{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T16:27:16Z","timestamp":1790008036120,"version":"4.0.1"},"reference-count":44,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2004,4,1]],"date-time":"2004-04-01T00:00:00Z","timestamp":1080777600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2004,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Our current understanding of tibiofemoral kinematics in the anterior cruciate ligament (ACL)-deficient knee is very limited. Using vertical open-access MRI, it is possible to accurately analyze tibiofemoral motion in patients with isolated rupture of the ACL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study<\/jats:title>\n                    <jats:p>Prospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To assess if ACL rupture alters normal knee weightbearing kinematics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Tibiofemoral motion was assessed through the arc of flexion from 0 \u00b0 to 90 \u00b0 in 10 patients with isolated rupture of the ACL in one knee and a normal contralateral knee. Midmedial and midlateral sagittal images were analyzed in all positions of flexion in both knees to assess the tibiofemoral relationship.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In the lateral compartment of the knee, the tibial plateau is persistently subluxed anteriorly throughout the arc of flexion from 0 \u00b0 to 90 \u00b0 (flexion facet center to posterior tibial cortex distance of 15.8 mm \u00b1 2.9 in ACL-deficient knees compared to 21.4 mm \u00b1 1.4 in normal knees at 0 \u00b0 extension, P&lt; .0001) when compared to normal knees. The medial tibiofemoral relationship is unchanged compared to normal knees.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Rupture of the ACL changes tibiofemoral kinematics producing anterior subluxation of the lateral tibial plateau.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Significance<\/jats:title>\n                    <jats:p>Altered kinematics may explain, at least in part, the increased incidence of secondary osteoarthritis in patients with ACL rupture.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0095399703258771","type":"journal-article","created":{"date-parts":[[2004,3,15]],"date-time":"2004-03-15T20:43:36Z","timestamp":1079383416000},"page":"720-726","source":"Crossref","is-referenced-by-count":110,"title":["Tibiofemoral Kinematics of the Anterior Cruciate Ligament (ACL)-Deficient Weightbearing, Living Knee Employing Vertical Access Open \u201cInterventional\u201d Multiple Resonance Imaging"],"prefix":"10.1177","volume":"32","author":[{"given":"Martin","family":"Logan","sequence":"first","affiliation":[{"name":"Interventional MR Unit, St. Mary's Hospital, London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward","family":"Dunstan","sequence":"additional","affiliation":[{"name":"Interventional MR Unit, St. Mary's Hospital, London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Robinson","sequence":"additional","affiliation":[{"name":"Interventional MR Unit, St. Mary's Hospital, London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Williams","sequence":"additional","affiliation":[{"name":"Interventional MR Unit, St. Mary's Hospital, London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wady","family":"Gedroyc","sequence":"additional","affiliation":[{"name":"Interventional MR Unit, St. Mary's Hospital, London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Freeman","sequence":"additional","affiliation":[{"name":"Interventional MR Unit, St. Mary's Hospital, 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