Epidemiology of Post-traumatic Osteoarthritis of the Lower Extremity: Premature Aging of Youthful Joints
| Autor: | Kaetlyn R. Arant, Jeffrey N. Katz |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
Premature aging education.field_of_study medicine.medical_specialty Hip fracture business.industry Population Acetabular fracture Osteoarthritis Meniscus (anatomy) musculoskeletal system medicine.disease medicine.anatomical_structure Traumatic injury medicine Physical therapy Ankle business education |
| Zdroj: | Early Osteoarthritis ISBN: 9783030794842 |
| DOI: | 10.1007/978-3-030-79485-9_4 |
| Popis: | Post-traumatic osteoarthritis (PTOA) accounts for approximately 12% of lower extremity symptomatic, radiographic osteoarthritis (OA). Traumatic injury can both increase the risk of OA and accelerate the time to onset as compared to the development of OA from other etiologies. Injuries to the ACL and meniscus are the most prominent contributors to the onset of post-traumatic knee OA, each accounting for nearly 25% of serious knee injuries. There is much debate as to whether ACL reconstruction surgery promotes or diminishes the risk of PTOA. While surgery causes further trauma to the knee, it also stabilizes the knee, thereby reducing the risk of future meniscal tear—another substantial contributor to PTOA. Post-traumatic hip OA is most often a result of acetabular fracture, although genetic factors and high-impact sports have also been shown to promote the early onset of OA. While ankle OA is far less common within the population as compared to knee and hip OA, the rate of post-traumatic ankle OA development is substantially greater for persons sustaining ankle injury than for those sustaining hip or knee injuries, likely as a result of the ankle’s anatomic structure. There are currently no treatments available to reverse or prevent further joint degeneration and the onset of OA, and thus, injury prevention is currently the most effective prevention strategy for post-traumatic OA. |
| Databáze: | OpenAIRE |
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