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By measuring which patients have anterior tibial subluxation of the lateral compartment \u2265 6 mm on a preoperative MRI, surgeons may be better able to counsel patients on postoperative expectations, as well as prepare for additional procedures to treat high\u2010grade rotatory instability. Additionally, as there is an increased incidence of lateral meniscus tears in high\u2010grade rotatory ACL lesions, surgeons should be vigilant and prepared to repair lateral meniscus root and ramp lesions. Furthermore, early identification of those patients with anterior tibial subluxation of the lateral compartment \u22656 mm will provide the opportunity for early surgery, as it is known that patients with high\u2010grade rotatory instability are likely to sustain further intra\u2010articular damage and have poorer outcomes if surgery is delayed. However, when there is doubt of high\u2010grade rotatory instability after an ACL injury, examining the patient with a pivot shift maneuver should still be the \u201cgold standard\u201d.<\/jats:p>","DOI":"10.1016\/j.arthro.2022.06.005","type":"journal-article","created":{"date-parts":[[2022,9,30]],"date-time":"2022-09-30T02:59:51Z","timestamp":1664506791000},"page":"2861-2862","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["<i>Editorial Commentary<\/i>\n                    : Magnetic Resonance Imaging Is Helpful in Predicting High\u2010Grade Knee Rotatory Instability: But When in Doubt, Always Examine the\u00a0Patient"],"prefix":"10.1002","volume":"38","author":[{"given":"Michael D.","family":"Feldman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,10,1]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.5792\/ksrr.16.007"},{"key":"e_1_2_2_3_2","first-page":"220","article-title":"Failure of anterior cruciate ligament reconstruction","volume":"3","author":"Samitier G.","year":"2015","journal-title":"Arch Bone Jt Surg"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2011-090606.49"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40634-022-00461-3"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465990270041101"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(20)30881-4"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/1941738113500910"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-013-0116-z"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118767625"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-021-06735-0"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.04.012"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806322003450?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806322003450?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2022.06.005","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2022.06.005","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2022.06.005","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:16:45Z","timestamp":1773566205000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2022.06.005"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":11,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2022,10]]}},"alternative-id":["10.1016\/j.arthro.2022.06.005"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2022.06.005","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Editorial Commentary: Magnetic Resonance Imaging Is Helpful in Predicting High-Grade Knee Rotatory Instability: But When in Doubt, Always Examine the\u00a0Patient","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2022.06.005","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}