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To date, only a few cases of this rare thymoma subtype have been reported in the literature, mostly as single case reports. Increased lateral posterior tibial slope (LPTS) is associated with increased rates of anterior cruciate ligament (ACL) injury and failure of ACL reconstruction. It is unknown if ACL deficiency influences the developing proximal tibial physis and slope in skeletally immature patients through anterior tibial subluxation and abnormal force transmission. To assess the natural history of LPTS in skeletally immature patie

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