Abstract:Anterior cruciate ligament(ACL) injury is the most common ligament injury in knee joint injury. Prevention of ACL injury and identification of risk factors related to ACL injury have become research hotspots in recent years. Studies have shown that knee anatomical differences are the main risk factors for non-contact ACL injury, including anatomical differences of femur and tibia. Previous studies have mostly focused on the anatomical differences of the femur, while the anatomical differences related to the tibial plateau are rarely involved. The purpose and conclusion of most studies are based on a specific morphological parameter of the tibial plateau (Tibial Plateau, TP) to analyze the anatomical differences of the tibial plateau in MRI or X-ray images. Therefore, this article reviews the relationship between anatomical differences of tibial plateau and ACL injury and related mechanisms.