Is patellofemoral joint osteoarthritis an under-recognised outcome of anterior cruciate ligament reconstruction? A narrative literature review

被引:132
作者
Culvenor, Adam G. [1 ]
Cook, Jill L. [2 ]
Collins, Natalie J. [3 ,4 ]
Crossley, Kay M. [1 ,3 ]
机构
[1] Univ Queensland, Sch Hlth & Rehabil Sci, Div Physiotherapy, Brisbane, Qld, Australia
[2] Monash Univ, Sch Primary Hlth Care, Dept Physiotherapy, Melbourne, Vic 3004, Australia
[3] Univ Melbourne, Dept Mech Engn, Parkville, Vic 3052, Australia
[4] Univ Melbourne, Melbourne Sch Hlth Sci, Dept Physiotherapy, Parkville, Vic 3052, Australia
基金
英国医学研究理事会;
关键词
D O I
10.1136/bjsports-2012-091490
中图分类号
G8 [体育];
学科分类号
040301 [体育人文社会学];
摘要
Patellofemoral joint (PFJ) osteoarthritis (OA) is a prevalent disease capable of being a potent source of knee symptoms. Although anterior cruciate ligament (ACL) injury and reconstruction (ACLR) are well-established risk factors for the development of tibiofemoral joint OA, PFJ OA after ACL reconstruction has gone largely unrecognised. This is despite the high prevalence of anterior knee pain after ACLR, which can reduce the capacity for physical activity and quality of life. The susceptibility of the PFJ to degenerative change after ACLR may have implications for current rehabilitation strategies. This review summarises the evidence describing the prevalence of PFJ OA after ACLR and examines why this compartment may be at increased risk of early onset OA after ACLR. Strategies that address the modifiable factors for risk of PFJ OA may aid in alleviating joint loads and symptoms for people after ACLR.
引用
收藏
页码:66 / 70
页数:5
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