Robson Kristy, Pope Rodney, Orr Robin
Three Rivers Department of Rural Health, Charles Sturt University, Albury, NSW 2640, Australia.
School of Allied Health, Exercise and Sports Sciences, Charles Sturt University, Albury, NSW 2640, Australia.
Healthcare (Basel). 2024 Mar 6;12(5):595. doi: 10.3390/healthcare12050595.
Damage to the articular cartilage resulting in an acute tear can lead to functional changes within the joint and increase the risk of osteoarthritis developing. There is limited understanding of the association between occupational risk factors and sustaining an acute articular cartilage tear in the military and other physically demanding occupations. Therefore, the aim of this systematic review was to identify and evaluate original research reporting on occupational risk factors associated with sustaining acute articular cartilage tears.
A systematic review following the Preferred Reporting Items for Systematic review and Meta-Analysis-Protocols was conducted and registered with the Open Science Framework. Key academic databases were searched using terms from the following concepts: risk or cause, paid occupations, and acute articular cartilage tears.
Of an initial 941 studies, 2 studies met the eligibility criteria, both reporting data from military contexts; only one evaluated acute articular cartilage tears in both males and females. One paper focused on articular cartilage injury within the knee and the other within the ankle joint with incidence rates being 0.2 and 0.3 per 1000 person-years, respectively. People in more physically active occupations and individuals with an above-normal body mass index were reported as being at higher risk of sustaining an acute articular cartilage tear.
Physically demanding occupations, such as the military, may increase the risk for acute tears of the articular cartilage. However, the findings of this review indicate there is a paucity of research to underpin understanding of the injury mechanisms and occupational risk factors for acute articular cartilage tears.
关节软骨损伤导致急性撕裂会引起关节功能改变，并增加患骨关节炎的风险。对于军事及其他体力要求较高职业中的职业危险因素与急性关节软骨撕裂之间的关联，人们了解有限。因此，本系统评价的目的是识别和评估关于与急性关节软骨撕裂相关职业危险因素的原始研究报告。
按照系统评价和Meta分析方案的首选报告项目进行系统评价，并在开放科学框架中注册。使用以下概念的术语检索主要学术数据库：风险或原因、有偿职业和急性关节软骨撕裂。
在最初的941项研究中，有2项研究符合纳入标准，均报告了来自军事背景的数据；只有一项研究评估了男性和女性的急性关节软骨撕裂情况。一篇论文关注膝关节内的关节软骨损伤，另一篇关注踝关节内的损伤，发病率分别为每1000人年0.2例和0.3例。据报告，从事体力活动较多职业的人和体重指数高于正常水平的人发生急性关节软骨撕裂的风险更高。
军事等体力要求较高的职业可能会增加关节软骨急性撕裂的风险。然而，本评价的结果表明，缺乏支持对急性关节软骨撕裂的损伤机制和职业危险因素理解的研究。
