{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T17:48:18Z","timestamp":1778867298852,"version":"3.51.4"},"reference-count":33,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2018,1,22]],"date-time":"2018-01-22T00:00:00Z","timestamp":1516579200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["CARTILAGE"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Osteoarthritis (OA) literature makes minimal suggestion regarding age of disease onset or preventative strategies to reduce risk for onset in various populations. In 2005, the Centers for Disease Control and Prevention estimated that 33.6% of Americans 65+ years old were affected by OA; this cadaveric analysis suggests this is largely underestimated. The objective of this assessment is to identify at-risk populations for OA in the knee joint and make recommendations to prevent or delay disease onset.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Morphometric analyses of the articular cartilage of the tibial plateau were performed on cadaver specimens using Image Pro software on 3 age populations and surface area measurements for articular cartilage degradation were compared with donors\u2019 reported ages, clinical histories, and occupations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Data showed that by the seventh decade of life, when patients are in their 60s, articular cartilage degeneration on the tibial plateau had commenced in 100% of specimen. All \u201chomemakers\u201d displayed above-average medial tibial plateau degeneration (32.33% \u00b1 24.85%) for their age group while simultaneously reporting pathologies in their clinical history that encourage a sedentary lifestyle.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This assessment identifies an occupational class with a propensity to develop disease and also identifies a more realistic time frame than previous advisory committees have produced regarding age of disease onset and initiation of preventative measures. It is recommended that strengthening of the hip abductors and the musculature supporting the knee commence early in adult life to avoid valgus collapse and shearing at the knee joint.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1947603517752432","type":"journal-article","created":{"date-parts":[[2018,1,23]],"date-time":"2018-01-23T01:52:24Z","timestamp":1516672344000},"page":"238-244","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Age- and Occupation-Based Public Health Considerations Related to Osteoarthritis of the Knee Joint: A Cadaveric Study"],"prefix":"10.1177","volume":"10","author":[{"given":"Jessica","family":"Immonen","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, Rocky Mountain University of Health Professions, Provo, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Siefring","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Rocky Mountain University of Health Professions, Provo, UT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,1,22]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.23176."},{"issue":"4","key":"e_1_3_2_3_2","first-page":"719","article-title":"Direct medical costs unique to people with arthritis","volume":"24","author":"Gabriel SE","year":"1997","unstructured":"Gabriel SE, Crowson CS, Campion ME, O\u2019Fallon WM. Direct medical costs unique to people with arthritis. J Rheumatol. 1997;24(4):719-25.","journal-title":"J Rheumatol"},{"issue":"11","key":"e_1_3_2_4_2","first-page":"2271","article-title":"Prevalence of knee osteoarthritis in the United States: arthritis data from the Third National Health and Nutrition Examination Survey 1991-1994","volume":"33","author":"Dillon CF","year":"2006","unstructured":"Dillon CF, Rasch EK, Gu Q, Hirsch R. Prevalence of knee osteoarthritis in the United States: arthritis data from the Third National Health and Nutrition Examination Survey 1991-1994. J Rheumatol. 2006;33(11):2271-9.","journal-title":"J Rheumatol"},{"issue":"1","key":"e_1_3_2_5_2","first-page":"172","article-title":"Prevalence of knee symptoms and radiographic and symptomatic knee osteoarthritis in African Americans and Caucasians: the Johnston County Osteoarthritis Project","volume":"34","author":"Jordan JM","year":"2007","unstructured":"Jordan JM, Helmick CG, Renner JB, Luta G, Dragomir AD, Woodard J, et al. Prevalence of knee symptoms and radiographic and symptomatic knee osteoarthritis in African Americans and Caucasians: the Johnston County Osteoarthritis Project. J Rheumatol. 2007;34(1):172-80.","journal-title":"J Rheumatol"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.34415."},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.34453."},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780290816."},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.39"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/1549168041552964."},{"key":"e_1_3_2_11_2","first-page":"465","article-title":"Articular cartilage and osteoarthritis","volume":"54","author":"Buckwalter JA","year":"2005","unstructured":"Buckwalter JA, Mankin HJ, Grodzinsky AJ. Articular cartilage and osteoarthritis. Instr Course Lect. 2005;54:465-80.","journal-title":"Instr Course Lect"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2009.03.002."},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2010.03.002."},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.33417."},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(03)00256-0."},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1006\/pmed.1999.0619."},{"key":"e_1_3_2_17_2","first-page":"6","article-title":"The increasing impact of arthritis on public health","volume":"60","author":"Elders MJ.","year":"2000","unstructured":"Elders MJ. The increasing impact of arthritis on public health. J Rheumatol Suppl. 2000;60:6-8.","journal-title":"J Rheumatol Suppl"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kem013"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.185650"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/ket346"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.12968\/ijtr.2016.23.4.182"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1590\/S0482-50042011000200002"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.4103\/0973-6131.85486"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1089\/acm.2005.11.689"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0736-0266(03)00154-2"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.20084"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.20825"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/1947603517713817."},{"key":"e_1_3_2_29_2","unstructured":"Houglum PA Bertoti DB editors. Brunnstrom\u2019s clinical kinesiology. 6th ed. Philadelphia PA: F.A. Davis Company; 2012. p. 456-8."},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1139\/H10-079."},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1093\/Gerona\/glp196."},{"key":"e_1_3_2_32_2","unstructured":"Standring S. Gray\u2019s anatomy: the anatomical basis of clinical practice.41st ed. New York NY: Elsevier; 2015. p. 1349-411."},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2015.06.007"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/85.12.1301"}],"container-title":["CARTILAGE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1947603517752432","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1947603517752432","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1947603517752432","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:01:21Z","timestamp":1777384881000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1947603517752432"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,22]]},"references-count":33,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1177\/1947603517752432"],"URL":"https:\/\/doi.org\/10.1177\/1947603517752432","relation":{},"ISSN":["1947-6035","1947-6043"],"issn-type":[{"value":"1947-6035","type":"print"},{"value":"1947-6043","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1,22]]}}}