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Adolescent knee pain and patellar dislocations are associated with patellofemoral osteoarthritis in adulthood : a case control study
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Conchie, Henry, Clark, Damian, Metcalfe, Andrew J., Eldridge, Jonathan and Whitehouse, Michael (2016) Adolescent knee pain and patellar dislocations are associated with patellofemoral osteoarthritis in adulthood : a case control study. The Knee, 23 (4). pp. 708-711. doi:10.1016/j.knee.2016.04.009 ISSN 0968-0160.
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WRAP-adolescent-knee-pain-patellar-dislocations-patellofemoral-osteoarthritis-adulthood-Metcalfe-2016.pdf - Accepted Version - Requires a PDF viewer. Available under License Creative Commons Attribution Non-commercial No Derivatives 4.0. Download (1139Kb) | Preview |
Official URL: http://dx.doi.org/10.1016/j.knee.2016.04.009
Abstract
Background
There is a lack of information about the association between patellofemoral osteoarthritis (PFOA) and both adolescent anterior knee pain (AKP) and previous patellar dislocations.
Methods
This case-control study involved 222 participants from our knee arthroplasty database answering a questionnaire. One hundred and eleven patients suffering from PFOA were 1:1 matched by gender with a unicompartmental tibiofemoral arthritis control group. Multivariate correlation and binary logistic regression analysis were performed, with odds ratios (ORs) and 95% confidence intervals (CIs) calculated.
Results
An individual is 7.5 times more likely to develop PFOA if they have suffered from adolescent AKP (OR 7.5, 95% CIs 1.51 to 36.94). Additionally, experiencing a patellar dislocation increases the likelihood of development of PFOA, with an adjusted odds ratio of 3.2 (95% CIs 1.25 to 8.18). A 44-year difference in median age of first dislocation was also observed between the groups. Conclusion This should bring into question the traditional belief that adolescent anterior knee pain is a benign pathology. Patellar dislocation is also a significant risk factor. These patients merit investigation, we encourage clinical acknowledgement of the potential consequences when encountering patients suffering from anterior knee pain or patellar dislocation. ©2016
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > RC Internal medicine | ||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Knee -- Diseases -- Youth -- Case studies, Osteoarthritis -- Case studies, Patellofemoral joint -- Diseases | ||||||||
| Journal or Publication Title: | The Knee | ||||||||
| Publisher: | Elsevier BV | ||||||||
| ISSN: | 0968-0160 | ||||||||
| Official Date: | August 2016 | ||||||||
| Dates: |
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| Volume: | 23 | ||||||||
| Number: | 4 | ||||||||
| Page Range: | pp. 708-711 | ||||||||
| DOI: | 10.1016/j.knee.2016.04.009 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
| Date of first compliant deposit: | 23 July 2018 | ||||||||
| Date of first compliant Open Access: | 1 August 2018 | ||||||||
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