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Women lose patella cartilage at a faster rate than men: A 4.5-year cohort study of subjects with knee OA

Citation

Brennan, SL and Cicuttini, FM and Shortreed, S and Forbes, A and Jones, G and Stuckey, SL and Wluka, AE, Women lose patella cartilage at a faster rate than men: A 4.5-year cohort study of subjects with knee OA, Maturitas: International Journal for The Study of The Climacteric, 67, (3) pp. 270-274. ISSN 0378-5122 (2010) [Refereed Article]


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DOI: doi:10.1016/j.maturitas.2010.07.008

Abstract

Objectives Patellofemoral knee osteoarthritis (OA) is a common disease, and a significant cause of knee pain, however few data have examined longitudinal change at the patellofemoral joint. The aim of this study was to examine factors affecting change in patella cartilage over a longer time period than previously examined. Study design Longitudinal study of 77 subjects (58% female) with knee OA underwent magnetic resonance imaging (MRI), with a repeat MRI of the same knee obtained approximately 4.5 years later. Main outcome measures Annual change in patella cartilage volume, and annual percentage change over 4.5 years. Results After adjusting for age, gender, BMI and patella bone volume at baseline, cartilage change was observed at the rate of 2.5% (95% confidence interval, 2.0, 3.0) per annum over 4.5 years. Cartilage was lost at a higher rate in women compared to men after accounting for age, BMI or bone volume at baseline (3.3% vs. 1.4%, respectively, p = 0.03). Increased patella bone volume was associated with increased patella cartilage loss (p = 0.02). No measures of radiographic severity of disease affected change in cartilage volume. Conclusions The increased rate of cartilage loss in women may contribute to the increased prevalence of disease, although the underlying mechanism requires further study. Increased patella bone volume was also associated with increased patella cartilage loss. Whether this is due to biomechanical factors will need to be determined.

Item Details

Item Type:Refereed Article
Keywords:Patella; Cartilage; Progression; Patellofemoral osteoarthritis; Gender
Research Division:Medical and Health Sciences
Research Group:Clinical Sciences
Research Field:Rheumatology and Arthritis
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Skeletal System and Disorders (incl. Arthritis)
UTAS Author:Jones, G (Professor Graeme Jones)
ID Code:66405
Year Published:2010
Web of Science® Times Cited:12
Deposited By:Menzies Institute for Medical Research
Deposited On:2011-01-18
Last Modified:2011-05-03
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