The Combined Effect of Body Mass Index and Tibial Slope Angles on Anterior Cruciate Ligament Injury Risk in Male Knees: A Case-Control Study

被引:8
作者
Kizilgoz, Volkan [1 ]
Sivrioglu, Ali Kemal [2 ]
Aydin, Hasan [3 ]
Ulusoy, Gokhan Ragip [4 ]
Cetin, Turkhun [1 ]
Tuncer, Kutsi [5 ]
机构
[1] Kafkas Univ, Fac Med, Dept Radiol, TR-36100 Kars, Turkey
[2] Kocaeli Univ, Fac Med, Dept Radiol, Izmit, Turkey
[3] Dr Abdurrahman Yurtaslan Ankara Oncol Training &, Dept Radiol, Ankara, Turkey
[4] Kafkas Univ, Fac Med, Dept Orthopaed, Kars, Turkey
[5] Ataturk Univ, Dept Orthopaed, Fac Med, Erzurum, Turkey
来源
CLINICAL MEDICINE INSIGHTS-ARTHRITIS AND MUSCULOSKELETAL DISORDERS | 2019年 / 12卷
关键词
Body mass index; magnetic resonance; tibial slope angle; anterior cruciate ligament; knee injury; INTERCONDYLAR NOTCH; ACL RECONSTRUCTION; PLATEAU; MRI; BIOMECHANICS; TRANSLATION; ASSOCIATION; GEOMETRY; OUTCOMES; MIDTERM;
D O I
10.1177/1179544119867922
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
INTRODUCTION: Tibial slope angles (TSAs) have been identified as potential risk factors of anterior cruciate ligament (ACL) injury in the literature. A higher body mass index (BMI) might increase the risk of ACL tear because of greater axial compressive force. The aim of this study was to determine the relationship of these factors and the combined effect of BMI and TSA in determination of risk potential for ACL injury. METHODS: The preoperative magnetic resonance (MR) images of 81 ACL-injured male knees and of 68 male individuals with no ACL injuries were evaluated by 2 radiologists to measure the TSA. The Mann-Whitney U-test was performed to indicate the significant difference in height, weight, and BMI values. The independent samples t-test was used to determine the differences between ACL-injured and non-injured groups regarding TSA values. Odds ratios were calculated by logistic regression tests, and receiver operating characteristics (ROC) curves revealed the area under the receiver operating characteristics curve (AUC) values to compare the relationships of these parameters with ACL injury. RESULTS: Body mass index, lateral tibial slope (LTS), and medial tibial slope (MTS) were predictive of ACL risk injury. Body mass index alone had the greatest effect among these parameters, and there were no statistically significant differences in coronal tibial slope values between the ACL-ruptured and control groups. The greatest AUC was observed for the combination of BMI, MTS, and LTS. CONCLUSIONS: Body mass index, LTS, and MTS angles were associated with ACL injury risk and BMI + MTS + LTS together revealed the greatest effect on ACL injury.
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页数:8
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