Intrinsic Risk Factors for the Development of Anterior Knee Pain in an Athletic Population: A Two-Year Prospective Study

2000 ◽  
Vol 28 (4) ◽  
pp. 480-489 ◽  
Author(s):  
Erik Witvrouw ◽  
Roeland Lysens ◽  
Johan Bellemans ◽  
Dirk Cambier ◽  
Guy Vanderstraeten
Keyword(s):  
Risk Factors ◽  
Prospective Study ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Athletic Population ◽  
Anterior Knee

scholarly journals Risk Factors for the Occurrence and Protraction of Anterior Knee Pain in Children and Adolescents: a Prospective Cohort Study of 3 Years

2021 ◽  
Author(s):  
Manato Horii ◽  
Ryuichiro Akagi ◽  
Sho Takahashi ◽  
Shotaro Watanabe ◽  
Yuya Ogawa ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Cohort Study ◽  
Children And Adolescents ◽  
Knee Pain ◽  
Prospective Cohort Study ◽  
Anterior Knee Pain ◽  
Prospective Cohort ◽  
Activity Level ◽  
Anterior Knee

Abstract Background: Anterior knee pain (AKP) is a common limitation to children’s participation in social and physical activities. Therefore, to prevent the occurrence and protraction of AKP, it is crucial to identify risk factors. The purpose of this study was to clarify the factors associated with the occurrence and protraction of AKP in children and adolescents. Method: A three-year prospective cohort study was conducted with children and adolescents aged 8–14 in Japan. We recorded the occurrence of AKP, heel buttock distance, straight leg raising angle (SLRA), dorsiflexion angle of the ankle joint, and the Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS). Logistic regression analysis was performed to calculate the odds ratio (OR) for each predicted risk factor for the occurrence and protraction of AKP among subjects without AKP at baseline. Results: We recruited 1,254 children and adolescents for the present study, and 1,133 children and adolescents who did not have AKP at baseline were included in the analysis. Six to nine percent of the subjects developed AKP annually. A high HSS Pedi-FABS score significantly predicted AKP occurrence (in 2017, OR 1.07, 95% CI 1.02−1.12, p = 0.003; in 2018, OR 1.05, 95% CI 1.01−1.10, p = 0.025). Of the participants, 32.9% developed chronic AKP during the follow-up period. When 8-year-old was used as a reference age, 13-year-old subjects (right side, OR 2.37, 95% CI, 1.00−5.61, p = 0.05) and 14-year-old subjects (right side, OR 2.57, 95% CI, 1.00−6.60, p = 0.049; left side, OR 6.32; 95% CI 1.33−30.00, p = 0.020) were at a significantly higher risk of AKP protraction. Conclusions: This study showed that a greater physical activity level was a risk factor for the onset of anterior knee pain in childhood. In addition, one-third of the children and adolescents developed chronic knee pain, and elderly adolescents were at a higher risk of protraction.

scholarly journals Anterior knee pain and its extrinsic risk factors among runners in under-resourced communities in Ekurhuleni, Gauteng, South Africa

10.17159/6090 ◽  
2019 ◽  
Vol 31 (1) ◽  
pp. 1-6
Author(s):  
S Kunene ◽  
S Ramklass ◽  
N Taukobong
Keyword(s):  
Risk Factors ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Warm Up ◽  
External Risk ◽  
Extrinsic Risk ◽  
Anterior Knee

Background: Various factors predispose athletes with Anterior Knee Pain (AKP) making a holistic assessment & rehabilitation inevitable. Due to minimal rehabilitation services in under-resourced communities, runners are likely to report poorer health outcomes compared to other communities. Objective: The purpose was to report on the prevalence and determine extrinsic risk factors for AKP among runners in under-resourced communities. Materials & Methods: This was a cross-sectional study which included a population of 347 runners. Convenience sampling was used to recruit 183 participants aged between 13 and 55 with no history of knee surgery, traumatic or degenerative knee conditions. Questionnaires were used to collect data on AKP prevalence, and extrinsic risk factors. The SPSS (version 25) was used to analyse the data. Data were presented as frequencies and percentages and the results from chi-square and logistic regression tests. Results: Forty percent (40%) of participants presented with AKP, particularly males (n=106, 58%), youth (n=94, 51%) and participants with 3–5 years of running experience (n=57, 31%). Anterior knee pain was associated with age (X2=6.484, p=0.039) and running experience (X2=8.39, p=0.04). The following extrinsic risk factors contributed to AKP significantly: training load (p=0.04, Odds ratio [OR]=1.23); warm-up (p=0.04, OR=1.23); shoe condition (p=0.04, OR=0.14) and running surface (p=0.05, OR=1.2).  Discussion & conclusions: A substantial presence of AKP and its extrinsic risk factors were found among participants. These outcomes suggest that extrinsic risk factors should also be considered when managing AKP among runners. Keywords: Patellofemoral pain, external risk factors, athletes, poor resourced communities.

A prospective study of the diagnostic potential of the knee tunnel view radiograph in assessing anterior knee pain

The Knee ◽  
2007 ◽  
Vol 14 (1) ◽  
pp. 29-33 ◽  
Author(s):  
Caroline Hing ◽  
Eden Raleigh ◽  
Michael Bailey ◽  
Nasir Shah ◽  
Tom Marshall ◽  
...  
Keyword(s):  
Prospective Study ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Diagnostic Potential ◽  
A Prospective Study ◽  
Anterior Knee

Clinical Results of PST (Pulsed Signal Therapy) on Anterior Knee Pain with Patellar Chondropathy: A Randomized Prospective Study

2017 ◽  
Vol 33 (10) ◽  
pp. e95-e96
Author(s):  
Marco Kawamura Demange ◽  
Riccardo Gomes Gobbi ◽  
Adriana Pastore Silva ◽  
José Ricardo Pécora ◽  
Gilberto Luis Camanho
Keyword(s):  
Prospective Study ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Clinical Results ◽  
Patellar Chondropathy ◽  
Anterior Knee ◽  
Pulsed Signal Therapy

What sports medicine practitioners should know about imaging for femoro-patellar pathologies

2020 ◽  
Vol 68 (1) ◽  
Keyword(s):  
Risk Factors ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
High Reliability ◽  
Trochlear Dysplasia ◽  
Trochlear Groove ◽  
Clinical Imaging ◽  
Adequate Treatment ◽  
Patellar Maltracking ◽  
Anterior Knee

Clinical imaging in patellofemoral disorders is fundamental for the understanding of the pathology, and to find the adequate treatment option. Anatomical risk factors such as trochlear dysplasia, patella alta, lateralized tibiale tubercle (measured by the tibiale tubercle trochlear groove distance), torsional or coronal lower limb alignment that are the origine of patellar maltracking or even patellar dislocation, can be assessed with high reliability on conventional radiographs combined with MR imaging. The conservative and surgical treatment will highly rely on these findings. The importance of clinical imaging in unspecific anterior knee pain is less clear. It is mostly performed to exclude structural injuries, however is rarely reliable to diagnose the painful structure. Critical appraisal of morphological risk factors is necessary especially in the treatment of anterior knee pain, since fortuitous pathological findings are frequent.

scholarly journals Evaluation of the Performance of Females as Light Infantry Soldiers

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Aharon S. Finestone ◽  
Charles Milgrom ◽  
Ran Yanovich ◽  
Rachel Evans ◽  
Naama Constantini ◽  
...  
Keyword(s):  
Prospective Study ◽  
Knee Pain ◽  
Body Fat ◽  
Anterior Knee Pain ◽  
Overuse Injuries ◽  
High Incidence ◽  
Long Term Performance ◽  
Term Performance ◽  
Anterior Knee

A few countries permit women to serve in combat roles, but their long term performance in these positions has not been reported. The incidences of overuse injuries and attrition of 85 male and 235 female recruits in a light infantry brigade was followed in a three-year prospective study. Females were shorter (162 cm, CI 161–163 cm) than males (174 cm, CI 173–176), had more body fat (18.9 kg, CI 18.2–19.6 kg) than males (12.6 kg, 11.3–13.8 kg), had lowerV˙O2max (36.8 mL·min−1·kg−1, CI 35.8–37.78 mL·min−1·kg−1) than males (50.48 mL·min−1·kg−1, CI 48.4 to 52.48 mL·min−1·kg−1), had more stress fractures (21.0%, 95% CI 16.2–26.5%) than males (2.3%, CI 0.3–8.2%), and had more anterior knee pain (41.2%, CI 34.9–47.7%) than males (24.7%, CI 16.0–35.2%). Three-year attrition was 28% CI 22–34% for females and 37% CI 26–48% for males. The females in this study successfully served as light infantry soldiers. Their lower fitness and high incidence of overuse injuries might impede service as regular infantry soldiers.

scholarly journals What sports medicine practitioners should know about imaging for femoro-patellar pathologies

2020 ◽  
Keyword(s):  
Risk Factors ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
High Reliability ◽  
Trochlear Dysplasia ◽  
Trochlear Groove ◽  
Clinical Imaging ◽  
Adequate Treatment ◽  
Patellar Maltracking ◽  
Anterior Knee

Clinical imaging in patellofemoral disorders is fundamental for the understanding of the pathology, and to find the adequate treatment option. Anatomical risk factors such as trochlear dysplasia, patella alta, lateralized tibiale tubercle (measured by the tibiale tubercle trochlear groove distance), torsional or coronal lower limb alignment that are the origine of patellar maltracking or even patellar dislocation, can be assessed with high reliability on conventional radiographs combined with MR imaging. The conservative and surgical treatment will highly rely on these findings. The importance of clinical imaging in unspecific anterior knee pain is less clear. It is mostly performed to exclude structural injuries, however is rarely reliable to diagnose the painful structure. Critical appraisal of morphological risk factors is necessary especially in the treatment of anterior knee pain, since fortuitous pathological findings are frequent.

Sign in / Sign up

Export Citation Format

Share Document