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About osteoarthritis of the knee
Osteoarthritis (OA) is the most common form of arthritis, affecting nearly 21 million
Americans (12.1% of the population). OA is more common in older people, but younger
people can get it as well, usually as the result of joint injury, joint malformation,
or a genetic defect in joint cartilage.19
Factors that may contribute to the OA of the knee include:
- Age
- Overuse of the knee joint
- Job- or sports-related injuries
- Prior surgery
- Being overweight
- Muscle weakness
- Family history
- Presence of other diseases or other types of arthritis20
How does OA damage the knee?
OA causes both mechanical and chemical changes in the knee:
- The joint fluid may lose its ability to protect the joint.21
- Smooth cartilage that normally protects the ends of the bones may lose its cushioning
effect or become pitted and frayed. Large areas of cartilage may wear away completely,
so the bones scrape painfully over each other.
- Cartilage breakdown may cause the joint to lose its shape, the bone ends may thicken,
and osteophytes may form.
- Fragments of bone or cartilage may float in the joint space, causing further damage
and pain.19
Early diagnosis and treatment are key to controlling disease progression
Note that while most people over 60 reflect OA on x-ray, only 1/3 present with symptoms.22
View an animation of OA of the knee progression