Table 1

Eligibility criteria

Patellofemoral OA (n=15)Controls (n=15)
Inclusion
  • Aged ≥40 years.

  • Aged ≥40 years.

  • Peri- or retro-patellar knee pain.

  • Asymptomatic for >1 year.

  • Pain aggravated by ≥1 activity that increases patellofemoral joint load (eg, squatting).

  • Pain rated ≥3/10 on numeric pain rating scale.

  • Pain on most days of previous month.

  • At least doubtful patellofemoral osteophytes on skyline or lateral view radiographs, confirmed by a musculoskeletal radiologist (ie, KL Grade ≥1).

Exclusion
  • Pain elsewhere in the knee, hips, ankles, feet, or lumbar spine.

  • Any lower-limb symptoms in the past year.

  • Knee or hip arthroplasty, osteotomy, reconstruction, meniscectomy, fracture; history of major traumatic knee injury requiring non-weightbearing for ≥24 hour (eg, dislocation, complete ligament rupture).

  • Knee or hip arthroplasty, osteotomy, reconstruction, meniscectomy, fracture; history of major traumatic knee injury requiring non-weightbearing for ≥24 hour (eg, dislocation, complete ligament rupture).

  • BMI ≥35 kg/m2.

  • BMI ≥35 kg/m2.

  • Planned lower-limb surgery in the following 6 months.

  • Planned lower-limb surgery in the following 6 months.

  • Knee injections in the past 3 months.

  • Knee injections in the past 3 months.

  • Contraindications to imaging.

  • Contraindications to imaging.

  • Inability to understand written and spoken English.

  • Inability to understand written and spoken English.

  • Tibiofemoral joint OA severity of KL grade 3 or 4, or worse OA severity at the tibiofemoral joint than the patellofemoral joint.

  • Controls were individually matched to patellofemoral OA cases on age, sex, ethnicity, BMI, and current physical activity level.

  • BMI, Body mass index; KL, Kellgren and Lawrence; OA, Osteoarthritis; OA classification criteria.