Evidence map›Paper›PMID 38703811›Full record

ReviewOsteoarthritis and cartilage2024

Unraveling sex-specific risks of knee osteoarthritis before menopause: Do sex differences start early in life?

Paula A Hernandez, John Churchill Bradford, Priyanka Brahmachary, Sophia Ulman, Jennifer L Robinson, Ronald K June, Magali Cucchiarini

Abstract readReview
In one paragraph

Review in Osteoarthritis and cartilage, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

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  9. Osteoarthritis as a systemic disease.Nature reviews. Rheumatology · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Paula A HernandezDepartment of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA; Department of Biomedical Engineering, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA. Electronic address: Paula.Hernandez2@utsouthwestern.edu.
John Churchill BradfordDepartment of Bioengineering, University of Washington, Seattle, WA 98195, USA. Electronic address: jcb207@uw.edu.
Priyanka BrahmacharyDepartment of Mechanical & Industrial Engineering, Montana State University, Bozeman, MT 59717, USA. Electronic address: Priyanka.Brahmachary@montana.edu.
Sophia UlmanDepartment of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA; Movement Science Laboratory, Scottish Rite for Children, Frisco, TX 75034, USA. Electronic address: Sophia.Ulman@tsrh.org.
Jennifer L RobinsonDepartment of Mechanical Engineering, University of Washington, Seattle, WA 98195, USA; Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, WA 98195, USA; Institute for Stem Cell and Regenerative Medicine, University of Washington, Seattle, WA 98109, USA. Electronic address: jrobins1@uw.edu.
Ronald K JuneDepartment of Mechanical & Industrial Engineering, Montana State University, Bozeman, MT 59717, USA. Electronic address: rjune@montana.edu.
Magali CucchiariniCenter of Experimental Orthopaedics, Saarland University Medical Center, Homburg/Saar D-66421, Germany. Electronic address: mmcucchiarini@hotmail.com.

Funding

Role of Glucose metabolism in Chondrocyte MechanotransductionR01AR073964 · NIAMS · MONTANA STATE UNIVERSITY - BOZEMAN · PI JUNE, RONALD KENT · 2019 to 2024
$2.4M
Biomaterial technologies for interrogating sex differences in tissue repair and homeostasisR35GM143081 · NIGMS · UNIVERSITY OF WASHINGTON · PI ROBINSON, JENNIFER LINDSEY · 2021 to 2025
$2.0M
NIAMS NIH HHS R01 AR073964NIGMS NIH HHS R35 GM143081
6 · The paper itself

Abstract

objectiveSufficient evidence within the past two decades have shown that osteoarthritis (OA) has a sex-specific component. However, efforts to reveal the biological causes of this disparity have emerged more gradually. In this narrative review, we discuss anatomical differences within the knee, incidence of injuries in youth sports, and metabolic factors that present early in life (childhood and early adulthood) that can contribute to a higher risk of OA in females.

designWe compiled clinical data from multiple tissues within the knee joint-since OA is a whole joint disorder-aiming to reveal relevant factors behind the sex differences from different perspectives.

resultsThe data gathered in this review indicate that sex differences in articular cartilage, meniscus, and anterior cruciate ligament are detected as early as childhood and are not only explained by sex hormones. Aiming to unveil the biological causes of the uneven sex-specific risks for knee OA, we review the current knowledge of sex differences mostly in young, but also including old populations, from the perspective of (i) human anatomy in both healthy and pathological conditions, (ii) physical activity and response to injury, and (iii) metabolic signatures.

conclusionsWe propose that to close the gap in health disparities, and specifically regarding OA, we should address sex-specific anatomic, biologic, and metabolic factors at early stages in life, as a way to prevent the higher severity and incidence of OA in women later in life.

Indexed as

Cartilage, ArticularOsteoarthritis, KneeAge FactorsAthletic InjuriesChildFemaleHumansKnee JointMaleRisk FactorsSex CharacteristicsSex FactorsAnterior cruciate ligamentCartilageEstrogenMeniscusMetabolomicsSex differences

Identifiers

PMID38703811
PMCPMC12312443

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.