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Davis AM, Chahal J, Wong R, et al. Limiting the Risk of Osteoarthritis After Anterior Cruciate Ligament Injury: Are Health Care Providers Missing the Opportunity to Intervene?. Arthritis Care Res (Hoboken). 2021;73(12):1754-1762doi: 10.1002/acr.24419.
Davis, A. M., Chahal, J., Wong, R., Steinhart, K., Dwyer, T., Li, L., Marks, P., Cruz, L., Urquhart, N., Wilson, J. A., Cudmore, D., Nimmon, L., & Ogilvie-Harris, D. (2021). Limiting the Risk of Osteoarthritis After Anterior Cruciate Ligament Injury: Are Health Care Providers Missing the Opportunity to Intervene?. Arthritis care & research, 73(12), 1754-1762. https://doi.org/10.1002/acr.24419
Davis, Aileen M, et al. "Limiting the Risk of Osteoarthritis After Anterior Cruciate Ligament Injury: Are Health Care Providers Missing the Opportunity to Intervene?." Arthritis care & research vol. 73,12 (2021): 1754-1762. doi: https://doi.org/10.1002/acr.24419
Davis AM, Chahal J, Wong R, Steinhart K, Dwyer T, Li L, Marks P, Cruz L, Urquhart N, Wilson JA, Cudmore D, Nimmon L, Ogilvie-Harris D. Limiting the Risk of Osteoarthritis After Anterior Cruciate Ligament Injury: Are Health Care Providers Missing the Opportunity to Intervene?. Arthritis Care Res (Hoboken). 2021 Dec;73(12):1754-1762. doi: 10.1002/acr.24419. Epub 2021 Oct 19. PMID: 32937005.
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Arthritis Care Res (Hoboken). 2021 Dec;73(12):1754-1762. doi: 10.1002/acr.24419. Epub 2021 Oct 19.

Limiting the Risk of Osteoarthritis After Anterior Cruciate Ligament Injury: Are Health Care Providers Missing the Opportunity to Intervene?.

Arthritis care & research

Aileen M Davis, Jas Chahal, Rosalind Wong, Krista Steinhart, Tim Dwyer, Linda Li, Paul Marks, Laura Cruz, Nathan Urquhart, Janie Astephen Wilson, David Cudmore, Laura Nimmon, Darrell Ogilvie-Harris

Affiliations

  1. University of Toronto, Toronto, Ontario, Canada.
  2. Women's College Hospital, University of Toronto, Toronto, Ontario, Canada.
  3. University of British Columbia, Vancouver, British Columbia, Canada.
  4. Dartmouth General Hospital, Dalhousie University, Halifax, Nova Scotia, Canada.
  5. McMaster University, Hamilton, Ontario, Canada.
  6. St. Francis Xavier University and Dalhousie University, Nova Scotia, Antigonish and Halifax, Canada.

PMID: 32937005 DOI: 10.1002/acr.24419

Abstract

OBJECTIVE: To understand what sports orthopedic surgeons (OS), primary care physicians (PCPs) with sports medicine training, and physical therapists (PTs) managing nonelite athletes with anterior cruciate ligament (ACL) injury tell their patients about their osteoarthritis (OA) risk.

METHODS: An electronic survey was distributed by the Canadian Academy of Sport and Exercise Medicine (PCPs, OS), the Sports and Orthopedic Divisions of the Canadian Physiotherapy Association (PTs), and to OS identified through the Royal College of Physicians and Surgeons and the Canadian Orthopaedic Association. The survey included 4 sections: demographics, factors discussed, timing of discussions, and discussion of risk factors and their management. Proportions or means with 95% confidence intervals were calculated.

RESULTS: A total of 501 health care professionals (HCPs) responded (98 PCPs, 263 PTs, and 140 OS). Of those responding, 70-77% of physicians reported always discussing OA risk, but only 35% of PTs did. All HCPs reported that patient activities perceived as detrimental to knee health, ACL reinjury, and simultaneous injury to other structures in the knee were most often the reason for discussing OA risk. OA risk was discussed at initial management post-injury (65-94%), with few discussing risk subsequently. Eighty percent of physicians and 99% of PTs indicated that PTs were suited to provide OA risk and management information.

CONCLUSION: HCPs routinely managing people with ACL injury do not consistently discuss OA risk post-injury with them. Educational strategies for HCPs are urgently needed to develop care pathways inclusive of support for OA risk management following ACL injury.

© 2020, American College of Rheumatology.

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