S. LUSTIG, A. ELMANSORI, T. LORDING, E. SERVIEN, P. NEYRET
168
CONCLUSION
Our results demonstrate that the tibial bony &
soft tissue slopes can be measured reliably
using an MRI-based method and both tibial &
meniscal slope were significantly larger in the
ACL injury group compared to the control.
Furthermore, the soft tissue slope is more
markedly higher in the medial compartment of
the knee compared to the lateral compartment
in the both group. Although this study
demonstrates how soft tissue alters the
traditional measurement of the bony tibial
slope, the implications of differences in slope
between medial and lateral compartments on
knee function require further research.
These geometric differences may be important
to consider when assessing the risk of knee
injury and the susceptibility to osteoarthritis.
[1] HASHEMI J, CHANDRASHEKAR N, GILL B,
BEYNNON BD, SLAUTERBECK JR, SCHUTT RC J
r
,
MANSOURI H, DABEZIES E. The geometry of the tibial
plateau and its influence on the biomechanics of the
tibiofemoral joint.
J Bone Joint Surg Am 2008 Dec; 90(12):
2724-34.
[2] TORZILLI PA, DENG X, WARREN RF. The Effect of
Joint-Compressive Load and QuadricepsMuscle Force on Knee
Motion in the Intact and Anterior Cruciate Ligament-Sectioned
Knee.
Am J Sports Med 1994 Jan-Feb; 22(1): 105-12.
[3] WORDEMAN SC, QUATMAN CE, KAEDING CC,
HEWETT TE. In Vivo Evidence for Tibial Plateau Slope as
a Risk Factor for Anterior Cruciate Ligament Injury: A
Systematic Review and Meta-analysis.
Am J Sports Med
2012 July; 40(7): 1673-81.
[4] GRIFFIN LY, ALBOHM MJ, ARENDT EA, BAHR R,
BEYNNON BD, DEMAIOM, DICK RW, ENGEBRETSEN
L, GARRETT WE J
r
, HANNAFIN JA, HEWETT TE,
HUSTON LJ, IRELAND ML. Understanding and
Preventing Noncontact Anterior Cruciate Ligament Injuries.
Am J Sports Med 2006 Sep; 34(9): 1512-32.
[5] VYAS S, VAN ECK CF, VYAS N, FU FH, OTSUKA
NY. Increased medial tibial slope in teenage pediatric
population with open physes and anterior cruciate ligament
injuries.
Knee Surg Sports Traumatol Arthrosc 2011 Mar;
19(3): 372-7.
[6] HUDEK R, FUCHS B, REGENFELDER F, KOCH PP.
Is Noncontact ACL Injury Associated with the Posterior
Tibial and Meniscal Slope?
Clin Orthop Relat Res 2011;
469: 2377-84.
[7] WHITESIDE LA, AMADOR DD. The effect of posterior
tibial slope on knee stability after Ortholoc total knee
arthroplasty.
J Arthroplasty 19883 Suppl: S51-7.
[8] HOHMANN E, BRYANT A, REABURN P,
TETSWORTH K. Is there a correlation between posterior
tibial slope and non-contact anterior cruciate ligament
injuries?
Knee Surg Sports Traumatol Arthrosc 2011, 19
(Suppl 1):S109-14.
[9] KHAN MS, SEON JK, SONG EK. Risk factors for
anterior cruciate ligament injury: assessment of tibial plateau
anatomic variables on conventional MRI using a new
combined method.
Int Orthop 2011 Aug; 35(8): 1251-6.
LITERATURE