title: Incidence and Risk Factors for Chronic Anterior Knee Pain.
abstract: Chronic anterior knee pain is a common clinical entity, more so in the active individual. The incidence and risk factors, however remain unexplored. We investigated the correlation of demographic and occupational risk factors as well as the incidence of chronic anterior knee pain in an active military population. We performed a retrospective review of all U. S. Military active duty service members with the diagnosis of chondromalacia patellae, representative of the clinical syndrome of chronic anterior knee pain, between 2006 and 2012 using the Defense Medical Epidemiology Database. The demographic and occupation risk factors were categorized and the subgroup and overall incidence rates were determined via multivariable analysis. A total of 42,040 cases of chondromalacia patellae were identified in an at-risk population of 9,723,449, corresponding to an incidence rate of 4.32 cases per 1,000 person-years. Increasing chronological age, female sex, Black race, junior enlisted rank, and primary ground forces (Marines and Army) significantly correlated with an increased risk for chronic anterior knee pain. This study is the first report of incidence and risk factors for chondromalacia patellae in a large athletic population. We determined that sex, age, race, branch of service, and rank all correlated with the incidence of chondromalacia patellae in an active population.
authors.affiliation: Department of Orthopaedic Surgery and Rehabilitation, William Beaumont Army Medical Center, El Paso, Texas.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Kusnezov
authors.affiliation: Department of Orthopaedic Surgery and Rehabilitation, William Beaumont Army Medical Center, El Paso, Texas.
authors.forename: Nathaniel
authors.initials: N
authors.lastname: Watts
authors.affiliation: Department of Orthopaedic Surgery and Rehabilitation, William Beaumont Army Medical Center, El Paso, Texas.
authors.forename: Philip J
authors.initials: PJ
authors.lastname: Belmont
authors.affiliation: Department of Orthopaedic Surgery and Rehabilitation, William Beaumont Army Medical Center, El Paso, Texas.
authors.forename: Justin D
authors.initials: JD
authors.lastname: Orr
authors.affiliation: Department of Orthopaedic Surgery and Rehabilitation, William Beaumont Army Medical Center, El Paso, Texas.
authors.forename: Brian
authors.initials: B
authors.lastname: Waterman
mesh_terms: D000328:Adult; D018771:Arthralgia / Q000453:epidemiology* / Q000209:etiology; D046789:Chondromalacia Patellae / Q000453:epidemiology*; D002908:Chronic Disease; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008889:Military Personnel / Q000706:statistics & numerical data; D012307:Risk Factors; D014481:United States / Q000453:epidemiology; D055815:Young Adult