{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T06:13:21Z","timestamp":1790057601094,"version":"4.0.1"},"reference-count":38,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T00:00:00Z","timestamp":1630281600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T00:00:00Z","timestamp":1630281600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T00:00:00Z","timestamp":1630281600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To evaluate the influence of time from injury and meniscus tears on the side\u2010to\u2010side difference in anterior tibial translation (SSD\u2010ATT) as measured on lateral monopodal weightbearing radiographs in both primary and secondary ACL deficiencies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from 69 patients (43\u00a0males\/26 females, median age 27\u2014percentile 25\u201375: 20\u201337), were retrospectively extracted from their medical records. All had a primary or secondary ACL deficiency as confirmed by MRI and clinical examination, with a bilateral weightbearing radiograph of the knees at 15\u00b0\u201320\u00b0 flexion available. Meniscal status was assessed on MRI images by a radiologist and an independent orthopaedic surgeon. ATT and posterior tibial slope (PTS) were measured on the lateral monopodal weightbearing radiographs for both the affected and the contralateral healthy side. A paired t\u2010test was used to compare affected\/healthy knees. Independent t\u2010tests were used to compare primary\/secondary ACL deficiencies, time from injury (TFI) (\u2264\u20094 years\/\u2009&gt;\u20094 years) and meniscal versus no meniscal tear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>ATT of the affected side was significantly greater than the contralateral side (6.2\u2009\u00b1\u20094.4\u00a0mm vs 3.5\u2009\u00b1\u20092.8\u00a0mm; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). There was moderate correlation between ATT and PTS in both the affected and healthy knees (r\u2009=\u20090.43, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01 and r\u2009=\u20090.41, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). SSD\u2010ATT was greater in secondary ACL deficiencies (4.7\u2009\u00b1\u20093.8 vs 1.9\u2009\u00b1\u20093.2\u00a0mm; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01), patients with a TFI greater than 4 years (4.2\u2009\u00b1\u20093.8 vs 2.0\u2009\u00b1\u20093.0\u00a0mm; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) and with at least one meniscal tear (3.9\u2009\u00b1\u20093.8 vs 0.7\u2009\u00b1\u20092.2\u00a0mm; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). Linear regression showed that, in primary ACL deficiencies, SSD\u2010ATT was expected to increase (+\u20092.7\u00a0mm) only if both a meniscal tear and a TFI\u2009&gt;\u20094 years were present. In secondary ACL deficiencies, SSD\u2010ATT was mainly influenced by the presence of meniscal tears regardless of the TFI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>SSD\u2010ATT was significantly greater in secondary ACL deficiencies, patients with a TFI greater than 4 years and with at least one meniscal tear. These results confirm that SSD\u2010ATT is a time\u2010 and meniscal\u2010dependent parameter, supporting the concept of gradual sagittal decompensation in ACL\u2010deficient knees, and point out the importance of the menisci as secondary restraints of the anterior knee laxity. Monopodal weightbearing radiographs may offer an easy and objective method for the follow\u2010up of ACL\u2010injured patients to identify early signs of soft tissue decompensation under loading conditions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Level III.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-021-06719-0","type":"journal-article","created":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T11:03:53Z","timestamp":1630321433000},"page":"1691-1699","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Side\u2010to\u2010side anterior tibial translation on monopodal weightbearing radiographs as a sign of knee decompensation in ACL\u2010deficient knees"],"prefix":"10.1002","volume":"30","author":[{"given":"Luca","family":"Macchiarola","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Clinica Ortopedica E Traumatologica II IRCCS Istituto Ortopedico Rizzoli Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe","family":"Jacquet","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopaedic Surgery Centre Hospitalier de Luxembourg\u2010Clinique d\u2019Eich 78 Rue d\u2019Eich 1460 Luxembourg Luxembourg"},{"name":"<!--<label>3<\/label>--> Luxembourg Institute of Research in Orthopaedics, Sports Medicine and Science Luxembourg Luxembourg"},{"name":"<!--<label>4<\/label>--> Department of Orthopedic Surgery, Institute for Movement and Locomotion (IML) Traumatology St. Marguerite Hospital Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremie","family":"Dor","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopaedic Surgery Centre Hospitalier de Luxembourg\u2010Clinique d\u2019Eich 78 Rue d\u2019Eich 1460 Luxembourg Luxembourg"},{"name":"<!--<label>3<\/label>--> Luxembourg Institute of Research in Orthopaedics, Sports Medicine and Science Luxembourg Luxembourg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Zaffagnini","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Clinica Ortopedica E Traumatologica II IRCCS Istituto Ortopedico Rizzoli Bologna Italy"},{"name":"<!--<label>2<\/label>--> Department of Orthopaedic Surgery Centre Hospitalier de Luxembourg\u2010Clinique d\u2019Eich 78 Rue d\u2019Eich 1460 Luxembourg Luxembourg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Mouton","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopaedic Surgery Centre Hospitalier de Luxembourg\u2010Clinique d\u2019Eich 78 Rue d\u2019Eich 1460 Luxembourg Luxembourg"},{"name":"<!--<label>3<\/label>--> Luxembourg Institute of Research in Orthopaedics, Sports Medicine and Science Luxembourg Luxembourg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8806-9384","authenticated-orcid":false,"given":"Romain","family":"Seil","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopaedic Surgery Centre Hospitalier de Luxembourg\u2010Clinique d\u2019Eich 78 Rue d\u2019Eich 1460 Luxembourg Luxembourg"},{"name":"<!--<label>3<\/label>--> Luxembourg Institute of Research in Orthopaedics, Sports Medicine and Science Luxembourg Luxembourg"},{"name":"<!--<label>5<\/label>--> Human Motion, Orthopaedics, Sports Medicine and Digital Methods Luxembourg Institute of Health Luxembourg Luxembourg"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,8,30]]},"reference":[{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2001.25248"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00256\u2010020\u201003549\u2010y"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010013\u20102695\u20105"},{"key":"e_1_2_9_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120967120"},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4612-4444-8_1"},{"key":"e_1_2_9_7_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.164.2.3602385"},{"key":"e_1_2_9_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010018\u20105180\u20103"},{"key":"e_1_2_9_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010019\u201005435\u20100"},{"key":"e_1_2_9_10_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.76B5.8083263"},{"key":"e_1_2_9_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2013.12.010"},{"key":"e_1_2_9_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/jisakos\u20102019\u2010000293"},{"key":"e_1_2_9_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519876648"},{"key":"e_1_2_9_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518823544"},{"key":"e_1_2_9_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010018\u20105159\u20100"},{"key":"e_1_2_9_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcm.2016.02.012"},{"key":"e_1_2_9_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100838.2004.401.x"},{"key":"e_1_2_9_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005768\u2010200107000\u201000001"},{"key":"e_1_2_9_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465010290011701"},{"key":"e_1_2_9_20_2","doi-asserted-by":"publisher","DOI":"10.1002\/jor.1100160121"},{"key":"e_1_2_9_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518812435"},{"key":"e_1_2_9_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11420\u2010019\u201009724\u20109"},{"key":"e_1_2_9_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516688673"},{"key":"e_1_2_9_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402\u2010019\u201003128\u20104"},{"key":"e_1_2_9_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.07.008"},{"key":"e_1_2_9_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546521988938"},{"key":"e_1_2_9_27_2","volume-title":"Classical and modern regression with applications","author":"Myers RH","year":"1990"},{"key":"e_1_2_9_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/2309499019833606"},{"key":"e_1_2_9_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2019.10.025"},{"key":"e_1_2_9_30_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264\u2010016\u20103386\u2010x"},{"key":"e_1_2_9_31_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518760580"},{"key":"e_1_2_9_32_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513498995"},{"key":"e_1_2_9_33_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967117751915"},{"key":"e_1_2_9_34_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967117750813"},{"key":"e_1_2_9_35_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010020\u201006161\u20108"},{"key":"e_1_2_9_36_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354659402200117"},{"key":"e_1_2_9_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2020.11.005"},{"key":"e_1_2_9_38_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.187.3.8497637"},{"issue":"3","key":"e_1_2_9_39_2","first-page":"419","article-title":"Computer\u2010assisted system in stress radiography for anterior cruciate ligament injury with correspondent evaluation of relevant diagnostic factors","volume":"11","author":"Wang CK","year":"2021","journal-title":"Diagn (Basel, Switz)"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-021-06719-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00167-021-06719-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-021-06719-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-021-06719-0","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T09:39:24Z","timestamp":1760866764000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s00167-021-06719-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,30]]},"references-count":38,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,5]]}},"alternative-id":["10.1007\/s00167-021-06719-0"],"URL":"https:\/\/doi.org\/10.1007\/s00167-021-06719-0","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8,30]]},"assertion":[{"value":"9 May 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 August 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 August 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All procedure performed in this study were in accordance with the ethical standards of the institutional committee and with the 1964 Helsinki declaration and its later amendments.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}