• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of oenvmedOccupational and Environmental MedicineCurrent TOCInstructions for authors
Occup Environ Med. Oct 2003; 60(10): 794–797.
PMCID: PMC1740394

Knee disorders in the general population and their relation to occupation

Abstract

Background: Hospital based studies of occupational risk factors for knee disorders are complicated by the possibility of selective referral to hospital of people whose work is made difficult by their symptoms.

Aims: To explore the extent of such bias and to assess the association of meniscal injury with occupational activities.

Methods: A questionnaire was mailed to a community sample of 2806 men aged 20–59 years in southern England. This asked about lifetime occupational and sporting activities, and any history of knee symptoms lasting 24 hours or longer. Rates of hospital referral were compared in symptomatic men according to their occupational activities. In a nested case-control investigation, the occupational activities of 67 men who reported meniscectomy were compared with those of 335 controls.

Results: Among 1404 men who responded to the questionnaire, the lifetime prevalence of knee symptoms was 54%, and in 70% of cases the symptoms had started suddenly, usually while playing sport. Symptomatic men whose work entailed kneeling or squatting were more likely to be referred to an orthopaedic surgeon than the average (28% and 31% versus 24%), especially if they experienced locking of the knee (69% and 73% versus 43%). In the nested case-control study, meniscectomy was associated with playing soccer and work that involved regular kneeling or squatting.

Conclusions: Results suggest that hospital referral for knee symptoms is influenced to some extent by patients' occupational activities. Playing soccer is confirmed as a strong risk factor for knee cartilage injury.

Full Text

The Full Text of this article is available as a PDF (296K).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Baker Paul, Coggon David, Reading Isabel, Barrett David, McLaren Magnus, Cooper Cyrus. Sports injury, occupational physical activity, joint laxity, and meniscal damage. J Rheumatol. 2002 Mar;29(3):557–563. [PubMed]
  • Badley EM, Tennant A. Changing profile of joint disorders with age: findings from a postal survey of the population of Calderdale, West Yorkshire, United Kingdom. Ann Rheum Dis. 1992 Mar;51(3):366–371. [PMC free article] [PubMed]
  • Dieppe P, Basler HD, Chard J, Croft P, Dixon J, Hurley M, Lohmander S, Raspe H. Knee replacement surgery for osteoarthritis: effectiveness, practice variations, indications and possible determinants of utilization. Rheumatology (Oxford) 1999 Jan;38(1):73–83. [PubMed]
  • SHARRARD WJ, LIDDELL FD. Injuries to the semilunar cartilages of the knee in miners. Br J Ind Med. 1962 Jul;19:195–202. [PMC free article] [PubMed]
  • Greinemann H. Argumente gegen die Anerkennung von Kniegelenkarthrosen nach Berufsbelastung als Berufskrankheit. Unfallchirurg. 1988 Aug;91(8):374–380. [PubMed]
  • Kivimäki J, Riihimäki H, Hänninen K. Knee disorders in carpet and floor layers and painters. Scand J Work Environ Health. 1992 Oct;18(5):310–316. [PubMed]
  • Jensen LK, Eenberg W. Occupation as a risk factor for knee disorders. Scand J Work Environ Health. 1996 Jun;22(3):165–175. [PubMed]

Articles from Occupational and Environmental Medicine are provided here courtesy of BMJ Group

Formats:

Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...

Links

  • MedGen
    MedGen
    Related information in MedGen
  • PubMed
    PubMed
    PubMed citations for these articles

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...