Analysis of Posterior Tibial Slope as Risk Factor to Anterior Cruciate Ligament Tear

Detalhes bibliográficos
Autor(a) principal: Sousa Filho,Pedro Guilme Teixeira de
Data de Publicação: 2021
Outros Autores: Marques,Andre Cavalcante, Pereira,Leonardo Soares, Pigozzo,Breno Almeida, Albuquerque,Rodrigo Sattamini Pires e
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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spelling 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
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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
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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)
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reponame_str Revista Brasileira de Ortopedia (Online)
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repository.name.fl_str_mv Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
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