Tibial Spine Height Measured by Radiograph Is a Risk Factor for Non-Contact Anterior Cruciate Ligament Injury in Males: A Retrospective Case-Control Study

作者全名："Nie, Shixin; Chen, Jiaxing; Zhang, Hua; Zhao, Pei; Huang, Wei"

作者地址："[Nie, Shixin; Chen, Jiaxing; Zhang, Hua; Zhao, Pei; Huang, Wei] First Affiliated Hosp Chongqing Med Univ, Dept Orthoped, Chongqing 400016, Peoples R China; [Nie, Shixin; Chen, Jiaxing; Zhang, Hua; Zhao, Pei; Huang, Wei] Orthoped Lab Chongqing Med Univ, Chongqing 400016, Peoples R China"

通信作者："Huang, W (通讯作者)，First Affiliated Hosp Chongqing Med Univ, Dept Orthoped, Chongqing 400016, Peoples R China.; Huang, W (通讯作者)，Orthoped Lab Chongqing Med Univ, Chongqing 400016, Peoples R China."

来源：INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH

ESI学科分类：ENVIRONMENT/ECOLOGY

WOS号：WOS:000896395600001

JCR分区：Q2

影响因子：4.614

年份：2022

卷号：19

期号：23

开始页：　

结束页：　

文献类型：Article

关键词：tibial spine height; tibial spine width; ACL injury; risk factor; male

摘要："Various anatomic abnormalities are implicated in non-contact anterior cruciate ligament (ACL) injury, but researchers rarely deal with the relation between tibial spine height and ACL injury. We conducted a retrospective case-control study to include 96 patients with and without non-contact ACL injuries. Tibial plateau width (TPW), medial and lateral tibial spine height (MTSH and LTSH), and tibial spine width (TSW) were measured by radiographs. The parameters were compared among subgroups. Binary regression mode, receiver operating characteristic curves, and the area under the curve (AUC) were used to evaluate the specific correlation of the parameters with ACL injury. As a result, we found that the ratio of LTSH/TPW was larger in ACL-injured patients than in ACL-intact controls (p = 0.015). In the study group, LTSH/TPW (p = 0.007) and MTSH/TPW (p = 0.002) were larger in males than in females. The ratio of LTSH/TPW had an AUC of 0.60 and a significant OR of 1.3 for ACL injury in males, but not in females. In conclusion, LTSH was larger in patients with ACL injury and is a risk factor for ACL injury in males. The impact of increased LTSH on the impingement between the grafts and lateral tibial spine during ACL reconstruction warrants further investigation."

基金机构：　

基金资助正文：