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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Is there a correlation between posterior tibial slope and non-contact anterior cruciate ligament injuries?
Knee Surgery, Sports Traumatology, Arthroscopy, Volume 19, No. SUPPL1, Year 2011
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Description
Purpose The purpose of this study was (1) to determine differences in posterior tibial slope (PTS) between subjects who underwent ACL reconstruction following a non-contact ACL injury and a matched control uninjured group and (2) to investigate gender differences between ACL-injured subjects and gender-matched controls. Methods A retrospective chart review was conducted of all 316 ACL-deficient patients at a large regional academic teaching hospital. A control group was established searching the database of the same hospital for subjects who underwent knee radiographs for acute knee complaints with no ACL injury. Subjects (n = 272; males n = 199; females n = 73) were included if a non-contact mechanism could be established. Exclusion criteria included previous ipsilateral knee injury and/or knee previous surgery. PTS was measured on a digitalized lateral radiograph using the axis of the posterior tibial cortex as a reference. Results There was a significant difference (P = 0.008) within the ACL injury group between males and females. There was no significant difference in the PTS angle between those patients with an ACL injury (5.8 ± 3.5 degrees) and the uninjured control group (5.6 ± 3.2 degrees), or between the male ACL injury patients (5.5 ± 3.4) and their control group (5.8 ± 3.1). However, there was a significant difference between the female ACL injury patients (6.7 ± 3.7) and their uninjured control group (5.0 ± 3.4) (P = 0.004). Conclusion The results of this study suggest that increased posterior tibial slope appears to contribute to non-contact ACL injuries in females, but not in males. Level of evidence Case-control study, Level III. © Springer-Verlag 2011.
Authors & Co-Authors
Hohmann, Erik
Australia, Brisbane
The University of Queensland
Australia, Rockhampton
Cquniversity Australia
Tetsworth, Kevin Dorland
Australia, Brisbane
Royal Brisbane and Women's Hospital
Australia, Brisbane
The University of Queensland
Statistics
Citations: 118
Authors: 2
Affiliations: 4
Identifiers
Doi:
10.1007/s00167-011-1547-4
ISSN:
09422056
Research Areas
Health System And Policy
Violence And Injury
Study Design
Randomised Control Trial
Cohort Study
Case-Control Study
Participants Gender
Male
Female