{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T12:41:23Z","timestamp":1791636083927,"version":"4.3.4"},"reference-count":52,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T00:00:00Z","timestamp":1762300800000},"content-version":"vor","delay-in-days":35,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J. exp. orthop."],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate static tibial subluxation on magnetic resonance imaging (MRI) as a potential method to quantify rotatory knee instability and differentiate between complete anterior cruciate ligament (ACL) injuries, partial ACL injuries, and intact ACL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Consecutive patients who underwent knee arthroscopy between 2016 and 2021 were retrospectively reviewed and divided into two groups according to arthroscopically verified ACL status: partial (p\u2010ACL\u2010I) or complete ACL injury (c\u2010ACL\u2010I). Patients with p\u2010ACL\u2010I required ACL\u2010augmentation. The control group with an intraoperatively confirmed intact ACL (i\u2010ACL) and a meniscus injury was 1:1 matched to p\u2010ACL\u2010I considering age, sex and body mass index (BMI). Static tibial subluxation in the medial (MC) and lateral compartment (LC) was measured on preoperative MRI. Intraclass correlation coefficients (ICC) were calculated for inter\u2010 and intrarater reliability. Pairwise\n                      <jats:italic>t<\/jats:italic>\n                      \u2010test and multivariate logistic regression were used to identify differences with significance set at\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The final analysis included 136 patients, 30 patients with p\u2010ACL\u2010I (8 female, 28\u2009\u00b1\u200910 years, BMI 27\u2009\u00b1\u20095\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ), 24 patients with an i\u2010ACL (6 female, 34\u2009\u00b1\u200911 years, BMI 28\u2009\u00b1\u20095\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ) and 82 patients with c\u2010ACL\u2010I (26 female, 27\u2009\u00b1\u200911 years, BMI 26\u2009\u00b1\u20095\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ). The static tibial subluxation was found to be greater in c\u2010ACL\u2010I (MC: 2.5\u2009mm, LC: 6.8\u2009mm) compared with the p\u2010ACL\u2010I (MC: \u22120.6\u2009mm, LC: 1.7\u2009mm) both in the MC and LC (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The static anterior tibial subluxation was greater in p\u2010ACL\u2010I (\u22121.1\u2009mm) compared with i\u2010ACL (\u22124.1\u2009mm) in the MC (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01). However, no significant difference between p\u2010ACL\u2010I (1.6\u2009mm) and i\u2010ACL (0.9\u2009mm) was found in the LC (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.90). Intra\u2010 and interrater reliability analysis showed good to excellent agreement (ICC\u2009=\u20090.75\u20130.90).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Residual fibres in p\u2010ACL\u2010I stabilized static anterior tibial translation. Preoperative static MRI subluxation measurement may help to differentiate between c\u2010ACL\u2010I and p\u2010ACL\u2010I who require surgical intervention, as an adjunct to the decisive dynamic examination of knee instability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jeo2.70526","type":"journal-article","created":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T13:56:39Z","timestamp":1762350999000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Complete ACL injuries are associated with higher static tibial subluxation than partial ACL injuries or intact ACLs measured on MRI"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-1984-2216","authenticated-orcid":false,"given":"Johannes 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