Relationship between years in the trade and the development of radiographic knee osteoarthritis and MRI-detected meniscal tears and bursitis in floor layers. A cross-sectional study of a historical cohort

TY - JOUR

T1 - Relationship between years in the trade and the development of radiographic knee osteoarthritis and MRI-detected meniscal tears and bursitis in floor layers. A cross-sectional study of a historical cohort

AU - Jensen, Lilli Kirkeskov

AU - Rytter, Søren

AU - Marott, Jacob Louis

AU - Bonde, Jens Peter

PY - 2012

Y1 - 2012

N2 - Objectives: An increased risk of developing knee disorders including radiographic knee osteoarthritis (OA) have been shown among workers with kneeling working demands. There may also be a dose-related association between duration of employment in occupations with kneeling work and development of radiographic knee OA and magnetic resonance imaging (MRI)-detected meniscal tears and bursitis. Design: A cross-sectional study of a historical cohort. Setting: Members of the trade unions for floor layers and graphic designers in Denmark. Participants: 92 male floor layers and 49 graphic designers aged 36-70 years were randomly selected among participants from a clinical and radiographic study of 156 floor layers and 152 graphic designers. Outcome measures: Radiographic tibiofemoral (TF) and patellofemoral (PF) knee-OA and MRI-detected meniscal tears and bursitis. Results were adjusted for age, earlier knee traumas, sports activities and body mass index in logistic regression models. Association between TF OA and years in the floor-laying trade was graphically examined by a restricted cubic spline with four knots. Results: Increase in number of years with exposure to kneeling work is associated with radiographic TF knee OA with ORs 0.7, 95% CI 0.07 to 4.42; OR 1.89, 95% CI 0.29 to 12.3; OR 4.82, 95% CI 1.38 to 17 for <20 years, 20-30 years and >30 years of kneeling work, respectively. MRI-verified medial meniscal tears was increased among subjects with kneeling work with OR 1.96, 95% CI 0.79 to 4.88 to OR 4.73, 95% CI 1.16 to 19.4 but was not associated with duration of employment. Periarticular bursitis was increased in subjects with <20 years of kneeling working activity. Lateral meniscal tears and PF knee OA were not associated with duration of kneeling working activity or with kneeling work in general. Conclusions: The findings suggest a doseeresponse relationship for radiographic TF knee OA in floor layers with a significant amount of kneeling work and an increase of MRI-verified medial meniscal tears among workers with kneeling work.

AB - Objectives: An increased risk of developing knee disorders including radiographic knee osteoarthritis (OA) have been shown among workers with kneeling working demands. There may also be a dose-related association between duration of employment in occupations with kneeling work and development of radiographic knee OA and magnetic resonance imaging (MRI)-detected meniscal tears and bursitis. Design: A cross-sectional study of a historical cohort. Setting: Members of the trade unions for floor layers and graphic designers in Denmark. Participants: 92 male floor layers and 49 graphic designers aged 36-70 years were randomly selected among participants from a clinical and radiographic study of 156 floor layers and 152 graphic designers. Outcome measures: Radiographic tibiofemoral (TF) and patellofemoral (PF) knee-OA and MRI-detected meniscal tears and bursitis. Results were adjusted for age, earlier knee traumas, sports activities and body mass index in logistic regression models. Association between TF OA and years in the floor-laying trade was graphically examined by a restricted cubic spline with four knots. Results: Increase in number of years with exposure to kneeling work is associated with radiographic TF knee OA with ORs 0.7, 95% CI 0.07 to 4.42; OR 1.89, 95% CI 0.29 to 12.3; OR 4.82, 95% CI 1.38 to 17 for <20 years, 20-30 years and >30 years of kneeling work, respectively. MRI-verified medial meniscal tears was increased among subjects with kneeling work with OR 1.96, 95% CI 0.79 to 4.88 to OR 4.73, 95% CI 1.16 to 19.4 but was not associated with duration of employment. Periarticular bursitis was increased in subjects with <20 years of kneeling working activity. Lateral meniscal tears and PF knee OA were not associated with duration of kneeling working activity or with kneeling work in general. Conclusions: The findings suggest a doseeresponse relationship for radiographic TF knee OA in floor layers with a significant amount of kneeling work and an increase of MRI-verified medial meniscal tears among workers with kneeling work.

U2 - 10.1136/bmjopen-2012-001109

DO - 10.1136/bmjopen-2012-001109

M3 - Journal article

C2 - 22619269

SN - 2044-6055

VL - 2

JO - BMJ Open

JF - BMJ Open

IS - 3

ER -