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Knee Surgery, Sports Traumatology, Arthroscopy

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01-02-2008 | Knee

Is there an influence of the tibial slope of the lateral condyle on the ACL lesion?

A case–control study

Authors: Lazar Stijak, Richard F. Herzog, Pascal Schai

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 2/2008

Abstract

This study examines the effect of the tibial slope on the anterior cruciate ligament lesion (separately on the lateral and medial tibial condyle). The study consisted of 33 matched pairs of patients divided into two groups: an examined group with a diagnosed ACL lesion, and a control group with diagnosed patellofemoral pain. The patients were matched on the basis of four attributes: age, sex, type of lesion (whether it was profession-related), and whether the lesion was left- or right-sided. Measurements were carried out by radiography and MRI. In the examined group, the lateral tibial plateau was significantly greater than in the control group (P < 0.001), and the medial tibial plateau had lower tibial slope values than the control group; however, the difference was not statistically significant (P = 0.066). In both groups, the difference between the slopes on the lateral and medial plateaus was statistically significant (P < 0.001). In relation to ACL intact patients, population with ACL rupture have greater tibial slope of the lateral condyle. The greater tibial slope of the lateral tibial plateau may be the factor that leads to the injury of the anterior cruciate ligament. Compared to the medial plateau, the population with ACL rupture have a greater tibial slope on the lateral plateau, while the population of the intact ACL have greater tibial slope on the medial plateau. The tibial slope of the medial and lateral condyle should be compared separately because the values obtained from the two sets of data were different, revealing apparently opposing effects on the ACL lesion.

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Title: Is there an influence of the tibial slope of the lateral condyle on the ACL lesion?
A case–control study
Authors: Lazar Stijak
Richard F. Herzog
Pascal Schai
Publication date: 01-02-2008
Publisher: Springer-Verlag
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 2/2008
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-007-0438-1

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Is there an influence of the tibial slope of the lateral condyle on the ACL lesion?

A case–control study

Abstract

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Abstract

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