Anterior knee pain in younger adults as a precursor to subsequent patellofemoral osteoarthritis: a systematic review
نویسندگان
چکیده
BACKGROUND Patellofemoral osteoarthritis (PFOA) is a common form of knee OA in middle and older age, but its relation to PF disorders and symptoms earlier in life is unclear. Our aim was to conduct a systematic review to investigate the strength of evidence for an association between anterior knee pain (AKP) in younger adults and subsequent PFOA. METHODS The search strategy included electronic databases (Pubmed, EMBASE, AMED, CINAHL, Cochrane, PEDro, SportDiscus: inception to December 2009), reference lists of potentially eligible studies and selected reviews. Full text articles in any language, - identified via English titles and abstracts, were included if they were retrospective or prospective in design and contained quantitative data regarding structural changes indicative of PFOA, incident to original idiopathic AKP. Eligibility criteria were applied to titles, abstracts and full-texts by two independent reviewers. Data extraction included study location, design, date, sampling procedure, sample characteristics, AKP/PFOA definitions, follow-up duration and rate, and main findings. Foreign language articles were translated into English prior to examination. RESULTS Seven articles satisfied eligibility (5 English, 2 German). Only one case-control study directly investigated a link between PFOA and prior AKP, providing level 3b evidence in favour of an association (OR 4.4; 95%CI 1.8, 10.6). Rough estimates of the annual risk of PFOA from the remaining six small, uncontrolled, observational studies (mean follow-up range: 5.7 to 23 years) ranged from 0% to 3.4%. This was not the primary aim of these studies, and limitations in design and methodology mean this data should be interpreted with caution. CONCLUSIONS There is a paucity of high-quality evidence reporting a link between AKP and PFOA. Further, well-designed cohort studies may be able to fill this evidence gap.
منابع مشابه
The Present Situation of Patellofemoral Arthroplasty in the Management of Solitary Patellofemoral Osteoarthritis
Patellofemoral (PF) osteoarthritis (OA) is a somewhat predominant illness, affecting up to 24% of women and 11% ofmen over the age of 55 years who suffer from symptomatic knee OA. The purposes of this narrative overview are tosummarize the present situation of patellofemoral arthroplasty (PFA) in the treatment of solitary PF-OA, and to givean account of the clinical results of...
متن کاملThe Effect of Patellofemoral Pain Syndrome on Gait Parameters: A Literature Review
Background: Patellofemoral pain syndrome (PFPS) is one of the most frequent causes of anterior knee pain in adolescents and adults. This disorder can have a big effect on patients’ ability and quality of life and gait. Methods: This review included all articles published during 1990 to 2016. An extensive literature search was performed in databases of Science Direct, Google Scholar, PubMed ...
متن کاملDo patellofemoral pain patients have higher loading rate compared to healthy indivalues? A systematic review and meta-analysis
Purpose: Higher loading rates have been associated with injuries, plantar fasciitis, tibia bone stress injuries, knee osteoarthritis and PFP. The aim of this study is the evaluation of loading rate in PFP patients compared to healthy individuals during weight bearing tasks. Methods: Search strategy was conducted in databases: Science Direct, Scopus, PubMed and Google Scholar. The outcome measu...
متن کاملPatellofemoral Arthroplasty: A Systematic Review of the Literature
Identification and management of patients with isolated patellofemoral osteoarthritis are challenging. Many of these patients present at a young age and it is important to distinguish degenerative change in the patellofemoral articulation from the other various causes of anterior knee pain. Once the diagnosis of isolated patellofemoral arthrosis has been made non-operative and conservative surg...
متن کاملNonsurgical Management of Knee Pain in Adults.
The role of the family physician in managing knee pain is expanding as recent literature supports nonsurgical management for many patients. Effective treatment depends on the etiology of knee pain. Oral analgesics-most commonly nonsteroidal anti-inflammatory drugs and acetaminophen-are used initially in combination with physical therapy to manage the most typical causes of chronic knee pain. Th...
متن کامل