2014
DOI: 10.1002/acr.22359
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Association of Knee Injuries With Accelerated Knee Osteoarthritis Progression: Data From the Osteoarthritis Initiative

Abstract: Objective We aimed to evaluate if a recent knee injury was associated with accelerated knee osteoarthritis (KOA) progression. Methods In the Osteoarthritis Initiative (OAI) we studied participants free of KOA on their baseline radiographs (Kellgren-Lawrence [KL]<2). We compared three groups: 1) individuals with accelerated progression of KOA: defined as having at least one knee that progressed to end-stage KOA (KL Grade 3 or 4) within 48 months, 2) common KOA progression: at least one knee increased in radio… Show more

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Cited by 93 publications
(121 citation statements)
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“…However, approximately 22% of incident cases of KOA within the first 4 years of the Osteoarthritis Initiative (OAI) are an accelerated form of KOA (AKOA) [1,2]. Additionally, within the OAI we found an annual incidence rate of 6 AKOA cases per 1000 people.…”
Section: Introductionmentioning
confidence: 96%
“…However, approximately 22% of incident cases of KOA within the first 4 years of the Osteoarthritis Initiative (OAI) are an accelerated form of KOA (AKOA) [1,2]. Additionally, within the OAI we found an annual incidence rate of 6 AKOA cases per 1000 people.…”
Section: Introductionmentioning
confidence: 96%
“…Despite knee injuries being associated with a greater risk for early-onset osteoarthritis (3) and accelerated KOA (4) very little is known about possible risk factors for injuries among adults over 45 years of age. We found that among knees with or without KOA that a history of knee injury and ipsilateral knee pain are associated with new knee injuries.…”
Section: Discussionmentioning
confidence: 99%
“…This last point is based on consistent evidence that knee injuries increase the risk of KOA (13). We previously demonstrated that among adults over 45 years of age that knee injuries are associated with incident KOA, particularly accelerated KOA (4). Based on the current analyses, we found that knee pain and a history of knee injury increases the risk of a knee injury among adults with and without radiographic osteoarthritis.…”
Section: Discussionmentioning
confidence: 99%
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“…While knee OA is typically a slowly progressing disorder, it has recently been appreciated that 5-17 % of knee OA have a rapid progression of structural damage. The OAI study investigated whether a recent knee injury was associated with accelerated knee OA progression [63]. A knee injury during the total observation period was associated with accelerated knee OA progression (OR 3.1).…”
Section: Jkommentioning
confidence: 99%