Department of Radiology, Hospital do Coração (HCor) and Teleimagem, São Paulo, SP, Brazil.
Department of Diagnostic Imaging, Federal University of São Paulo, São Paulo, SP, Brazil.
Skeletal Radiol. 2021 Oct;50(10):2041-2047. doi: 10.1007/s00256-021-03776-x. Epub 2021 Apr 7.
Several anatomical parameters have been associated with increased risk of anterior cruciate ligament rupture; however, published studies provide conflicting results. The objectives of this study are to assess whether there is a relationship between anterior cruciate ligament rupture and the lateral and medial posterior tibial slopes, as well as the lateral and medial posterior meniscal slopes and posterior tibial and meniscal delta-slopes.
A retrospective case-control study was conducted in professional soccer athletes, using images from knee magnetic resonance imaging scans in athletes with clinical and radiological diagnosis of anterior cruciate ligament rupture, and control group, with no signs of ligament rupture.
The lateral and medial posterior tibial slopes, the lateral and medial posterior meniscal slopes, and the posterior tibial and meniscal delta-slopes showed significant differences between the groups (p < 0.05). Multivariate analysis logistic regression revealed that the lateral and medial posterior meniscal slopes proved to be predictors for increased risk of anterior cruciate ligament rupture in professional soccer players.
Posterior tibial and meniscal slopes and tibial and meniscal delta-slopes are related to a greater risk of rupture of the anterior cruciate ligament in professional male soccer athletes. The lateral and medial posterior meniscal slopes are predictors for ligament rupture.
已有多个解剖参数与前交叉韧带（ACL）撕裂的风险增加相关；然而，已发表的研究结果存在差异。本研究旨在评估 ACL 撕裂与胫骨后外侧和后内侧斜率、半月板后外侧和后内侧斜率以及胫骨和半月板后 delta 斜率之间是否存在相关性。
这是一项回顾性病例对照研究，纳入了临床和影像学诊断为 ACL 撕裂的职业足球运动员（病例组），以及无韧带撕裂迹象的对照组，使用膝关节磁共振成像扫描图像。
病例组和对照组之间的胫骨后外侧和后内侧斜率、半月板后外侧和后内侧斜率以及胫骨和半月板后 delta 斜率存在显著差异（p < 0.05）。多变量分析逻辑回归显示，半月板后外侧和后内侧斜率是职业足球运动员 ACL 撕裂风险增加的预测因子。
在职业男性足球运动员中，胫骨后外侧和后内侧斜率、半月板后外侧和后内侧斜率以及胫骨和半月板后 delta 斜率与 ACL 撕裂的风险增加相关。半月板后外侧和后内侧斜率是韧带撕裂的预测因子。
