High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury. Lohmander, L. S., Ostenberg, A., Englund, M., & Roos, H. Arthritis and Rheumatism, 50(10):3145–3152, October, 2004. ![High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury. [link]](https://bibbase.org/img/filetypes/link.svg "link")
Paper doi abstract bibtex OBJECTIVE: To determine the prevalence of radiographic knee osteoarthritis (OA) as well as knee-related symptoms and functional limitations in female soccer players 12 years after an anterior cruciate ligament (ACL) injury. METHODS: Female soccer players who sustained an ACL injury 12 years earlier were examined with standardized weight-bearing knee radiography and 2 self-administered patient questionnaires, the Knee Injury and Osteoarthritis Outcome Score questionnaire and the Short Form 36-item health survey. Joint space narrowing and osteophytes were graded according to the radiographic atlas of the Osteoarthritis Research Society International. The cutoff value to define radiographic knee OA approximated a Kellgren/Lawrence grade of 2. RESULTS: Of the available cohort of 103 female soccer players, 84 (82%) answered the questionnaires and 67 (65%) consented to undergo knee radiography. The mean age at assessment was 31 years (range 26-40 years) and mean body mass index was 23 kg/m2 (range 18-40 kg/m2). Fifty-five women (82%) had radiographic changes in their index knee, and 34 (51%) fulfilled the criterion for radiographic knee OA. Of the subjects answering the questionnaires, 63 (75%) reported having symptoms affecting their knee-related quality of life, and 28 (42%) were considered to have symptomatic radiographic knee OA. Slightly more than 60% of the players had undergone reconstructive surgery of the ACL. Using multivariate analyses, surgical reconstruction was found to have no significant influence on knee symptoms. CONCLUSION: A very high prevalence of radiographic knee OA, pain, and functional limitations was observed in young women who sustained an ACL tear during soccer play 12 years earlier. These findings constitute a strong rationale to direct increased efforts toward prevention and better treatment of knee injury.
@article{lohmander_high_2004,
title = {High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury.},
volume = {50},
issn = {0004-3591},
url = {http://dx.doi.org/10.1002/art.20589},
doi = {10.1002/art.20589},
abstract = {OBJECTIVE: To determine the prevalence of radiographic knee osteoarthritis (OA) as well as knee-related symptoms and functional limitations in female soccer players 12 years after an anterior cruciate ligament (ACL) injury.
METHODS: Female soccer players who sustained an ACL injury 12 years earlier were examined with standardized weight-bearing knee radiography and 2 self-administered patient questionnaires, the Knee Injury and Osteoarthritis Outcome Score questionnaire and the Short Form 36-item health survey. Joint space narrowing and osteophytes were graded according to the radiographic atlas of the Osteoarthritis Research Society International. The cutoff value to define radiographic knee OA approximated a Kellgren/Lawrence grade of 2.
RESULTS: Of the available cohort of 103 female soccer players, 84 (82\%) answered the questionnaires and 67 (65\%) consented to undergo knee radiography. The mean age at assessment was 31 years (range 26-40 years) and mean body mass index was 23 kg/m2 (range 18-40 kg/m2). Fifty-five women (82\%) had radiographic changes in their index knee, and 34 (51\%) fulfilled the criterion for radiographic knee OA. Of the subjects answering the questionnaires, 63 (75\%) reported having symptoms affecting their knee-related quality of life, and 28 (42\%) were considered to have symptomatic radiographic knee OA. Slightly more than 60\% of the players had undergone reconstructive surgery of the ACL. Using multivariate analyses, surgical reconstruction was found to have no significant influence on knee symptoms.
CONCLUSION: A very high prevalence of radiographic knee OA, pain, and functional limitations was observed in young women who sustained an ACL tear during soccer play 12 years earlier. These findings constitute a strong rationale to direct increased efforts toward prevention and better treatment of knee injury.},
language = {eng},
number = {10},
journal = {Arthritis and Rheumatism},
author = {Lohmander, L. S. and Ostenberg, A. and Englund, M. and Roos, H.},
month = oct,
year = {2004},
pmid = {15476248},
keywords = {Adult, Aged, Anterior Cruciate Ligament, Female, Humans, Knee, Middle Aged, Multivariate Analysis, Osteoarthritis, Knee, Pain, Prevalence, Quality of Life, Soccer, Surveys and Questionnaires, Time Factors},
pages = {3145--3152},
}
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METHODS: Female soccer players who sustained an ACL injury 12 years earlier were examined with standardized weight-bearing knee radiography and 2 self-administered patient questionnaires, the Knee Injury and Osteoarthritis Outcome Score questionnaire and the Short Form 36-item health survey. Joint space narrowing and osteophytes were graded according to the radiographic atlas of the Osteoarthritis Research Society International. The cutoff value to define radiographic knee OA approximated a Kellgren/Lawrence grade of 2. RESULTS: Of the available cohort of 103 female soccer players, 84 (82%) answered the questionnaires and 67 (65%) consented to undergo knee radiography. The mean age at assessment was 31 years (range 26-40 years) and mean body mass index was 23 kg/m2 (range 18-40 kg/m2). Fifty-five women (82%) had radiographic changes in their index knee, and 34 (51%) fulfilled the criterion for radiographic knee OA. Of the subjects answering the questionnaires, 63 (75%) reported having symptoms affecting their knee-related quality of life, and 28 (42%) were considered to have symptomatic radiographic knee OA. Slightly more than 60% of the players had undergone reconstructive surgery of the ACL. Using multivariate analyses, surgical reconstruction was found to have no significant influence on knee symptoms. CONCLUSION: A very high prevalence of radiographic knee OA, pain, and functional limitations was observed in young women who sustained an ACL tear during soccer play 12 years earlier. These findings constitute a strong rationale to direct increased efforts toward prevention and better treatment of knee injury.","language":"eng","number":"10","journal":"Arthritis and Rheumatism","author":[{"propositions":[],"lastnames":["Lohmander"],"firstnames":["L.","S."],"suffixes":[]},{"propositions":[],"lastnames":["Ostenberg"],"firstnames":["A."],"suffixes":[]},{"propositions":[],"lastnames":["Englund"],"firstnames":["M."],"suffixes":[]},{"propositions":[],"lastnames":["Roos"],"firstnames":["H."],"suffixes":[]}],"month":"October","year":"2004","pmid":"15476248","keywords":"Adult, Aged, Anterior Cruciate Ligament, Female, Humans, Knee, Middle Aged, Multivariate Analysis, Osteoarthritis, Knee, Pain, Prevalence, Quality of Life, Soccer, Surveys and Questionnaires, Time Factors","pages":"3145–3152","bibtex":"@article{lohmander_high_2004,\n\ttitle = {High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury.},\n\tvolume = {50},\n\tissn = {0004-3591},\n\turl = {http://dx.doi.org/10.1002/art.20589},\n\tdoi = {10.1002/art.20589},\n\tabstract = {OBJECTIVE: To determine the prevalence of radiographic knee osteoarthritis (OA) as well as knee-related symptoms and functional limitations in female soccer players 12 years after an anterior cruciate ligament (ACL) injury.\nMETHODS: Female soccer players who sustained an ACL injury 12 years earlier were examined with standardized weight-bearing knee radiography and 2 self-administered patient questionnaires, the Knee Injury and Osteoarthritis Outcome Score questionnaire and the Short Form 36-item health survey. Joint space narrowing and osteophytes were graded according to the radiographic atlas of the Osteoarthritis Research Society International. The cutoff value to define radiographic knee OA approximated a Kellgren/Lawrence grade of 2.\nRESULTS: Of the available cohort of 103 female soccer players, 84 (82\\%) answered the questionnaires and 67 (65\\%) consented to undergo knee radiography. The mean age at assessment was 31 years (range 26-40 years) and mean body mass index was 23 kg/m2 (range 18-40 kg/m2). Fifty-five women (82\\%) had radiographic changes in their index knee, and 34 (51\\%) fulfilled the criterion for radiographic knee OA. Of the subjects answering the questionnaires, 63 (75\\%) reported having symptoms affecting their knee-related quality of life, and 28 (42\\%) were considered to have symptomatic radiographic knee OA. Slightly more than 60\\% of the players had undergone reconstructive surgery of the ACL. 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