4.6 Article

Knee cartilage assessment with MRI (dGEMRIC) and subjective knee function in ACL injured copers: a cohort study with a 20 year follow-up

期刊

OSTEOARTHRITIS AND CARTILAGE
卷 22, 期 1, 页码 84-90

出版社

ELSEVIER SCI LTD
DOI: 10.1016/j.joca.2013.10.006

关键词

Osteoarthritis; Knee; Anterior cruciate ligament injury; Meniscus injury; MRI; dGEMRIC

资金

  1. Swedish Research Council
  2. NHS (National Health Services)
  3. Skane County Council's Research and Development Foundation
  4. Swedish National Centre for Research in Sports, King Gustaf
  5. Crafoord Foundation
  6. Swedish Rheumatism Association
  7. Alfred Osterlund Foundation
  8. Herman Jarnhardt Foundation
  9. Greta and Johan Kock Foundation
  10. Skane University Hospital Funds

向作者/读者索取更多资源

Objective: To assess knee cartilage quality and subjective knee function, 20 years after injury in anterior cruciate ligament (ACL) injured copers. Method: We examined 32 knees using delayed gadolinium-enhanced magnetic resonance imaging (MRI) of cartilage (dGEMRIC), 20 years after a complete ACL tear. Only subjects who had coped with the ACL injury without ACL reconstruction (ACLR), and who presented without radiographic signs of osteoarthritis (OA) at an earlier 16-year follow-up, were included in this study. The quality of the central weight-bearing parts of the medial and lateral femoral cartilage was estimated with dGEMRIC (T1Gd). These results were compared with corresponding results in 24 healthy individuals, and with the subjects' self-reported subjective knee function using the Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaire. Results: The values of T1Gd in the medial and lateral femoral cartilage of the study group (mean (95% CI)), were 404 (385-423) and 427 (399-455) ms, not statistically different from those of the healthy reference group (P = 0.065 and 0.31). The subjective knee function 20 years after the injury, according to the five domains of the KOOS score, was good, with a mean score of 90 +/- 11. Values of T1Gd for the medial femoral cartilage were correlated with the KOOS subgroup QOL (P = 0.021, Pearson correlation). Conclusions: Subjects who have managed to cope with their ACL injury for 20 years with sustained good subjective knee function also seem to have knee cartilage of good quality, with T1Gd values not very different from a healthy reference group. (C) 2013 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.6
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Rheumatology

Road to Total Knee Replacement: Utilization of Knee Surgeries Up to Ten Years Before Total Knee Replacement in England and Sweden

Andrea Dell'Isola, Tom Appleyard, Dahai Yu, Clara Hellberg, Geraint Thomas, Aleksandra Turkiewicz, George Peat, Martin Englund

Summary: This study compared the prevalence and timing of knee surgery in the 10 years prior to primary total knee replacement (TKR) between England and Sweden. The study found that meniscal surgeries were the most frequent procedure before TKR in both countries, and the prevalence increased in the years approaching TKR. In England, there was a decrease in the utilization of this procedure in the 4 years preceding TKR.

ARTHRITIS CARE & RESEARCH (2023)

Article Orthopedics

Does lower educational attainment increase the risk of osteoarthritis surgery? a Swedish twin study

Maria Lindeus, Aleksandra Turkiewicz, Karin Magnusson, Martin Englund, Ali Kiadaliri

Summary: Previous studies have found a negative correlation between educational attainment and different outcomes of osteoarthritis (OA). However, these studies did not account for potential confounding variables such as early-life environment and genetics. Therefore, this study aimed to examine the association between educational attainment and knee and hip OA surgery using twin data.

BMC MUSCULOSKELETAL DISORDERS (2023)

Article Orthopedics

3D analysis and grading of calcifications from ex vivo human meniscus

I. Hellberg, V. -P. Karjalainen, M. A. J. Finnilä, E. Jonsson, A. Turkiewicz, P. Önnerfjord, V. Hughes, J. Tjörnstrand, M. Englund, S. Saarakkala

Summary: This study proposed a micro-computed tomography (mu CT) based 3D analysis of meniscal calcifications ex vivo, including a new grading system. The results showed that mu CT images can effectively depict meniscal calcifications, and the new grading system can accurately measure the severity of meniscal calcification. Two different patterns of degeneration were observed.

OSTEOARTHRITIS AND CARTILAGE (2023)

Article Orthopedics

Occurrence of comorbidity following osteoarthritis diagnosis: a cohort study in the Netherlands

A. Kamps, J. Runhaar, M. A. J. de Ridder, M. de Wilde, J. van der Lei, W. Zhang, D. Prieto-Alhambra, M. Englund, E. I. T. de Schepper, S. M. A. Bierma-Zeinstra

Summary: This study examined the risk of comorbidity following diagnosis of knee or hip osteoarthritis (OA) using a large database of electronic health records. The results showed that patients diagnosed with knee or hip OA were more likely to have other long-term conditions. This suggests the importance of considering the risk of comorbidities in the management of OA.

OSTEOARTHRITIS AND CARTILAGE (2023)

Article Orthopedics

Incidence and concomitant chondral injuries in a consecutive cohort of primary traumatic patellar dislocations examined with sub-acute MRI

Anders Isacsson, Ola Olsson, Martin Englund, Richard B. Frobell

Summary: This study aimed to present the age- and sex-specific cumulative annual incidences of primary traumatic lateral patellar dislocation (LPD) and to detail patient characteristics and concomitant chondral injuries including osteochondral fractures, as visualized on magnetic resonance imaging (MRI), in a large consecutive cohort of knee-injured individuals. The results showed that the annual incidence of first-time patellar dislocation was 14 per 100,000 individuals, with the highest incidence found among those aged 13-15 years. Primary LPD was more common among males and was sustained during sports activity in 55% of the cases. Associated injuries to the chondral surfaces should be expected in 43% of knees with primary LPD where 18% represent osteochondral fractures.

INTERNATIONAL ORTHOPAEDICS (2023)

Review Medicine, General & Internal

Osteoarthritis, part of life or a curable disease? A bird's-eye view

Martin Englund

Summary: Osteoarthritis is a chronic joint disease caused by various factors that disrupt joint homeostasis. It is characterized by degradation of cartilage, inflammation, and can result in pain, reduced function, and disability. The disease is increasing globally due to aging and rising obesity rates. Current management relies on contextual factors and the development of disease-modifying treatments is challenging.

JOURNAL OF INTERNAL MEDICINE (2023)

Article Radiology, Nuclear Medicine & Medical Imaging

Imaging-based assessment of fatty acid composition in human bone marrow adipose tissue at 7 T: Method comparison and in vivo feasibility

Sevgi Emin, Edwin H. G. Oei, Martin Englund, Pernilla Peterson

Summary: This study aims to demonstrate the feasibility and accuracy of chemical shift-encoded imaging for evaluating the fatty acid composition of human bone marrow adipose tissue at 7 T. The noise performance and accuracy were assessed using simulations and a phantom experiment. In vivo imaging of knee-healthy subjects showed regional differences in the fatty acid fractions, with the constrained model providing better accuracy and lower intersubject variation. In conclusion, quantifying bone marrow adipose tissue fatty acid composition using chemical-shift encoding is feasible at 7 T, with the constrained signal model being superior in terms of noise performance and accuracy.

MAGNETIC RESONANCE IN MEDICINE (2023)

Review Orthopedics

A scoping review of how early-stage knee osteoarthritis has been defined

Jean W. Liew, Lauren K. King, Armaghan Mahmoudian, Qiuke Wang, Hayden F. Atkinson, David B. Flynn, C. Thomas Appleton, Martin Englund, Ida K. Haugen, L. Stefan Lohmander, Jos Runhaar, Tuhina Neogi, Gillian Hawker

Summary: Early-stage knee osteoarthritis (KOA) classification criteria are important for identifying and recruiting patients with early-stage KOA. However, the definition of early-stage KOA varies in the literature, with most studies including individuals with KL grade 2 or higher, indicating established or later-stage OA.

OSTEOARTHRITIS AND CARTILAGE (2023)

Editorial Material Orthopedics

The emperor's new clothes?

M. Englund, A. Turkiewicz

OSTEOARTHRITIS AND CARTILAGE (2023)

Article Forestry

Hierarchical Task Analysis (HTA) for Application Research on Operator Work Practices and the Design of Training and Support Systems for Forestry Harvester

Felix A. Dreger, Martin Englund, Florian Hartsch, Thilo Wagner, Dirk Jaeger, Rolf Bjoerheden, Gerhard Rinkenauer

Summary: Highly mechanized forestry operations require skilled harvester operators for efficient timber harvesting. However, research has shown a lack of knowledge about the work practices of forest machine operators, emphasizing the need for systematic research and refinement of analytical methods. This paper introduces hierarchical task analysis (HTA) as a versatile method for describing the work objectives of forest machine operators and promoting efficient work practices, operator training, and evaluation of assistive technologies. The study focuses on clearcutting and thinning stand methods in European forestry, providing a structured approach to HTA for optimal human-machine collaboration in forestry application research.

FORESTS (2023)

Article Rheumatology

Stable incidence but increase in prevalence of ANCA-associated vasculitis in southern Sweden: a 23-year study

Jens Rathmann, Marten Segelmark, Martin Englund, Aladdin J. Mohammad

Summary: The epidemiology of anti-neutrophil cytoplasmic antibody-associated vasculitis (AAV) in southern Sweden was studied. The incidence of AAV remained stable over a 23-year period, while the prevalence increased, indicating improved management and treatment resulting in higher survival rates for AAV patients.

RMD OPEN (2023)

Article Biophysics

Sensitivity of simulated knee joint mechanics to selected human and bovine fibril-reinforced poroelastic material properties

Sana Jahangir, Amir Esrafilian, Mohammadhossein Ebrahimi, Lauri Stenroth, Tine Alkjaer, Marius Henriksen, Martin Englund, Mika E. Mononen, Rami K. Korhonen, Petri Tanska

Summary: In this study, the mechanical responses of knee cartilage were investigated using a finite element knee joint model with either human or bovine fibril-reinforced poroviscoelastic cartilage properties during walking. The results showed that bovine cartilage properties led to greater stresses and fluid pressures compared to human cartilage properties. The mechanical responses of cartilage were highly sensitive to variations in collagen fibril-related material parameters.

JOURNAL OF BIOMECHANICS (2023)

Article Rheumatology

Classification of patients with osteoarthritis through clusters of comorbidities using 633 330 individuals from Spain

Marta Pineda-Moncusi, Francesco Dernie, Andrea Dell'Isola, Anne Kamps, Jos Runhaar, Subhashisa Swain, Weiya Zhang, Martin Englund, Irene Pitsillidou, Victoria Y. Strauss, Danielle E. Robinson, Daniel Prieto-Alhambra, Sara Khalid

Summary: This study found that patients with a new diagnosis of OA can be divided into four clusters based on their comorbidity profile: low-morbidity, back/neck pain plus mental health, metabolic syndrome, and multimorbidity. The 'multimorbidity' cluster had the highest risk of 10-year mortality, followed by the 'metabolic syndrome' cluster and the 'back/neck pain plus mental health' cluster.

RHEUMATOLOGY (2023)

Article Rheumatology

Use of prescribed analgesics before and after exercise therapy and patient education in patients with knee or hip osteoarthritis

Melker S. Johansson, Anton Pottegard, Jens Sondergaard, Martin Englund, Dorte T. Gronne, Soren T. Skou, Ewa M. Roos, Jonas B. Thorlund

Summary: The aim of this study was to investigate the utilization patterns of prescribed analgesics before, during, and after an exercise therapy and patient education program among patients with knee or hip osteoarthritis. The study found that the majority of patients had an increase in analgesic use in the year before the intervention, but a decrease during and after the intervention. A small proportion of patients accounted for more than half of the total analgesic dispensed during the study period.

RHEUMATOLOGY INTERNATIONAL (2023)

Article Sport Sciences

Evidence of ACL healing on MRI following ACL rupture treated with rehabilitation alone may be associated with better patient-reported outcomes: a secondary analysis from the KANON trial

Stephanie Rose Filbay, Frank W. Roemer, L. Stefan Lohmander, Aleksandra Turkiewicz, Ewa M. Roos, Richard Frobell, Martin Englund

Summary: This study evaluated the natural course of ACL healing after ACL rupture within 5 years on MRI and compared the outcomes at 2 and 5 years based on healing status and treatment group. The results showed that ACL healing on MRI was associated with favorable outcomes, suggesting that the potential for spontaneous healing of the ACL may be greater than previously considered.

BRITISH JOURNAL OF SPORTS MEDICINE (2023)

暂无数据