*3.1.1.3 Medial tibial plateau depth*

Other tibial medial parameters assessed are with the correlation of medial and lateral tibial plateau depth with an ACL injury but the evidence in this regard is very limited. It is measured with two parallel lines line drawn, one connecting the highest point of anterior and posterior points of the medial tibial plateau and the other line is tangent drawn at the deepest point of the medial tibial plateau, the distance between these two lines corresponds to medial tibial plateau depth. Hashemi et al. suggested that deepening of the surface of the medial tibial plateau leads to better joint congruity and prevents anterior translation of the tibia. In their study, they concluded that decreased MTD is associated with a greater risk of ACL injury. They found MTD to be a bigger risk factor than LPTS or MPTS whereas Blanke F et all suggested there is no correlation of medial tibial plateau death with an ACL injury [41–44]. More research in this area is required to come to a proper consensus on the influence of MTPD in ACL injury.
