Osteoarthritis

Associations between anterior knee pain and 2-year patellofemoral cartilage worsening: The MOST study

Osteoarthritis CartilagePublished Longitudinal cohort study

Main finding · Worsening cartilage damage, lateral PF compartmentResult — go to the resultRelative risk 1.78 95% CI 1.21–2.62

Authors' conclusion

Frequent AKP at baseline was associated with worsening cartilage damage in the lateral PF joint over 2 years.

Study context

Population
Individuals with or at risk for knee osteoarthritis (OA) from the Multicenter Osteoarthritis Study, excluding bilateral knee replacements, arthritis other than OA and radiographic patellofemoral osteoarthritis (PFOA)one knee per participant
Participants
1,083 individuals
Exposure
Frequent anterior knee pain vs no frequent anterior knee pain
Outcome
Worsening PF cartilage damage (increase in magnetic resonance imaging (MRI) Osteoarthritis Knee Score)
Follow-up
2 years
Methodological detailslog-binomial models
  • Log-binomial models

Main finding

As reported in the abstract

Worsening cartilage damage, lateral PF compartment

Relative risk

1.78

95% CI 1.21–2.62

Frequent AKPvs No frequent AKP
RR 1.78 (95% CI 1.21–2.62)

Observational data: associations, not effects.

Further findings

Worsening cartilage damage, medial patellofemoral (PF) joint · 2 years

No association between frequent anterior knee pain (AKP) and worsening in the medial PF joint

Baseline prevalence of frequent AKP and frequent isolated AKP

Frequent AKP
14.5%
Frequent isolated AKP
3.6%

Original publication

Associations between anterior knee pain and 2-year patellofemoral cartilage worsening: The MOST study. Osteoarthritis Cartilage. Published 30 September 2023. doi:10.1016/j.joca.2023.09.008

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