{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T22:43:35Z","timestamp":1790117015098,"version":"4.0.1"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,9,15]],"date-time":"2014-09-15T00:00:00Z","timestamp":1410739200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2014,9,15]],"date-time":"2014-09-15T00:00:00Z","timestamp":1410739200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2014,9,15]],"date-time":"2014-09-15T00:00:00Z","timestamp":1410739200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"funder":[{"DOI":"10.13039\/100010975","name":"Pediatric Orthopaedic Society of North America","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010975","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopyjournal.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of our study was to investigate the relation between posterior tibial slope and anterior cruciate ligament (ACL) rupture in patients with open physes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective case\u2010control study was performed comparing skeletally immature patients with an ACL rupture with an age\u2010matched control group. Posterior tibial slope was measured on plain lateral radiographs in both groups by blinded readers, at 2 separate time intervals, using a previously examined and accepted technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010two patients were included in the study group (mean age, 13\u00a0years; age range, 9 to 17\u00a0years) and compared with 32 patients in the control group (mean age, 13\u00a0years; age range, 9 to 16\u00a0years). The mean posterior tibial slope in the ACL\u2010injured population was 10.0\u00b0 \u00b1 3\u00b0 versus 8.5\u00b0 \u00b1 3\u00b0 in the control group (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .0128). Statistical significance was seen in comparisons of slope measurements between the ACL\u2010injured and\u00a0control groups for 2 of the 3 readers (readers 1 and 3) at both time points (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .0348 and\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .0051 for reader 1 and\u00a0\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .0009 and\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .0059 for reader 3). Intrarater reliability proved superior with values correlating with moderate to good reliability, whereas inter\u2010rater reliability values corresponded with fair to moderate reliability. The average posterior tibial slope was 9.5\u00b0 (range, 3\u00b0 to 14\u00b0) for female patients and 9.8\u00b0 (range, 2\u00b0 to 16\u00b0) for male patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>On the basis of the results of this study, the data support the notion that a moderate association may exist between an increased posterior tibial slope and ACL injury in pediatric patients with open physes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, case\u2010control study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2014.07.019","type":"journal-article","created":{"date-parts":[[2014,9,16]],"date-time":"2014-09-16T09:04:10Z","timestamp":1410858250000},"page":"77-82","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":66,"title":["The Association of Tibial Slope and Anterior Cruciate Ligament Rupture in Skeletally Immature Patients"],"prefix":"10.1002","volume":"31","author":[{"given":"Michael P.","family":"O'Malley","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery University of Connecticut Health Center Farmington Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew D.","family":"Milewski","sequence":"additional","affiliation":[{"name":"Elite Sports Medicine Connecticut Children's Medical Center Farmington Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J.","family":"Solomito","sequence":"additional","affiliation":[{"name":"Center for Motion Analysis Connecticut Children's Medical Center Farmington Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew S.","family":"Erwteman","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Connecticut Health Center Farmington Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carl W.","family":"Nissen","sequence":"additional","affiliation":[{"name":"Elite Sports Medicine Connecticut Children's Medical Center Farmington Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,9,15]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200609001-00012"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-010-1255-2"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2011.08.001"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.01721"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-011-1547-4"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2010.06.002"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2010.02.033"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510393305"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509349055"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/jor.21242"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-007-0438-1"},{"key":"e_1_2_2_13_2","first-page":"195","article-title":"Evaluation of methods for radiographic measurement of the tibial slope. 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