{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:49:13Z","timestamp":1777877353936,"version":"3.51.4"},"reference-count":37,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,3,27]],"date-time":"2025-03-27T00:00:00Z","timestamp":1743033600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000069","name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases","doi-asserted-by":"publisher","award":["K01 AR081389"],"award-info":[{"award-number":["K01 AR081389"]}],"id":[{"id":"10.13039\/100000069","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sports Health: A Multidisciplinary Approach"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Recent research indicates a potential link between effusion-synovitis and knee pain in athletes. This study investigates the association of knee effusion-synovitis with self-reported knee pain in elite female athletes, leveraging ultrasound imaging for effusion-synovitis assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis:<\/jats:title>\n                    <jats:p>Presence of knee effusion-synovitis is associated with increased self-reported knee pain in Division I female athletes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 53 NCAA Division I female athletes underwent bilateral knee ultrasound to identify effusion-synovitis. The Knee Injury and Osteoarthritis Outcome Survey (KOOS) Pain subscale assessed knee pain. A 1-way analysis of variance compared KOOS pain, symptoms, activities during daily living (ADL), and quality of life (QoL) scores across groups with no, unilateral, and bilateral effusion-synovitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among the athletes, 49.1% showed no effusion-synovitis, 26.4% had unilateral, and 24.5% had bilateral effusion-synovitis. There were no differences in self-reported pain scores (\n                      <jats:italic toggle=\"yes\">F<\/jats:italic>\n                      = 0.027;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.97), ADL (\n                      <jats:italic toggle=\"yes\">F<\/jats:italic>\n                      = 0.256;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.78), or QoL (\n                      <jats:italic toggle=\"yes\">F<\/jats:italic>\n                      = 0.120;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.88) between any groups. In addition, the frequency of effusion-synovitis was as follows: for the right limb, Grade 0 = 35 (66%), Grade 1 = 15 (28%), Grade 2 = 1 (2%), and Grade 3 = 2 (4%); for the left limb, Grade 0 = 31 (58%), Grade 1 = 19 (36%), Grade 2 = 3 (6%), and Grade 3 = 0 (0%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The presence of effusion-synovitis, irrespective of being unilateral or bilateral, was not associated with self-reported knee pain in elite female athletes. This suggests that lower grades of effusion-synovitis may not significantly impact knee pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>The findings of this study challenge existing assumptions about the impact of effusion-synovitis on knee pain in athletes, contributing to the nuanced understanding of knee joint health in sports medicine.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19417381251323902","type":"journal-article","created":{"date-parts":[[2025,3,27]],"date-time":"2025-03-27T09:30:03Z","timestamp":1743067803000},"page":"1159-1165","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Knee Effusion-Synovitis Is Not Associated With Self-Reported Knee Pain in Division I Female Athletes"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-8125-6045","authenticated-orcid":false,"given":"Corey D.","family":"Grozier","sequence":"first","affiliation":[{"name":"Department of Kinesiology, Michigan State University, East Lansing, Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Genoese","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, Michigan State University, East Lansing, Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Collins","sequence":"additional","affiliation":[{"name":"Department of Exercise and Sport Science, University of North Carolina, Chapel Hill, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arjun","family":"Parmar","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, Michigan State University, East Lansing, Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Tolzman","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, Michigan State University, East Lansing, Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Kuenze","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, University of Virginia, Charlottesville, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3480-3173","authenticated-orcid":false,"given":"Matthew S.","family":"Harkey","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, Michigan State University, East Lansing, Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,3,27]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.1335"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2009.121426"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-47.5.01"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2004.025270"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2014-206774"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13075-016-1078-y"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2005.12.012"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.3390\/biomedicines10061369"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbr.2018.08.036"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/14034948980260011001"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-376-17"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-022-05989-0"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-011-1539-4"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-023-05697-x"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.20054"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2012.3793"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2015.10.004"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/0003-9969(94)90189-9"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.110425"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/019372359201600208"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mric.2009.06.010"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.21037\/tp.2017.04.05"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2020.01908"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.210285"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2010.07.008"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-1-64"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.1998.28.2.88"},{"issue":"4","key":"e_1_3_2_29_2","first-page":"396","article-title":"Prevalence of anterior knee pain in 18-35 year-old females","volume":"7","author":"Roush JR","year":"2012","unstructured":"Roush JR, Bay RC. Prevalence of anterior knee pain in 18-35 year-old females. Int J Sports Phys Ther. 2012;7(4):396-401.","journal-title":"Int J Sports Phys Ther"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13075-017-1486-7"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1177\/1759720X221111610"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2005.11.010"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1080\/00913847.2018.1391048"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1111\/joa.13984"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2009.3143"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.150355"},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.1002\/acr2.11159"},{"key":"e_1_3_2_38_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.30148"}],"container-title":["Sports Health: A Multidisciplinary Approach"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19417381251323902","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/19417381251323902","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19417381251323902","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:49:01Z","timestamp":1777589341000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/19417381251323902"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,27]]},"references-count":37,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1177\/19417381251323902"],"URL":"https:\/\/doi.org\/10.1177\/19417381251323902","relation":{},"ISSN":["1941-7381","1941-0921"],"issn-type":[{"value":"1941-7381","type":"print"},{"value":"1941-0921","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,27]]}}}