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Osteoarthritis of the knee after injury to the anterior cruciate ligament or meniscus : the influence of time and age

Roos, Harald LU ; Adalberth, Torsten ; Dahlberg, Leif LU and Lohmander, L. Stefan LU orcid (1995) In Osteoarthritis and Cartilage 3(4). p.261-267
Abstract

The degree of cartilage changes by arthroscopic and radiologic examination was evaluated in a retrospective, cross-sectional study of 1012 patients with knee complaints at different times after knee injury. Patients were classified by age, sex, trauma date and type of injury. The condition of the cartilage was graded on a 1-10 scale based on findings at arthroscopy and on weight-bearing radiographs. Patients with injury to the anterior cruciate ligament (isolated or combined with injury to meniscus or collateral ligaments) showed the first radiologic signs (joint space narrowing) of osteoarthritis (OA) at an average age of about 40 years, while patients with isolated meniscus injury had the same stage of disease at an average age of... (More)

The degree of cartilage changes by arthroscopic and radiologic examination was evaluated in a retrospective, cross-sectional study of 1012 patients with knee complaints at different times after knee injury. Patients were classified by age, sex, trauma date and type of injury. The condition of the cartilage was graded on a 1-10 scale based on findings at arthroscopy and on weight-bearing radiographs. Patients with injury to the anterior cruciate ligament (isolated or combined with injury to meniscus or collateral ligaments) showed the first radiologic signs (joint space narrowing) of osteoarthritis (OA) at an average age of about 40 years, while patients with isolated meniscus injury had the same stage of disease at an average age of about 50 years. Both study groups displayed the first radiologic signs of OA on average about 10 years after the injury and showed increasingly serious arthroscopic and radiologic signs of joint damage with increased time between injury and examination. For patients who sustained an isolated meniscus injury between the ages of 17 and 30, the average time until development of radiologic signs of OA was about 15 years, while for those who had the same injury over the age of 30, the corresponding time interval was only about 5 years. We conclude from this that knee OA becomes increasingly severe with increased time between joint injury and examination. OA changes appear sooner in older patients with knee injury than in the young.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Age, Cartilage, Knee injury, Osteoarthritis
in
Osteoarthritis and Cartilage
volume
3
issue
4
pages
7 pages
publisher
Elsevier
external identifiers
  • scopus:0029591457
  • pmid:8689461
ISSN
1063-4584
DOI
10.1016/S1063-4584(05)80017-2
language
English
LU publication?
yes
id
499f83ec-8312-44b2-a77c-193318a0a182
date added to LUP
2016-05-04 23:46:52
date last changed
2024-04-04 19:21:24
@article{499f83ec-8312-44b2-a77c-193318a0a182,
  abstract     = {{<p>The degree of cartilage changes by arthroscopic and radiologic examination was evaluated in a retrospective, cross-sectional study of 1012 patients with knee complaints at different times after knee injury. Patients were classified by age, sex, trauma date and type of injury. The condition of the cartilage was graded on a 1-10 scale based on findings at arthroscopy and on weight-bearing radiographs. Patients with injury to the anterior cruciate ligament (isolated or combined with injury to meniscus or collateral ligaments) showed the first radiologic signs (joint space narrowing) of osteoarthritis (OA) at an average age of about 40 years, while patients with isolated meniscus injury had the same stage of disease at an average age of about 50 years. Both study groups displayed the first radiologic signs of OA on average about 10 years after the injury and showed increasingly serious arthroscopic and radiologic signs of joint damage with increased time between injury and examination. For patients who sustained an isolated meniscus injury between the ages of 17 and 30, the average time until development of radiologic signs of OA was about 15 years, while for those who had the same injury over the age of 30, the corresponding time interval was only about 5 years. We conclude from this that knee OA becomes increasingly severe with increased time between joint injury and examination. OA changes appear sooner in older patients with knee injury than in the young.</p>}},
  author       = {{Roos, Harald and Adalberth, Torsten and Dahlberg, Leif and Lohmander, L. Stefan}},
  issn         = {{1063-4584}},
  keywords     = {{Age; Cartilage; Knee injury; Osteoarthritis}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{261--267}},
  publisher    = {{Elsevier}},
  series       = {{Osteoarthritis and Cartilage}},
  title        = {{Osteoarthritis of the knee after injury to the anterior cruciate ligament or meniscus : the influence of time and age}},
  url          = {{http://dx.doi.org/10.1016/S1063-4584(05)80017-2}},
  doi          = {{10.1016/S1063-4584(05)80017-2}},
  volume       = {{3}},
  year         = {{1995}},
}