Abstract:
OBJECTIVE:To estimate knee osteoarthritis (OA) risk following anterior cruciate ligament (ACL), meniscus or combined ACL and meniscus injury. DESIGN:Systematic review and meta-analysis. DATA SOURCES:MEDLINE, Embase, SPORTDiscus, CINAHL and Web of Science until November 2018. ELIGIBILITY CRITERIA FOR SELECTING STUDIES:Prospective or retrospective studies with at least 2-year follow-up including adults with ACL injury, meniscal injury or combined injuries. Knee OA was defined by radiographs or clinical diagnosis and compared with the contralateral knee or non-injured controls. STUDY APPRAISAL AND SYNTHESIS:Risk of bias was assessed using the SIGN50 checklist. ORs for developing knee OA were estimated using random effects meta-analysis. RESULTS:53 studies totalling ∼1 million participants were included: 185 219 participants with ACL injury, mean age 28 years, 35% females, 98% surgically reconstructed; 83 267 participants with meniscal injury, mean age 38 years, 36% females, 22% confirmed meniscectomy and 73% unknown; 725 362 participants with combined injury, mean age 31 years, 26% females, 80% treated surgically. The OR of developing knee OA were 4.2 (95% CI 2.2 to 8.0; I2=92%), 6.3 (95% CI 3.8 to 10.5; I2=95%) and 6.4 (95% CI 4.9 to 8.3; I2=62%) for patients with ACL injury, meniscal injury and combined injuries, respectively. CONCLUSION:The odds of developing knee OA following ACL injury are approximately four times higher compared with a non-injured knee. A meniscal injury and a combined injury affecting both the ACL and meniscus are associated with six times higher odds compared with a non-injured knee. Large inconsistency (eg, study design, follow-up period and comparator) and few high-quality studies suggest that future studies may change these estimates. CLINICAL RELEVANCE:Patients sustaining a major knee injury have a substantially increased risk of developing knee OA, highlighting the importance of knee injury prevention programmes and secondary prevention strategies to prevent or delay knee OA development.PROSPERO registration number CRD42015016900.
journal_name
Br J Sports Medjournal_title
British journal of sports medicineauthors
Poulsen E,Goncalves GH,Bricca A,Roos EM,Thorlund JB,Juhl CBdoi
10.1136/bjsports-2018-100022subject
Has Abstractpub_date
2019-12-01 00:00:00pages
1454-1463issue
23eissn
0306-3674issn
1473-0480pii
bjsports-2018-100022journal_volume
53pub_type
杂志文章,meta分析abstract::The aims of this review were to determine the level of evidence for exercise training in the management of patients with chronic obstructive pulmonary disease (COPD) and provide evidence-based recommendations on exercise training. This review was performed in PubMed and Cochrane Library. Included studies investigated ...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsports-2015-095872
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:The ability to predict injury is difficult. Prior injury is the only risk factor that has been reported consistently in multiple research studies. Convenient and easy to perform, physical performance tests (PPTs) have great allure as prognostic factors. METHODS:11 PPTs were issued to 359 participants over t...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2015-094885
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND/AIM:The main purposes of this study were to determine the injury incidence and severity in Australian amateur taekwondo athletes, and to investigate potential risk factors for injury in competition taekwondo. METHODS:Data were collected at New South Wales State Championships in 2010 and 2011. Injuries were ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2012-091666
更新日期:2013-05-01 00:00:00
abstract:OBJECTIVES:To show how epidemiological data can be presented and analysed in frequency based and risk based formats and how risk based information can simplify management decisions on injury prevention strategies in professional football. METHODS:The club physiotherapists at four English professional football clubs pr...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.36.6.446
更新日期:2002-12-01 00:00:00
abstract:OBJECTIVES:To compare the effects of interval training and moderate-intensity continuous training (MOD) on body adiposity in humans, and to perform subgroup analyses that consider the type and duration of interval training in different groups. DESIGN:Systematic review and meta-analysis. DATA SOURCES:English-language,...
journal_title:British journal of sports medicine
pub_type: 杂志文章,meta分析
doi:10.1136/bjsports-2018-099928
更新日期:2019-05-01 00:00:00
abstract::A limitation to the accurate study of muscle injuries and their management has been the lack of a uniform approach to the categorisation and grading of muscle injuries. The goal of this narrative review was to provide a framework from which to understand the historical progression of the classification and grading of ...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsports-2014-093551
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVES:To describe new WHO 2020 guidelines on physical activity and sedentary behaviour. METHODS:The guidelines were developed in accordance with WHO protocols. An expert Guideline Development Group reviewed evidence to assess associations between physical activity and sedentary behaviour for an agreed set of heal...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2020-102955
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVES:To understand how device-measured sedentary behaviour and physical activity are related to all-cause mortality in older men, an age group with high levels of inactivity and sedentary behaviour. METHODS:Prospective population-based cohort study of men recruited from 24 UK General Practices in 1978-1980. In 2...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2017-098733
更新日期:2019-08-01 00:00:00
abstract::A case of severe frostbite injury to the right foot is presented. This was caused by the inappropriate application of a bag of frozen chips to the foot in an attempt to ease non-specific pain. No specific acute traumatic injury was identified. As the patient was a teacher of physical education, the pain had initially ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.34.5.382
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVE:Evidence suggests that the level of physical activity of physicians can be correlated directly with physician counselling patterns about this behaviour. Our objective was to determine if medical students, resident and fellow physicians and attending physicians meet the physical activity guidelines set forth b...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2011-090299
更新日期:2012-04-01 00:00:00
abstract:BACKGROUND:Swimming is a widespread sporting activity generally regarded as an ideal form of exercise, which has little or no impact on the knees. However, overuse or repetitive microtrauma injuries may often affect the knee joint of young competitive swimmers. These early lesions are frequently asymptomatic for a cons...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2010.083345
更新日期:2012-03-01 00:00:00
abstract::The Executive Committee of the International Ankle Consortium presents this 2016 position paper with recommendations for information implementation and continued research based on the paradigm that lateral ankle sprain (LAS), and the development of chronic ankle instability (CAI), serve as a conduit to a significant g...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2016-096188
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVE:To evaluate the protective eyewear promotion (PEP) project, which was a comprehensive educational strategy to increase the use of appropriate protective eyewear by squash players. METHODS:An ecological study design was used. Four squash venues in one playing association were randomly chosen to receive PEP an...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2005.018366
更新日期:2005-09-01 00:00:00
abstract::Mechanotransduction is the physiological process where cells sense and respond to mechanical loads. This paper reclaims the term "mechanotherapy" and presents the current scientific knowledge underpinning how load may be used therapeutically to stimulate tissue repair and remodelling in tendon, muscle, cartilage and b...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsm.2008.054239
更新日期:2009-04-01 00:00:00
abstract::A central debate in the exercise sciences is the cause of the fatigue that develops especially during high intensity exercise of short duration. The most popular theory holds that this form of exercise is limited by a peripherally based, metabolite induced failure of skeletal muscle contractile function, independent o...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2003.009761
更新日期:2004-10-01 00:00:00
abstract::The health benefits of physical activity are well documented yet 70% of adults remain sedentary. It has been suggested that interventions based on the transtheoretical model of behaviour change (TTM) may be useful in promoting physical activity. Published work on the effectiveness of such interventions is therefore cr...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsm.37.2.106
更新日期:2003-04-01 00:00:00
abstract:OBJECTIVE:To compare the prevalence of self reported, physician diagnosed osteoarthritis (OA) of the hip in ex-professional footballers with that in age matched controls in the general public. METHOD:A questionnaire was sent to the 92 football league and premiership managers to assess the prevalence of OA of various j...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.37.1.80
更新日期:2003-02-01 00:00:00
abstract::A history of morning and rest pain that eases with activity was found to improve after anti-inflammatory injections around the paratenon or within the Achilles bursae. The reduction in pain morbidity was significant, and the peritendinous steroid injections did not increase the rupture rate. ...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.33.2.134
更新日期:1999-04-01 00:00:00
abstract::There is little information on the nutritional habits of female football players at any level of the game. There is also a shortage of information on the nutrition and hydration strategies that players should adopt. In general, differences in nutritional needs between males and females are smaller than differences bet...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsm.2007.036475
更新日期:2007-08-01 00:00:00
abstract::The objective is to provide guidance for pregnant women and obstetric care and exercise professionals on prenatal physical activity. The outcomes evaluated were maternal, fetal or neonatal morbidity, or fetal mortality during and following pregnancy. Literature was retrieved through searches of MEDLINE, EMBASE, PsycIN...
journal_title:British journal of sports medicine
pub_type: 杂志文章,实务指引
doi:10.1136/bjsports-2018-100056
更新日期:2018-11-01 00:00:00
abstract::Objective The purpose of this study was to describe the results of two treatment regimens for medial tibial stress syndrome (MTSS); a graded running programme and the same running programme with additional shockwave therapy (extracorporeal shockwave therapy; ESWT). Design A prospective observational controlled trial....
journal_title:British journal of sports medicine
pub_type: 杂志文章,多中心研究
doi:10.1136/bjsm.2010.081992
更新日期:2012-03-01 00:00:00
abstract:BACKGROUND:The relatively young sport of snowboarding exhibits high injury rates. The current efforts to characterise the injury pattern of snowboarders focus largely on the general snowboard population and upper extremity injuries, the most common injury site in snowboarders as a whole. METHODS:In an effort to descri...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsports-2013-093019
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVES:The study aimed to determine the risk of time-loss injuries in international fencing and to characterise their type, location, severity and mechanism. Variations in risk associated with sex and discipline categories are also examined. METHODS:Data on participation and withdrawal due to injury from 809 compe...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsports-2018-100002
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVE:To find the individual intensity for aerobic endurance training, the lactate minimum test (LMT) seems to be a promising method. LMTs described in the literature consist of speed or work rate-based protocols, but for training prescription in daily practice mostly heart rate is used. The aim of the present stud...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2006.032714
更新日期:2009-06-01 00:00:00
abstract:BACKGROUND:As one of the purposes of anterior cruciate ligament reconstruction (ACLR) is to return athletes to their preinjury activity level, it is critical to understand variables influencing return to sport. Associations between return to sport and variables representing knee impairment, function and psychological s...
journal_title:British journal of sports medicine
pub_type: 杂志文章,评审
doi:10.1136/bjsports-2012-091786
更新日期:2014-03-01 00:00:00
abstract:OBJECTIVE:To investigate the stride pattern of different age groups of veteran runners in a marathon road race. METHODS:This kinematic study investigated the stride pattern (stride length, stride period, velocity, stance time, and non-stance time) for 151 runners (78 men aged up to 75-80, 73 women aged up to 60-64) at...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2006.026252
更新日期:2006-07-01 00:00:00
abstract::The Injury Prevention Research Unit was established in 1990 to reduce the incidence, severity and consequences of injury. Research into sport and recreational injury is one of five major areas of research being undertaken. National data sources have been used to estimate the overall size of the problem and to describe...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.28.4.221
更新日期:1994-12-01 00:00:00
abstract:OBJECTIVE:To investigate clinical and imaging differential diagnosis and tennis stroke biomechanics potentially involved in lunate stress injury pathogenesis. METHODS:The present report describes five competitive tennis players with overuse-related dorsal wrist pain assessed by magnetic resonance imaging. RESULTS:Mag...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2007.036806
更新日期:2007-11-01 00:00:00
abstract:BACKGROUND:Repetitive high bone strain and/or strain rates, such as those that occur during running, contribute to stress fractures as well as promoting maintenance of or increase in bone mass. Kinematic differences are known to exist between overground and treadmill running and these may be reflected in different bone...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.37.2.160
更新日期:2003-04-01 00:00:00
abstract::Data on tolerance of cardiac pacemakers during diving are very scarce. The aim of this study was to test electronic and mechanical tolerances of pacemakers exposed to experimental reproductions of pressures encountered during diving. Two samples each of 20 different models of cardiac pacemakers were exposed to compres...
journal_title:British journal of sports medicine
pub_type: 杂志文章
doi:10.1136/bjsm.2007.039552
更新日期:2008-03-01 00:00:00