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he MTPD were 2.0±0.5mm and 2.1±0.6mm, and the CTS were 2.5°±1.8° and 2.4°±1.6°, respectively. Patients in group AM had a significantly steeper MTS compared to those in group A ( 0.01), whereas MTPD and CTS were nearly the same in both groups. When the MTS cut-off value was set at 5.0°, the sensitivity and specificity for ACL injury with concomitant ramp lesion of the MM were 0.73 and 0.76, respectively. A steep posterior slope of the medial tibial plateau is a risk factor for ramp lesion of the MM associated with an ACL injury. Espe