The influence of the tibial plateau slopes on injury of the anterior cruciate ligament: a meta-analysis

Abstract

The current meta-analysis suggests that both, increased medial and lateral tibial plateau slopes, are associated with increased susceptibility to ACL injury regardless of gender. In addition, this study indicates a stronger evidence for lateral tibial plateau slope to be associated with ACL injury compared with medial tibial plateau slope due to the larger increased angle value and on the basis of consistency among the included studies.

The effect of tibial slope in acute ACL-insufficient patients on concurrent meniscal tears

“…For ACL-insufficient patients, measured according to Hudek et al [21], PTS? standard deviation has not been reported to be higher than 10° [47]. Increased anterior tibial translation has not only been described in patients with chronic ACL instability, but also in patients with steeper PTS.…”

“…The extent of this association, however, has largely varied between the studies and is still controversially discussed [12,46,47]. In addition, recent literature has primarily focused on traumatic non-contact ACL lesion, not taking into account further damage to other structures of the knee joint.…”

An Evaluation of the Association Between Radiographic Intercondylar Notch Narrowing and Anterior Cruciate Ligament Injury in Men: The Notch Angle Is a Better Parameter Than Notch Width

“…[13][14][15] The investigation of intercondylar notch dimensions has been based on notch width and notch width index (ratio between intercondylar notch width and condylar width). 15 The relevance of both parameters in terms of the risk of ACL injury in male patients is controversial.…”

“…7,[13][14][15] Although there is greater consensus on the higher risk of ACL injury with increased posterior-lateral tibial plateau slope in men, 8,10,16 the role of the medial plateau slope [8][9][10][11]16,17 and the intercondylar notch width 12,[18][19][20] in the risk of ACL injuries remains controversial. In addition, there is a poor understanding of the role of other femoral and tibial morphologic parameters (condylar width, lateral condylar width, medial condylar width, intercondylar notch angle and depth, coronal tibial slope, anterior tibial slope, and Blumensaat line) in the risk of ACL injuries.…”

Is posterior tibial slope associated with noncontact anterior cruciate ligament injury?

“…Moreover, there exist two metaanalyses came to totally opposite conclusions [48,49]. These inconsistencies could be due to many causes, such as the difference in inclusion and exclusion criteria, imaging examination, way of diagnosis, reference axis, sample size, study type, methodological quality, and countries or origins.…”