A Review of Occupational Knee Disorders

Reid, Christopher R.; Bush, Pamela McCauley; Cummings, Nancy H.; McMullin, Dianne L.; Durrani, Samiullah K.

doi:10.1007/s10926-010-9242-8

Cited by 100 publications

(58 citation statements)

References 34 publications

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“…54 Also, the review by McMillan and Nichols 38 focused on risk factors for knee OA as the primary outcome. A separate systematic review by Reid et al 46 concluded that squatting should be considered an occupationally based risk factor, which is consistent with our findings.…”

Section: Discussionsupporting

confidence: 92%

“…All factors reported in this review have previously been described in individual studies or in systematic reviews but were never analyzed with metaanalysis methods. 38,46 Our systematic review is limited by the fact that most of the findings were derived from a very small number of studies. This was, in part, the result of excluding articles based on study design 3,9,10,12,38,47,49,[51][52][53]63,64,66 and the age of participants.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Risk Factors for Meniscal Tears: A Systematic Review Including Meta-analysis

Snoeker

Bakker²,

Kegel³

et al. 2013

Journal of Orthopaedic & Sports Physical Therapy

158

127

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Meniscal tears are commonly seen worldwide. In the Netherlands, the incidence of meniscal tears is 2 per 1000 patients per year. 16 Meniscal tears are responsible for an estimated 25 000 hospital admissions per year in England and Wales. 5 In the United States, arthroscopic partial meniscectomy after meniscal tear is the most frequent orthopaedic surgical procedure. 20 Meniscal tears lead to disability and time lost from work, and their surgical treatment increases the longterm risk of knee osteoarthritis (OA) 4-fold. 5,18,21,48 A better understanding of meniscal tears and their causality can aid in diagnosing knee disorders. 26,32 Despite its importance, little is known about the epidemiology of meniscal injury. A previously published systematic review by Reid et al 46 described, in addition to other knee disorders, risk factors for meniscal tears. The authors suggested that squatting, kneeling, crawling, chair sitting while driving, stair climbing, lifting items, and walking were all risk factors for meniscal tears. Reid et al 46 noted that kneeling was described as a risk factor in multiple studies, yet other factors were not described as such. McMillan and Nichols 38 systematically searched the literature to determine whether kneeling or squatting was causally associated with degenerative diseases of the knee. The authors concluded that work occupations involving frequent kneeling or squatting doubled the risk for developing knee OA. The authors of both articles limited their search to occupational settings and did not perform meta-analysis on the risk factors.The elapsed time between anterior cruciate ligament (ACL) injury and reconstruction surgery has been identified T T STUDY DESIGN: Systematic review with metaanalysis. T T OBJECTIVES:To review and critically appraise the literature for factors that increase the risk for meniscal tears. T T BACKGROUND:Meniscal tears are an important cause of disability and time lost from work, and are associated with a 4-fold increase in the long-term risk of knee osteoarthritis. Knowledge of the risk factors that lead to meniscal tears can help to correctly diagnose knee injuries and is important to the development of prevention strategies for knee osteoarthritis. T T METHODS:A search of the Cochrane Database of Systematic Reviews, MEDLINE, and Embase, from 1950 to January 2012, and a hand search of reference lists of all initially selected studies, without restriction on language or date of publication, were conducted. Prospective, retrospective, and case-control studies that included individuals over 16 years of age, who had no previous meniscal injuries or surgeries, were selected. A meta-analysis for 17 risk factors was performed. Where considerable heterogeneity among studies was present or the data did not provide sufficient information to perform a meta-analysis, a qualitative synthesis was conducted. T T RESULTS:Eleven studies, with a total of 7358 participants, were selected for systematic review. Data were available for meta-analysis for 10 of the 11 studies. ...

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Risk Factors for Meniscal Tears: A Systematic Review Including Meta-analysis

Snoeker

Bakker²,

Kegel³

et al. 2013

Journal of Orthopaedic & Sports Physical Therapy

158

127

View full text Add to dashboard Cite

show abstract

“…The impact of heavy workload, obesity, and traumatic knee injuries on the development of osteoarthritis have been reported from a prospective study of a Finnish cohort with ≥20 years of follow-up (71). The combined impact of kneeling/ squatting activities and obesity may also be important for the progression of existing knee osteoarthritis symptoms (72)(73)(74). Cross-sectional and longitudinal studies of obesity and occupational risk factors for osteoarthritis in working populations support the importance of a conceptual model of obesity, occupational kneeling/ squatting, and osteoarthritis.…”

mentioning

confidence: 99%

Conceptual heuristic models of the interrelationships between obesity and the occupational environment

Pandalai¹,

Schulte²,

Miller³

2013

Scand J Work Environ Health

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Pandalai SP, Schulte PA, Miller DB. Conceptual heuristic models of the interrelationships between obesity and the occupational environment. Scand J Work Environ Health. 2013;39(3):221-232. doi:10.5271/sjweh.3363 Objective Research and interventions targeting the relationship between work, its attendant occupational hazards, and obesity are evolving but merit further consideration in the public health arena. In this discussion paper, conceptual heuristic models are described examining the role of obesity as both a risk factor and health outcome in the occupational setting.Methods PubMed was searched using specific criteria from 2000 and onwards for evidence to support conceptual models in which obesity serves as a risk factor for occupational disease or an outcome of occupational exposures. Nine models are presented: four where obesity is a risk factor and five where it is an adverse effect.Results A broad range of work-related health effects are associated with obesity including musculoskeletal disorders, asthma, liver disease, and cardiovascular disease, among others. Obesity can be associated with occupational hazards such as shift work, sedentary work, job stress, and exposure to some chemicals. Conclusion Identification of combinations of risk factors pertinent to obesity in the occupational environmentwill provide important guidance for research and prevention.Key terms cardiovascular disease; diet; endocrine disruptor; intervention study; metabolism; musculoskeletal disease; occupational health; physical activity; risk assessment.1 National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, OH, USA.Correspondence to: Sudha P Pandalai, MD, PhD, National Institute for Occupational Safety and Health Centers for Disease Control and Prevention, 4676 Columbia Parkway, Cincinnati, OH 45226, Obesity is increasing worldwide with the 2009-2010 prevalence among US adults surpassing one-third (1, 2). Obesity is associated with genetic, behavioral, occupational, and environmental factors (3-5) and has significant economic impact (6). It is also associated with various health problems including musculoskeletal disorders (MSD), asthma, liver disease, and cardiovascular disease (CVD) (7-10). Moreover, neurohormonal and endocrine pathway disruption has been associated with obesity (11,12). Work factors, including sedentary work and taskrelated biomechanics, have been reported as risks for obesity (13)(14)(15). Variables such as irregular work hours/ sleep schedules, job stress, workplace absenteeism, and reduced productivity also contribute (16)(17)(18)(19).Although the related literature is growing, obesity in the occupational environment requires more study, for example, regarding low-wage workers and genes or other factors (20,21). Body mass index (BMI), a measure of obesity, varies by population, race, gender, and socioeconomic class (22)(23)(24). Genetics may account for ≥40% of the variation in BMI (25), but such estimates can depend on the variability of environ...

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“…67,68 Knee bending work activities were specifically identified as a risk for cartilage damage in women that may lead to osteoarthritis which is commonly more prevalent in women than men. 69 Having a knee injury has been identified as a significant risk factor for osteoarthritic sequelae.…”

Section: Discussionmentioning

confidence: 99%

Work-Related Knee Injuries Treated in US Emergency Departments

Chen

Chakrabarty

Levine

et al. 2013

Journal of Occupational &Amp; Environmental Medicine

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Objective To characterize work-related knee injuries treated in U.S. emergency departments (EDs). Methods We characterized work-related knee injuries treated in EDs in 2007 and examined trends from 1998 to 2007 by using the National Electronic Injury Surveillance System—occupational supplement (NEISS-Work). Results In 2007, 184,300 (± 54,000, 95% confidence interval) occupational knee injuries were treated in U.S. EDs, accounting for 5% of the 3.4 (± 0.9) million ED-treated occupational injuries. The ED-treated knee injury rate was 13 (± 4) injuries per 10,000 full-time equivalent workers. Younger workers and older female workers had high rates. Strains/sprains and contusions/abrasions were common—frequently resulting from falls and bodily reaction/overexertion events. Knee injury rates declined from 1998 through 2007. Conclusions Knee injury prevention should emphasize reducing falls and bodily reaction/overexertion events, particularly among all youth and older women.

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A Review of Occupational Knee Disorders

Cited by 100 publications

References 34 publications

Risk Factors for Meniscal Tears: A Systematic Review Including Meta-analysis

Risk Factors for Meniscal Tears: A Systematic Review Including Meta-analysis

Conceptual heuristic models of the interrelationships between obesity and the occupational environment

Work-Related Knee Injuries Treated in US Emergency Departments

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