Evidence map›Paper›PMID 40543563›Full record

ArticleOsteoarthritis and cartilage2026

Concurrent joint contact in anterior cruciate ligament injury induces cartilage micro-injury and subchondral bone sclerosis, resulting in knee osteoarthritis.

Kei Takahata, Yu-Yang Lin, Benjamin Osipov, Kohei Arakawa, Saaya Enomoto, Blaine A Christiansen, Takanori Kokubun

Abstract read
In one paragraph

Article in Osteoarthritis and cartilage, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Novel Biomaterial-Based Synovial Fluid Analysis Reveals Protective microRNA Signatures in a Mouse Model of Acute Synovitis-Driven Osteoarthritis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Kei TakahataGraduate School of Health, Medicine, and Welfare, Saitama Prefectural University, Koshigaya, Saitama, Japan; Japan Society for the Promotion of Science, Tokyo, Japan. Electronic address: 2491006o@spu.ac.jp.
Yu-Yang LinDepartment of Orthopaedic Surgery, University of California Davis Health, Sacramento, CA, United States. Electronic address: yyalin@ucdavis.edu.
Benjamin OsipovDepartment of Orthopaedic Surgery, University of California Davis Health, Sacramento, CA, United States. Electronic address: bosipov@ucdavis.edu.
Kohei ArakawaJapan Society for the Promotion of Science, Tokyo, Japan; Laboratory of Animal Regeneration Systemology, Department of Life Sciences, School of Agriculture, Meiji University, Kanagawa, Japan. Electronic address: arakawa_k@meiji.ac.jp.
Saaya EnomotoSaitama Prefecture Rehabilitation Center, Saitama, Japan. Electronic address: 2481302r@spu.ac.jp.
Blaine A ChristiansenDepartment of Orthopaedic Surgery, University of California Davis Health, Sacramento, CA, United States. Electronic address: bchristiansen@ucdavis.edu.
Takanori KokubunGraduate School of Health, Medicine, and Welfare, Saitama Prefectural University, Koshigaya, Saitama, Japan; Department of Physical Therapy, School of Health and Social Services, Saitama Prefectural University, Koshigaya, Saitama, Japan. Electronic address: kokubun-takanori@spu.ac.jp.

Funding

Modification of Post-Traumatic Osteoarthritis Progression with Joint UnloadingR01AR075013 · NIAMS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI CHRISTIANSEN, BLAINE A. · 2020 to 2024
$2.7M
NIAMS NIH HHS R01 AR075013
6 · The paper itself

Abstract

objectiveAnterior cruciate ligament (ACL) injury initiates post-traumatic osteoarthritis (PTOA) via two distinct processes: initial direct contact injury of the cartilage surface during ACL injury, and secondary joint instability due to the ACL deficiency. Using the well-established Compression-induced ACL-rupture and a novel Non-Compression ACL-rupture mice model, we aimed to reveal the individual effects of cartilage compression and joint instability on PTOA progression.

designTwelve-week-old C57BL/6J males (n = 118) were divided to three experimental groups: Compression ACL-rupture, Non-Compression ACL-rupture, and Intact. Following ACL injury, we performed joint laxity testing and microscopic analysis of the articular cartilage surface at 0 days, in vivo optical imaging of matrix-metalloproteinase (MMP) activity at 3 and 7 days, and histological and microCT analysis at 0, 7, 14, and 28 days.

resultsThe Compression ACL-R group exhibited a significant increase in cartilage roughness immediately after injury compared with the Non-Compression group (p = 0.047). At 7 days, the Compression group increased MMP-induced fluorescence intensity slightly but showed no significant differences, and MMP-13 positive cell ratio of chondrocytes compared with the Non-Compression group (p < 0.001, 95% confidence interval = [-18.328, -7.154]). Moreover, histological cartilage degeneration was observable in the Compression group at the same time point. Sclerosis of the tibial subchondral bone in the Compression group was more significantly developed than in the Non-Compression group at 28 days (p = 0.027).

conclusionsJoint contact during ACL rupture caused initial micro-damage on the cartilage surface and initiated early MMP activity, which could accelerate subchondral bone sclerosis compared to ACL injury without concurrent joint contact.

Indexed as

Anterior Cruciate Ligament InjuriesCartilage, ArticularJoint InstabilityOsteoarthritis, KneeAnimalsDisease Models, AnimalKnee JointMaleMatrix Metalloproteinase 13MiceMice, Inbred C57BLSclerosisX-Ray MicrotomographyMatrix Metalloproteinase 13ACL injuryAnimal modelCartilage compressionJoint instabilityOsteoarthritisSubchondral bone

Identifiers

PMID40543563
PMCPMC12293937

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Registered trials

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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.