.png){kind=icon}
.png){kind=icon}
Return
Association Between Posterior Tibial Slope and ACL Injury in Pediatric Patients: A Systematic Review and Meta-analysis
.png){kind=icon}
PRE
AI
A
P
S
M
P
DOI：10.1177/03635465231199649.png)
.png){kind=icon}
Original request for help.png){kind=icon}
Share.png){kind=icon}
Save
Abstract
En 中文
Background: The posterior tibial slope (PTS) has been proposed to be a radiographic risk factor for anterior cruciate ligament (ACL) injury in adults. However, this has not been well established in pediatric patients. Purpose: This systematic review and meta-analysis was performed to investigate any association between PTS and ACL tears in the pediatric population. Study Design: Systematic review and meta-analysis; Level of evidence, 4. Methods: A systematic review was performed to identify studies that examined the relationship between PTS, medial tibial slope (MTS), and lateral tibial slope (LTS) and ACL tears in children and adolescents aged <= 18 years. Full-text observational studies comparing PTS, MTS, and/or LTS values between pediatric (<= 18 years of age) patients with and without ACL injury were included in this analysis. Review articles and case series were excluded. The authors calculated the mean difference (MD) via a restricted maximum-likelihood estimator for tau square and a Hartung-Knapp adjustment for random-effects model. Results: A total of 348 articles were identified in the initial database search, yielding 10 for final inclusion and analysis. There was no statistically significant association between PTS (MD, 1.13 degrees; 95% CI, -0.55 degrees to 2.80 degrees; P =.10), MTS (MD, 0.36 degrees; 95% CI, -0.37 degrees to 1.10 degrees; P =.27), or LTS (MD, 1.41 degrees; 95% CI, -0.20 degrees to 3.02 degrees; P =.075) and risk for ACL injury in this population. Conclusion: The current study found that unlike what has been shown in adult populations, increased PTS may not be a significant risk factor for ACL tears in pediatric and adolescent patents. LTS was the only measured parameter that neared statistical significance, perhaps suggesting a potential role for this measurement in determining ACL risk if further research is done in this population.
Keywords:
knee
ACL
posterior tibial slope
pediatrics
pediatric sports medicine
musculoskeletal imaging
risk stratification
Journal
IF:
4.5
Papers:
9.4K
Citations:
4.0W
Organization
Cited Papers