Symptoms indicative of early knee osteoarthritis after ACL reconstruction: descriptive analysis of the SHIELD cohort
Objective: To describe the SHIELD cohort in terms of symptoms indicative of early knee osteoarthritis (OA) and to investigate associations between patient characteristics (demographics, activity/injury-related) and these symptoms at 1 (cross-sectional) and 3 years (longitudinal) post anterior crucia...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-03-01
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| Series: | Osteoarthritis and Cartilage Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2665913125000123 |
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| author | Anna Cronström May Arna Risberg Martin Englund Dorthe B. Strauss Paul Neuman Carl Johan Tiderius Eva Ageberg |
| author_facet | Anna Cronström May Arna Risberg Martin Englund Dorthe B. Strauss Paul Neuman Carl Johan Tiderius Eva Ageberg |
| author_sort | Anna Cronström |
| collection | DOAJ |
| description | Objective: To describe the SHIELD cohort in terms of symptoms indicative of early knee osteoarthritis (OA) and to investigate associations between patient characteristics (demographics, activity/injury-related) and these symptoms at 1 (cross-sectional) and 3 years (longitudinal) post anterior cruciate ligament reconstruction (ACLR). Method: 106 participants (50 % women, mean [SD] age 25 [5] years) were included. Symptoms indicative of early knee OA were evaluated by the Knee injury and Osteoarthritis Outcome Score (KOOS) subscale pain, KOOS subscale pain ≤72 (KOOSpain ≤72), and ≤85 on two out of four KOOS subscales (pain, symptoms, activity of daily living, quality of life) (modified Luyten). Results: Mean (SD) KOOS pain scores were 83.2 (15.7) and 87.3 (12.7) at 1 and 3 years, respectively. At 1 year and 3 years post ACLR, 18/101 (18 %) and 14/86 (16 %) participants met the KOOSpain ≤72 criterion, whereas 83/101 (82 %) and 67/86 (78 %) met the modified Luyten criterion. 7/15 (47 %) (KOOSpain ≤72) and 59/70 (84 %) (modified Luyten) classified as having knee OA symptoms 1 year post ACLR were still classified as having OA symptoms after 3 years. Lower activity level at 1 year was the sole variable consistently associated with all three outcomes 3 years post ACLR. Conclusion: The proportion of participants fulfilling existing classification criteria for symptoms indicative of early OA after ACLR is highly dependent on the criteria applied and different criteria seem to capture varying aspects of early OA symptoms. Future studies will reveal if these symptoms will persist long-term or just reflect more transient issues. |
| format | Article |
| id | doaj-art-7819c69c118b4b82afd71aaaf330f07b |
| institution | Kabale University |
| issn | 2665-9131 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Osteoarthritis and Cartilage Open |
| spelling | doaj-art-7819c69c118b4b82afd71aaaf330f07b2025-02-06T05:12:45ZengElsevierOsteoarthritis and Cartilage Open2665-91312025-03-0171100576Symptoms indicative of early knee osteoarthritis after ACL reconstruction: descriptive analysis of the SHIELD cohortAnna Cronström0May Arna Risberg1Martin Englund2Dorthe B. Strauss3Paul Neuman4Carl Johan Tiderius5Eva Ageberg6Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden; Corresponding author.Division of Orthopedic Surgery, Oslo University Hospital, Oslo, Norway; Department of Sports Medicine, Norwegian School Sport Sciences, Oslo, NorwayDepartment of Clinical Sciences Lund, Orthopaedics, Faculty of Medicine, Lund University, Lund, SwedenDepartment of Sports Medicine, Norwegian School Sport Sciences, Oslo, Norway; Norwegian Sports Medicine Clinic (Volvat NIMI), Oslo, NorwayDepartment of Clinical Sciences Malmö, Faculty of Medicine, Lund University, SwedenDepartment of Clinical Sciences Lund, Orthopaedics, Faculty of Medicine, Lund University, Lund, SwedenDepartment of Health Sciences, Faculty of Medicine, Lund University, Lund, SwedenObjective: To describe the SHIELD cohort in terms of symptoms indicative of early knee osteoarthritis (OA) and to investigate associations between patient characteristics (demographics, activity/injury-related) and these symptoms at 1 (cross-sectional) and 3 years (longitudinal) post anterior cruciate ligament reconstruction (ACLR). Method: 106 participants (50 % women, mean [SD] age 25 [5] years) were included. Symptoms indicative of early knee OA were evaluated by the Knee injury and Osteoarthritis Outcome Score (KOOS) subscale pain, KOOS subscale pain ≤72 (KOOSpain ≤72), and ≤85 on two out of four KOOS subscales (pain, symptoms, activity of daily living, quality of life) (modified Luyten). Results: Mean (SD) KOOS pain scores were 83.2 (15.7) and 87.3 (12.7) at 1 and 3 years, respectively. At 1 year and 3 years post ACLR, 18/101 (18 %) and 14/86 (16 %) participants met the KOOSpain ≤72 criterion, whereas 83/101 (82 %) and 67/86 (78 %) met the modified Luyten criterion. 7/15 (47 %) (KOOSpain ≤72) and 59/70 (84 %) (modified Luyten) classified as having knee OA symptoms 1 year post ACLR were still classified as having OA symptoms after 3 years. Lower activity level at 1 year was the sole variable consistently associated with all three outcomes 3 years post ACLR. Conclusion: The proportion of participants fulfilling existing classification criteria for symptoms indicative of early OA after ACLR is highly dependent on the criteria applied and different criteria seem to capture varying aspects of early OA symptoms. Future studies will reveal if these symptoms will persist long-term or just reflect more transient issues.http://www.sciencedirect.com/science/article/pii/S2665913125000123Knee injuryClassification criteriaPatient characteristics |
| spellingShingle | Anna Cronström May Arna Risberg Martin Englund Dorthe B. Strauss Paul Neuman Carl Johan Tiderius Eva Ageberg Symptoms indicative of early knee osteoarthritis after ACL reconstruction: descriptive analysis of the SHIELD cohort Osteoarthritis and Cartilage Open Knee injury Classification criteria Patient characteristics |
| title | Symptoms indicative of early knee osteoarthritis after ACL reconstruction: descriptive analysis of the SHIELD cohort |
| title_full | Symptoms indicative of early knee osteoarthritis after ACL reconstruction: descriptive analysis of the SHIELD cohort |
| title_fullStr | Symptoms indicative of early knee osteoarthritis after ACL reconstruction: descriptive analysis of the SHIELD cohort |
| title_full_unstemmed | Symptoms indicative of early knee osteoarthritis after ACL reconstruction: descriptive analysis of the SHIELD cohort |
| title_short | Symptoms indicative of early knee osteoarthritis after ACL reconstruction: descriptive analysis of the SHIELD cohort |
| title_sort | symptoms indicative of early knee osteoarthritis after acl reconstruction descriptive analysis of the shield cohort |
| topic | Knee injury Classification criteria Patient characteristics |
| url | http://www.sciencedirect.com/science/article/pii/S2665913125000123 |
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