Prevention and management of knee osteoarthritis and knee cartilage injury in sports
Articular cartilage defects in the knee of young or active individuals remain a problem in orthopaedic practice. These defects have limited ability to heal and may progress to osteoarthritis. The prevalence of knee osteoarthritis among athletes is higher than in the non-athletic population. The clin...
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Veröffentlicht in: | British journal of sports medicine 2011-04, Vol.45 (4), p.304-309 |
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description | Articular cartilage defects in the knee of young or active individuals remain a problem in orthopaedic practice. These defects have limited ability to heal and may progress to osteoarthritis. The prevalence of knee osteoarthritis among athletes is higher than in the non-athletic population. The clinical symptoms of osteoarthritis are joint pain, limitation of range of motion and joint stiffness. The diagnosis of osteoarthritis is confirmed by the symptoms and the radiological findings (narrowing joint space, osteophyte formation and subchondral sclerosis). There is no strong correlation between symptoms and radiographic findings. The aetiology of knee osteoarthritis is multifactorial. Excessive musculoskeletal loading (at work or in sports), high body mass index, previous knee injury, female gender and muscle weakness are well-known risk factors. The high-level athlete with a major knee injury has a high incidence of knee osteoarthritis. Cartilage injuries are frequently observed in young and middle-aged active athletes. Often this injury precedes osteoarthritis. Reducing risk factors can decrease the prevalence of knee osteoarthritis. The prevention of knee injury, especially anterior cruciate ligament and meniscus injury in sports, is important to avoid progression of knee osteoarthritis. |
doi_str_mv | 10.1136/bjsm.2010.082321 |
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These defects have limited ability to heal and may progress to osteoarthritis. The prevalence of knee osteoarthritis among athletes is higher than in the non-athletic population. The clinical symptoms of osteoarthritis are joint pain, limitation of range of motion and joint stiffness. The diagnosis of osteoarthritis is confirmed by the symptoms and the radiological findings (narrowing joint space, osteophyte formation and subchondral sclerosis). There is no strong correlation between symptoms and radiographic findings. The aetiology of knee osteoarthritis is multifactorial. Excessive musculoskeletal loading (at work or in sports), high body mass index, previous knee injury, female gender and muscle weakness are well-known risk factors. The high-level athlete with a major knee injury has a high incidence of knee osteoarthritis. Cartilage injuries are frequently observed in young and middle-aged active athletes. Often this injury precedes osteoarthritis. Reducing risk factors can decrease the prevalence of knee osteoarthritis. The prevention of knee injury, especially anterior cruciate ligament and meniscus injury in sports, is important to avoid progression of knee osteoarthritis.</description><identifier>ISSN: 0306-3674</identifier><identifier>EISSN: 1473-0480</identifier><identifier>DOI: 10.1136/bjsm.2010.082321</identifier><identifier>PMID: 21357577</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine</publisher><subject>Anterior Cruciate Ligament Injuries ; Arthritis ; Athletes ; Athletic Injuries - prevention & control ; Athletic Injuries - therapy ; Cartilage ; Cartilage, Articular - injuries ; Chondrocytes - transplantation ; Humans ; Knee ; Knee Injuries - prevention & control ; Knee Injuries - therapy ; Mesenchymal Stem Cell Transplantation - methods ; Osteoarthritis, Knee - prevention & control ; Osteoarthritis, Knee - therapy ; Prevention ; Risk Factors ; Sports injuries ; Sports medicine</subject><ispartof>British journal of sports medicine, 2011-04, Vol.45 (4), p.304-309</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Copyright: 2011 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Copyright BMJ Publishing Group Apr 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b525t-b0fc1fde64f8a00410f8654ee982b0896f36971ea0c1cd75ff27529b5ddce8373</citedby><cites>FETCH-LOGICAL-b525t-b0fc1fde64f8a00410f8654ee982b0896f36971ea0c1cd75ff27529b5ddce8373</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://bjsm.bmj.com/content/45/4/304.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://bjsm.bmj.com/content/45/4/304.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,313,314,776,780,788,3183,23550,27899,27901,27902,77343,77374</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21357577$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takeda, Hideki</creatorcontrib><creatorcontrib>Nakagawa, Takumi</creatorcontrib><creatorcontrib>Nakamura, Kozo</creatorcontrib><creatorcontrib>Engebretsen, Lars</creatorcontrib><title>Prevention and management of knee osteoarthritis and knee cartilage injury in sports</title><title>British journal of sports medicine</title><addtitle>Br J Sports Med</addtitle><description>Articular cartilage defects in the knee of young or active individuals remain a problem in orthopaedic practice. These defects have limited ability to heal and may progress to osteoarthritis. The prevalence of knee osteoarthritis among athletes is higher than in the non-athletic population. The clinical symptoms of osteoarthritis are joint pain, limitation of range of motion and joint stiffness. The diagnosis of osteoarthritis is confirmed by the symptoms and the radiological findings (narrowing joint space, osteophyte formation and subchondral sclerosis). There is no strong correlation between symptoms and radiographic findings. The aetiology of knee osteoarthritis is multifactorial. Excessive musculoskeletal loading (at work or in sports), high body mass index, previous knee injury, female gender and muscle weakness are well-known risk factors. The high-level athlete with a major knee injury has a high incidence of knee osteoarthritis. Cartilage injuries are frequently observed in young and middle-aged active athletes. Often this injury precedes osteoarthritis. Reducing risk factors can decrease the prevalence of knee osteoarthritis. The prevention of knee injury, especially anterior cruciate ligament and meniscus injury in sports, is important to avoid progression of knee osteoarthritis.</description><subject>Anterior Cruciate Ligament Injuries</subject><subject>Arthritis</subject><subject>Athletes</subject><subject>Athletic Injuries - prevention & control</subject><subject>Athletic Injuries - therapy</subject><subject>Cartilage</subject><subject>Cartilage, Articular - injuries</subject><subject>Chondrocytes - transplantation</subject><subject>Humans</subject><subject>Knee</subject><subject>Knee Injuries - prevention & control</subject><subject>Knee Injuries - therapy</subject><subject>Mesenchymal Stem Cell Transplantation - methods</subject><subject>Osteoarthritis, Knee - prevention & control</subject><subject>Osteoarthritis, Knee - therapy</subject><subject>Prevention</subject><subject>Risk Factors</subject><subject>Sports injuries</subject><subject>Sports medicine</subject><issn>0306-3674</issn><issn>1473-0480</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkU1P3DAQhi3UChbKnROK2gMHFDr-to_Vqh8gRFFFe-BiOYkNCZt4aydV-ff1EsoBCXEa-fUzM7YehA4wnGBMxceqS_0JgXwERSjBW2iBmaQlMAVv0AIoiJIKyXbQbkodACYc1DbaIZhyyaVcoKvL6P64YWzDUNihKXo72BvX56QIvrgbnCtCGl2wcbyN7dimB-ohr3PWrjJdtEM3xftcirQOcUzv0FtvV8ntP9Y99PPL56vlt_L8-9fT5afzsuKEj2UFvsa-cYJ5ZQEYBq8EZ85pRSpQWngqtMTOQo3rRnLvieREV7xpaqeopHvoaJ67juH35NJo-jbVbrWygwtTMhoYk5xJ9SqpuCYaM40z-f4Z2YUpDvkbJj-OCwVqs_jDSxCWUmNJKOWZgpmqY0gpOm_Wse1tvDcYzMaf2fgzG39m9pdbDh8HT1XvmqeG_8IyUM5Am638fbq38c4ISSU3F7-W5uz67AdmF8xcZv545qu-e339P-DIsgo</recordid><startdate>20110401</startdate><enddate>20110401</enddate><creator>Takeda, Hideki</creator><creator>Nakagawa, Takumi</creator><creator>Nakamura, Kozo</creator><creator>Engebretsen, Lars</creator><general>BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>7T2</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope></search><sort><creationdate>20110401</creationdate><title>Prevention and management of knee osteoarthritis and knee cartilage injury in sports</title><author>Takeda, Hideki ; 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These defects have limited ability to heal and may progress to osteoarthritis. The prevalence of knee osteoarthritis among athletes is higher than in the non-athletic population. The clinical symptoms of osteoarthritis are joint pain, limitation of range of motion and joint stiffness. The diagnosis of osteoarthritis is confirmed by the symptoms and the radiological findings (narrowing joint space, osteophyte formation and subchondral sclerosis). There is no strong correlation between symptoms and radiographic findings. The aetiology of knee osteoarthritis is multifactorial. Excessive musculoskeletal loading (at work or in sports), high body mass index, previous knee injury, female gender and muscle weakness are well-known risk factors. The high-level athlete with a major knee injury has a high incidence of knee osteoarthritis. Cartilage injuries are frequently observed in young and middle-aged active athletes. Often this injury precedes osteoarthritis. Reducing risk factors can decrease the prevalence of knee osteoarthritis. The prevention of knee injury, especially anterior cruciate ligament and meniscus injury in sports, is important to avoid progression of knee osteoarthritis.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine</pub><pmid>21357577</pmid><doi>10.1136/bjsm.2010.082321</doi><tpages>6</tpages></addata></record> |
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subjects | Anterior Cruciate Ligament Injuries Arthritis Athletes Athletic Injuries - prevention & control Athletic Injuries - therapy Cartilage Cartilage, Articular - injuries Chondrocytes - transplantation Humans Knee Knee Injuries - prevention & control Knee Injuries - therapy Mesenchymal Stem Cell Transplantation - methods Osteoarthritis, Knee - prevention & control Osteoarthritis, Knee - therapy Prevention Risk Factors Sports injuries Sports medicine |
title | Prevention and management of knee osteoarthritis and knee cartilage injury in sports |
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