ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2023
Decreased medial posterior tibial slope is associated with an increased risk of posterior cruciate ligament rupture.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 13 citations in OpenAlex.
- Introducing Increased Lateral Tibial Height and Decreased Medial Meniscal Bone Angle as Independent Risk Factors for Recurrent Patellar Dislocation.Orthopaedic journal of sports medicine · 2026Article
- Correlation between the posterior tibial slope, proximal tibial angle, distal femoral angle, and femoral intercondylar notch morphology and posterior cruciate ligament injury.BMC musculoskeletal disorders · 2026Article
- Treatment of isolated injuries of the posterior cruciate ligament-A 2025 Delphi-based structured expert statement by the ligament injury committee of the German Knee Society.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- [Research progress on enhanced recovery after posterior cruciate ligament reconstruction].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Review
- 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
- Joint preservation procedures: osteotomies about the knee.Annals of joint · 2025Review
- Combined PCL and anatomic posterolateral corner reconstruction: A tibial slope under 8 degrees and a persisting dorsal instability of 4 mm or more have a negative effect on the clinical outcome.Archives of orthopaedic and trauma surgery · 2024Article
- Posteromedial corner injuries result in the same posterior translation as posterolateral corner injuries in PCL ruptures.Journal of experimental orthopaedics · 2024Article
- The larger patellar tilt angle and lower intercondylar notch angle might increase posterior cruciate ligament injury risk: a retrospective comparative study.BMC musculoskeletal disorders · 2023Article
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIt remains unclear whether there is an association between posterior cruciate ligament (PCL) rupture and the medial posterior tibial slope (MTS) or lateral posterior tibial slope (LTS). The present case-control study aimed to investigate a possible association between primary PCL rupture and MTS or LTS measured by magnetic resonance imaging (MRI).
methodsA retrospective case-control study was conducted. Patients with primary PCL ruptures but not with anterior cruciate ligament injuries, were 1:1 matched by age and sex to a control group with no evidence of knee ligament injuries. Knee MRI was used to measure the MTS and LTS. In addition, the receiver operating characteristic (ROC) analysis was performed to identify an optimal cut-off value of the MTS and/or LTS.
resultsIn total, 46 patients with PCL ruptures (32 males, 14 females) and 46 controls (32 males, 14 females) were included in this study. The MTS was significantly lower in the patients with PCL ruptures (3.0° ± 2.2°) than in the control group (5.1° ± 2.3°, p < 0.001). The mean LTS/MTS ratio was significantly higher in patients with PCL ruptures (2.6 ± 2.5) than in the control group (1.3 ± 1.3, p = 0.001). However, the LTS was not significantly different between patients with PCL ruptures and the controls (4.4° ± 2.3° vs. 5.3° ± 2.6°, n.s.). After the MTS was determined to be a significant predictor, the ROC analysis was performed. The ROC analysis revealed the most accurate MTS cut-off of < 3.9°, with a sensitivity of 76.1% and a specificity of 73.9%.
conclusionA decreased MTS and an increased LTS/MTS ratio are associated with an increased risk of primary PCL rupture. People with MTS < 3.9° are particularly at risk for PCL ruptures, and prevention and intervention programs for PCL ruptures should be developed and targeted towards them. LEVELS OF EVIDENCE: Level III.
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