Analysis of Posterior Tibial Slope as Risk Factor to Anterior Cruciate Ligament Tear
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Ortopedia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000100047 |
Resumo: | Abstract Objective The objective of the present study was to evaluate the relationship between patients with anterior cruciate ligament (ACL) injury by indirect trauma and increased posterior tibial inclination. Methods Retrospective study, performed by analysis of medical records and digital radiographs of patients, present in a database of a tertiary orthopedic hospital. The sample consisted of two groups, the first group consisting of patients diagnosed with ACL injury by indirect trauma, and a control group matched by age. Results Each group consisted of 275 patients, whose measurements of posterior tibial inclination were measured by three specialists. It was observed that the group of patients with ACL lesion presented a significantly higher tibial slope (in degrees) than the control group in the total sample and in the subsamples stratified by gender. The best cutoff point for the first group was identified as a posterior tibial inclination ≥ 8º, achieving a sensitivity of 63.3% and a specificity of 62.5%. The first group also had a tibial slope ratio ≥ 8º (63.3%), significantly higher than the control group (37.5%), with an odds ratio of 2.8. Conclusion It was concluded that the increase of the posterior tibial inclination is associated with an increased risk for injury of the ACL by indirect trauma, mainly for values ≥ 8º. |
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Analysis of Posterior Tibial Slope as Risk Factor to Anterior Cruciate Ligament Tearanterior cruciate ligamentligamentsknee injuriestibiaAbstract Objective The objective of the present study was to evaluate the relationship between patients with anterior cruciate ligament (ACL) injury by indirect trauma and increased posterior tibial inclination. Methods Retrospective study, performed by analysis of medical records and digital radiographs of patients, present in a database of a tertiary orthopedic hospital. The sample consisted of two groups, the first group consisting of patients diagnosed with ACL injury by indirect trauma, and a control group matched by age. Results Each group consisted of 275 patients, whose measurements of posterior tibial inclination were measured by three specialists. It was observed that the group of patients with ACL lesion presented a significantly higher tibial slope (in degrees) than the control group in the total sample and in the subsamples stratified by gender. The best cutoff point for the first group was identified as a posterior tibial inclination ≥ 8º, achieving a sensitivity of 63.3% and a specificity of 62.5%. The first group also had a tibial slope ratio ≥ 8º (63.3%), significantly higher than the control group (37.5%), with an odds ratio of 2.8. Conclusion It was concluded that the increase of the posterior tibial inclination is associated with an increased risk for injury of the ACL by indirect trauma, mainly for values ≥ 8º.Sociedade Brasileira de Ortopedia e Traumatologia2021-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000100047Revista Brasileira de Ortopedia v.56 n.1 2021reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1055/s-0040-1712495info:eu-repo/semantics/openAccessSousa Filho,Pedro Guilme Teixeira deMarques,Andre CavalcantePereira,Leonardo SoaresPigozzo,Breno AlmeidaAlbuquerque,Rodrigo Sattamini Pires eeng2021-04-01T00:00:00Zoai:scielo:S0102-36162021000100047Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2021-04-01T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Analysis of Posterior Tibial Slope as Risk Factor to Anterior Cruciate Ligament Tear |
title |
Analysis of Posterior Tibial Slope as Risk Factor to Anterior Cruciate Ligament Tear |
spellingShingle |
Analysis of Posterior Tibial Slope as Risk Factor to Anterior Cruciate Ligament Tear Sousa Filho,Pedro Guilme Teixeira de anterior cruciate ligament ligaments knee injuries tibia |
title_short |
Analysis of Posterior Tibial Slope as Risk Factor to Anterior Cruciate Ligament Tear |
title_full |
Analysis of Posterior Tibial Slope as Risk Factor to Anterior Cruciate Ligament Tear |
title_fullStr |
Analysis of Posterior Tibial Slope as Risk Factor to Anterior Cruciate Ligament Tear |
title_full_unstemmed |
Analysis of Posterior Tibial Slope as Risk Factor to Anterior Cruciate Ligament Tear |
title_sort |
Analysis of Posterior Tibial Slope as Risk Factor to Anterior Cruciate Ligament Tear |
author |
Sousa Filho,Pedro Guilme Teixeira de |
author_facet |
Sousa Filho,Pedro Guilme Teixeira de Marques,Andre Cavalcante Pereira,Leonardo Soares Pigozzo,Breno Almeida Albuquerque,Rodrigo Sattamini Pires e |
author_role |
author |
author2 |
Marques,Andre Cavalcante Pereira,Leonardo Soares Pigozzo,Breno Almeida Albuquerque,Rodrigo Sattamini Pires e |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Sousa Filho,Pedro Guilme Teixeira de Marques,Andre Cavalcante Pereira,Leonardo Soares Pigozzo,Breno Almeida Albuquerque,Rodrigo Sattamini Pires e |
dc.subject.por.fl_str_mv |
anterior cruciate ligament ligaments knee injuries tibia |
topic |
anterior cruciate ligament ligaments knee injuries tibia |
description |
Abstract Objective The objective of the present study was to evaluate the relationship between patients with anterior cruciate ligament (ACL) injury by indirect trauma and increased posterior tibial inclination. Methods Retrospective study, performed by analysis of medical records and digital radiographs of patients, present in a database of a tertiary orthopedic hospital. The sample consisted of two groups, the first group consisting of patients diagnosed with ACL injury by indirect trauma, and a control group matched by age. Results Each group consisted of 275 patients, whose measurements of posterior tibial inclination were measured by three specialists. It was observed that the group of patients with ACL lesion presented a significantly higher tibial slope (in degrees) than the control group in the total sample and in the subsamples stratified by gender. The best cutoff point for the first group was identified as a posterior tibial inclination ≥ 8º, achieving a sensitivity of 63.3% and a specificity of 62.5%. The first group also had a tibial slope ratio ≥ 8º (63.3%), significantly higher than the control group (37.5%), with an odds ratio of 2.8. Conclusion It was concluded that the increase of the posterior tibial inclination is associated with an increased risk for injury of the ACL by indirect trauma, mainly for values ≥ 8º. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000100047 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000100047 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1055/s-0040-1712495 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ortopedia v.56 n.1 2021 reponame:Revista Brasileira de Ortopedia (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
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1752122362804830208 |