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. 2019 Jan;27(1):23–33. doi: 10.1016/j.joca.2018.08.001

Table IV.

Recommendations for points to consider: eligibility criteria

Consideration Recommendation
1. Definition of acute knee injury
  • The extent and characteristics of acute structural joint damage should be fully classified by magnetic resonance imaging

  • Subgroups/types of injury for inclusion such as ACL and/or meniscal tear should be carefully defined

  • Different types of injury may be associated with different biomechanical outcomes and responsiveness to any given intervention, so the target population needs to be carefully defined

  • In the case of meniscal tears, the individual's age, history of a clear injurious episode, plus MR appearances are all important in identifying traumatic tears (and excluding degenerative lesions from these studies)

  • Caution should be exercised in the inclusion of extreme phenotypes, for example those with isolated ACL tears or very extensive injuries

2. Time since injury
  • Establishing an appropriate therapeutic time-window will be relevant for each new target/intervention

  • Certain interventions targeting the early response to injury may benefit from being tested within days of injury, or up to a maximum of 4–6 weeks from injury

3. Age
  • Upper age limit should be carefully considered; an upper age limit of 35 was proposed

  • Challenges were highlighted around intervening in paediatric populations who lack capacity to give informed consent or who have immature growth plates

4. Demographics
  • People of both sexes should be included

  • Studies may include, but should not be restricted, to professional athletes

5. Proposed exclusions
  • Other existing causes of joint pathology
    • ○ inflammatory arthritis or pre-existing established osteoarthritis
    • ○ other disorders of bone, current or past
    • ○ previous substantial injury or surgery of index knee (particularly where there would be an associated markedly increased risk of PTOA)
    • ○ other concomitant body injury or surgery (in some circumstances as may confound biomarkers)
  • Pregnancy or breast-feeding

  • Heavy use of alcohol, or recreational drug use

  • Morbid obesity