Abstract
Background: Osgood-Schlatter is a common growth-related injury in adolescence and can cause persistent pain, decreased function, and reduced participation in physical activity. However, little is known about the long-term consequences for knee-related health for these patients in adulthood.
Aim: To investigate self-reported knee health of adults diagnosed with Osgood-Schlatter in their adolescence and compare these to normative values from healthy age-matched populations.
Materials and Methods: Knee-related health was self-reported on the Knee Injury and Osteoarthritis Outcome Score (KOOS) on four subscales: Quality of Life (QoL), Symptoms, Pain, Sport/Rec. We included patients aged 18-55y, diagnosed in danish secondary care with Osgood-Schlatter in the years 1977-2020 from the Danish Patient Registry, and invited them to complete the survey. Responses were grouped according to pre-specified age groups (18-24, 25-34, 35-44, 45-55 years) and compared to age-matched normative KOOS values derived from a healthy cohort (Williamson et al., 2015, n=1000).
Results: 400 completed the survey (mean age 33.8±13y, 65% men). All mean subscale scores were lower for the surveyed group compared to the healthy cohort. Mean differences between the two groups were (female/male): QoL subscale: 36/19 points (18-24y), 25/27 points (25-34y), 26/33 points (35-44y), 25/23 points (45-55y); Symptom subscale: 15/8 points (18-24y), 8/9 points (25-34y), 18/11 points (35-44y), 10/11 points (45-55y); Pain subscale: 19/9 points (18-24y), 11/12 points (25-34y), 13/15 points (35-44y), 16/10 points (45-55y); Sport/Rec subscale: 36/19 points (18-24y), 30/28 points (25-34y), 38/31 points (35-44y), 33/26 points (45-55y).
Interpretation / Conclusion: People diagnosed with Osgood-Schlatter in adolescence have decreased self-reported knee health in adulthood when compared to healthy populations. Clinically relevant differences were seen, especially in terms of Quality of Life and function in Sport and Recreational activities. Future studies should address the need for mitigating the potential long-term consequences for patients and investigate a potential causal relationship between exposure from Osgood-Schlatter and long-term outcomes.
Aim: To investigate self-reported knee health of adults diagnosed with Osgood-Schlatter in their adolescence and compare these to normative values from healthy age-matched populations.
Materials and Methods: Knee-related health was self-reported on the Knee Injury and Osteoarthritis Outcome Score (KOOS) on four subscales: Quality of Life (QoL), Symptoms, Pain, Sport/Rec. We included patients aged 18-55y, diagnosed in danish secondary care with Osgood-Schlatter in the years 1977-2020 from the Danish Patient Registry, and invited them to complete the survey. Responses were grouped according to pre-specified age groups (18-24, 25-34, 35-44, 45-55 years) and compared to age-matched normative KOOS values derived from a healthy cohort (Williamson et al., 2015, n=1000).
Results: 400 completed the survey (mean age 33.8±13y, 65% men). All mean subscale scores were lower for the surveyed group compared to the healthy cohort. Mean differences between the two groups were (female/male): QoL subscale: 36/19 points (18-24y), 25/27 points (25-34y), 26/33 points (35-44y), 25/23 points (45-55y); Symptom subscale: 15/8 points (18-24y), 8/9 points (25-34y), 18/11 points (35-44y), 10/11 points (45-55y); Pain subscale: 19/9 points (18-24y), 11/12 points (25-34y), 13/15 points (35-44y), 16/10 points (45-55y); Sport/Rec subscale: 36/19 points (18-24y), 30/28 points (25-34y), 38/31 points (35-44y), 33/26 points (45-55y).
Interpretation / Conclusion: People diagnosed with Osgood-Schlatter in adolescence have decreased self-reported knee health in adulthood when compared to healthy populations. Clinically relevant differences were seen, especially in terms of Quality of Life and function in Sport and Recreational activities. Future studies should address the need for mitigating the potential long-term consequences for patients and investigate a potential causal relationship between exposure from Osgood-Schlatter and long-term outcomes.
| Originalsprog | Engelsk |
|---|---|
| Publikationsdato | feb. 2023 |
| Status | Udgivet - feb. 2023 |
| Begivenhed | Scandinavian Sports Medicine Congress 2023 - Copenhagen, Danmark Varighed: 2 feb. 2023 → 4 feb. 2023 |
Konference
| Konference | Scandinavian Sports Medicine Congress 2023 |
|---|---|
| Land/Område | Danmark |
| By | Copenhagen |
| Periode | 02/02/2023 → 04/02/2023 |