High prevalence of osteoarthritis 14 years after an anterior cruciate ligament tear in male soccer players: a study of radiographic and patient relevant outcomes

A von Porat, E M Roos, H Roos, A von Porat, E M Roos, H Roos

Abstract

Objective: To identify the consequences of an anterior cruciate ligament (ACL) tear in a cohort of male soccer players 14 years after the initial injury with respect to radiographic knee osteoarthritis and patient relevant outcomes.

Methods: Of 219 male soccer players with an ACL injury in 1986, 205 (94%) were available for follow up after 14 years; 75% of the cohort (154/205) answered mailed questionnaires (KOOS, SF-36, and Lysholm knee scoring scale) and 122 of these consented to weight bearing radiographs.

Results: Radiographic changes were found in 95 (78%) of the injured knees, while more advanced changes, comparable with Kellgren-Lawrence grade 2 or higher, were seen in 50 (41%). In the uninjured knees more advanced changes, comparable with Kellgren-Lawrence grade 2 or higher, were seen in five knees (4%). No differences were seen between surgically and conservatively treated players. The patient relevant outcome was affected and did not differ between subjects with and without radiographic changes. Eighty per cent reported reduced activity level.

Conclusions: A high prevalence of radiographic knee osteoarthritis was seen in male soccer players 14 years after an ACL disruption. The injury and the osteoarthritis, irrespective of the treatment provided to these patients, often result in knee related symptoms that severely affect the knee related quality of life by middle age.

References

    1. Am J Sports Med. 1991 Jul-Aug;19(4):372-5
    1. Clin Orthop Relat Res. 1990 Dec;(261):242-6
    1. Am J Sports Med. 1993 May-Jun;21(3):455-60
    1. Rheum Dis Clin North Am. 1993 Aug;19(3):607-15
    1. BMJ. 1994 Jan 22;308(6923):231-4
    1. Am J Sports Med. 1994 Mar-Apr;22(2):219-22
    1. Am J Sports Med. 1994 Sep-Oct;22(5):632-44
    1. Acta Orthop Scand. 1995 Apr;66(2):107-12
    1. Soc Sci Med. 1995 Nov;41(10):1349-58
    1. Osteoarthritis Cartilage. 1995 Sep;3 Suppl A:3-70
    1. Am J Sports Med. 1995 Nov-Dec;23(6):694-701
    1. Osteoarthritis Cartilage. 1995 Dec;3(4):261-7
    1. Scand J Med Sci Sports. 1996 Feb;6(1):40-5
    1. Am J Sports Med. 1996 Mar-Apr;24(2):196-200
    1. Am J Sports Med. 1998 Jan-Feb;26(1):46-51
    1. Arthritis Rheum. 1998 Apr;41(4):687-93
    1. J Orthop Sports Phys Ther. 1998 Aug;28(2):88-96
    1. Scand J Med Sci Sports. 1998 Dec;8(6):439-48
    1. Osteoarthritis Cartilage. 1999 Mar;7(2):230-8
    1. Scand J Med Sci Sports. 1999 Oct;9(5):279-84
    1. Ann Rheum Dis. 1957 Dec;16(4):494-502
    1. Arthritis Rheum. 2000 May;43(5):995-1000
    1. Am J Sports Med. 2000 Jul-Aug;28(4):446-52
    1. Ann Intern Med. 2000 Sep 5;133(5):321-8
    1. Ann Intern Med. 2000 Oct 17;133(8):635-46
    1. Knee. 2001 Mar;8(1):5-11
    1. Am J Sports Med. 2002 Nov-Dec;30(6):845-50
    1. Arthritis Rheum. 2003 Aug;48(8):2178-87
    1. Acta Orthop Scand. 1973;44(1):66-8
    1. Clin Orthop Relat Res. 1985 Sep;(198):43-9
    1. Clin Orthop Relat Res. 1988 Feb;227:229-37
    1. Injury. 1988 Mar;19(2):105-8
    1. Injury. 1988 Jul;19(4):247-8
    1. J Rheumatol. 1988 Dec;15(12):1833-40
    1. Int Orthop. 1991;15(4):367-71

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