Kasper Krommes, Amalie Bjerre, Kristian Thorborg, Mathias Fabricius Nielsen, Per Hölmich
{"title":"有青少年奥斯古德-施洛特病史的成年人的长期膝关节健康：1977-2020年丹麦二级护理患者的国家队列研究","authors":"Kasper Krommes, Amalie Bjerre, Kristian Thorborg, Mathias Fabricius Nielsen, Per Hölmich","doi":"10.1007/s40279-025-02214-5","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Osgood-Schlatter has, until recently, been suggested to be a benign condition, affecting adolescents in terms of knee pain and decreased sports participation during growth, with no long-term consequences seen later in adulthood.</p><p><strong>Objectives: </strong>The objectives of this study were to describe the long-term knee health in adults with a history of Osgood-Schlatter, compare these findings with healthy population estimates, and investigate if explanatory variables are associated with current knee health.</p><p><strong>Methods: </strong>The Danish Patient Registry identified patients ≥ 18 years diagnosed with adolescent Osgood-Schlatter in hospitals during 1977-2020. All cases participated in a survey about knee-related health and comorbidities. Existing literature was sourced for the healthy population estimates for comparisons. Explanatory variables were recalled Osgood-Schlatter duration, pain levels, restrictions, and current tibial tubercle prominence.</p><p><strong>Results: </strong>Of 1281 identified patients, 400 responded. Most reported having a current bony prominence of the tibial tubercle (85%) and sustained pain/problems from the same area (73%). Compared with healthy population estimates, Osgood-Schlatter cases scored lower on the Knee Injury and Osteoarthritis Outcome Score on all subscales (p < 0.05), particularly for \"sport/rec\" and \"quality of life\" (Cohen's d > 0.8). Similarly, cases exhibited a large risk of \"jumper's knee\" (odds ratio: 70.4 [95% confidence intervals, CI: 32.9; 155.0], p < 0.0001). Symptom duration and pain levels were negatively associated with several outcomes (p < 0.05).</p><p><strong>Conclusions: </strong>Adults with a history of Osgood-Schlatter have significantly worse long-term knee health than what is observed from healthy population estimates. Recalled longer symptom duration and higher pain levels were associated with worse current knee health. This information should potentially guide management to maintain knee health over time, as the condition is not always as benign and self-limiting as previously thought.</p><p><strong>Registration: </strong>NCT04313621.</p>","PeriodicalId":21969,"journal":{"name":"Sports Medicine","volume":" ","pages":""},"PeriodicalIF":9.3000,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Long-Term Knee Health in Adults with a History of Adolescent Osgood-Schlatter: A National Cohort Study of Patients in Secondary Care in Denmark 1977-2020.\",\"authors\":\"Kasper Krommes, Amalie Bjerre, Kristian Thorborg, Mathias Fabricius Nielsen, Per Hölmich\",\"doi\":\"10.1007/s40279-025-02214-5\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Osgood-Schlatter has, until recently, been suggested to be a benign condition, affecting adolescents in terms of knee pain and decreased sports participation during growth, with no long-term consequences seen later in adulthood.</p><p><strong>Objectives: </strong>The objectives of this study were to describe the long-term knee health in adults with a history of Osgood-Schlatter, compare these findings with healthy population estimates, and investigate if explanatory variables are associated with current knee health.</p><p><strong>Methods: </strong>The Danish Patient Registry identified patients ≥ 18 years diagnosed with adolescent Osgood-Schlatter in hospitals during 1977-2020. All cases participated in a survey about knee-related health and comorbidities. Existing literature was sourced for the healthy population estimates for comparisons. Explanatory variables were recalled Osgood-Schlatter duration, pain levels, restrictions, and current tibial tubercle prominence.</p><p><strong>Results: </strong>Of 1281 identified patients, 400 responded. Most reported having a current bony prominence of the tibial tubercle (85%) and sustained pain/problems from the same area (73%). Compared with healthy population estimates, Osgood-Schlatter cases scored lower on the Knee Injury and Osteoarthritis Outcome Score on all subscales (p < 0.05), particularly for \\\"sport/rec\\\" and \\\"quality of life\\\" (Cohen's d > 0.8). Similarly, cases exhibited a large risk of \\\"jumper's knee\\\" (odds ratio: 70.4 [95% confidence intervals, CI: 32.9; 155.0], p < 0.0001). Symptom duration and pain levels were negatively associated with several outcomes (p < 0.05).</p><p><strong>Conclusions: </strong>Adults with a history of Osgood-Schlatter have significantly worse long-term knee health than what is observed from healthy population estimates. Recalled longer symptom duration and higher pain levels were associated with worse current knee health. This information should potentially guide management to maintain knee health over time, as the condition is not always as benign and self-limiting as previously thought.</p><p><strong>Registration: </strong>NCT04313621.</p>\",\"PeriodicalId\":21969,\"journal\":{\"name\":\"Sports Medicine\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":9.3000,\"publicationDate\":\"2025-05-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sports Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s40279-025-02214-5\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"SPORT SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sports Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s40279-025-02214-5","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SPORT SCIENCES","Score":null,"Total":0}
Long-Term Knee Health in Adults with a History of Adolescent Osgood-Schlatter: A National Cohort Study of Patients in Secondary Care in Denmark 1977-2020.
Background: Osgood-Schlatter has, until recently, been suggested to be a benign condition, affecting adolescents in terms of knee pain and decreased sports participation during growth, with no long-term consequences seen later in adulthood.
Objectives: The objectives of this study were to describe the long-term knee health in adults with a history of Osgood-Schlatter, compare these findings with healthy population estimates, and investigate if explanatory variables are associated with current knee health.
Methods: The Danish Patient Registry identified patients ≥ 18 years diagnosed with adolescent Osgood-Schlatter in hospitals during 1977-2020. All cases participated in a survey about knee-related health and comorbidities. Existing literature was sourced for the healthy population estimates for comparisons. Explanatory variables were recalled Osgood-Schlatter duration, pain levels, restrictions, and current tibial tubercle prominence.
Results: Of 1281 identified patients, 400 responded. Most reported having a current bony prominence of the tibial tubercle (85%) and sustained pain/problems from the same area (73%). Compared with healthy population estimates, Osgood-Schlatter cases scored lower on the Knee Injury and Osteoarthritis Outcome Score on all subscales (p < 0.05), particularly for "sport/rec" and "quality of life" (Cohen's d > 0.8). Similarly, cases exhibited a large risk of "jumper's knee" (odds ratio: 70.4 [95% confidence intervals, CI: 32.9; 155.0], p < 0.0001). Symptom duration and pain levels were negatively associated with several outcomes (p < 0.05).
Conclusions: Adults with a history of Osgood-Schlatter have significantly worse long-term knee health than what is observed from healthy population estimates. Recalled longer symptom duration and higher pain levels were associated with worse current knee health. This information should potentially guide management to maintain knee health over time, as the condition is not always as benign and self-limiting as previously thought.
期刊介绍：
Sports Medicine focuses on providing definitive and comprehensive review articles that interpret and evaluate current literature, aiming to offer insights into research findings in the sports medicine and exercise field. The journal covers major topics such as sports medicine and sports science, medical syndromes associated with sport and exercise, clinical medicine's role in injury prevention and treatment, exercise for rehabilitation and health, and the application of physiological and biomechanical principles to specific sports.
Types of Articles:
Review Articles: Definitive and comprehensive reviews that interpret and evaluate current literature to provide rationale for and application of research findings.
Leading/Current Opinion Articles: Overviews of contentious or emerging issues in the field.
Original Research Articles: High-quality research articles.
Enhanced Features: Additional features like slide sets, videos, and animations aimed at increasing the visibility, readership, and educational value of the journal's content.
Plain Language Summaries: Summaries accompanying articles to assist readers in understanding important medical advances.
Peer Review Process:
All manuscripts undergo peer review by international experts to ensure quality and rigor. The journal also welcomes Letters to the Editor, which will be considered for publication.
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