope changes also poses chronic ligamentous instability of the knee joint associated with an anterior cruciate ligament (ACL) injury. In the majority of cases, the slope is measured in one plane X-ray in the lateral view. However, this does not sufficient represent the complex anatomy of the tibial plateau and especially for the posterolateral quadrant. Normal values from a "healthy" population are necessary to understand if stability of the knee joint is negatively affected by an increasing slope in the posterolateral area. Until now there are no data about the physiological slope in the posterolateral quadrant of the tibial plateau. MATERIALS AND
methodsIn 116 MRI scans of patients without ligamentous lesions and 116 MRI scans with an ACL rupture, tibial slope was retrospectively determined using the method described by Hudek et al. Measurements were made in the postero-latero-lateral (PLL) and postero-latero-central (PLC) segments using the 10-segment classification. In both segments, the osseous as well as the cartilaginous slope was measured. Measurements were performed by two independent surgeons.
resultsIn the group without ligamentous injury the mean bony PLL slope was 5.8° ± 4.8° and the cartilaginous PLL slope was 6.7° ± 4.8°. In the PLC segment the mean bony slope was 6.6° ± 5.0° and the cartilaginous slope was 9.4° ± 5.7°. In the cohort with ACL rupture, the bony and cartilaginous slope in both PLL and PCL were significantly higher (P < 0.001) than in the group without ACL injury (bony PLL 9.8° ± 4.8°, cartilage PLL 10.4° ± 4.7°, bony PLC 10.3° ± 4.8°, cartilage PLL 12.8° ± 4.3°). Measurements were performed independently by two experienced surgeons. There were good inter- (CI 87-98.7%) and good intraobserver (CI 85.8-99.6%) reliability.
conclusionThe bony and the cartilaginous slope in the posterolateral quadrant of the tibial plateau are different but not independent. Patients with an anterior cruciate ligament injury have a significantly steeper slope in the posterolateral quadrant compared to a healthy group. Our data indicate that this anatomic feature might be a risk factor for a primary ACL injury which has not been described yet. LEVEL OF EVIDENCE: III.
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