Updated 15 December 2015

Outward-facing knees: osteoarthritis risk

People whose knees face outward may be at increased risk for osteoarthritis, new findings suggest.


This outward-facing knee alignment - in which the knees are relatively far apart and the ankles closer together - is called the varus alignment. While it resembles bowleggedness, it's not as extreme, the study authors pointed out in a news release from the US. National Institutes of Health.

The study included 2,713 volunteers, aged 50 to 79, who had arthritis or were at increased risk for osteoarthritis because they were overweight or had a previous knee injury. Osteoarthritis is a painful - and sometimes disabling - condition in which the cartilage that usually cushions the ends of bone at the joints deteriorates.

The study

The researchers took X-rays of each participant's legs at the start of the study and again 2.5 years later.

People with the varus alignment were nearly 1.5 times more likely to develop osteoarthritis than those with a straight-legged stance. There was no increased risk for people with inner-facing knees (valgus alignment), the investigators found.

The study, funded by the US National Institutes of Health, was released online in advance of publication in an upcoming print issue of the journal Annals of the Rheumatic Diseases.

According to the first author of the study, Dr Leena Sharma of Northwestern University's Feinberg School of Medicine in Chicago, about 70% of the force transmitted to a healthy knee while walking is focused on the inside of the knee. Therefore, when the knee faces outward, as in the varus alignment, there is even greater stress on the inside of the knee, which may increase the risk of osteoarthritis.

"Our results suggest the need to design interventions for people with varus alignment, in hopes of redistributing stress and possibly helping to prevent knee arthritis before it develops," Sharma stated.

Osteoarthritis of the knees affects 6.1% of all adults over 30 years of age, the US Centres for Disease Control and Prevention has reported. (August 2010)

(Copyright © 2010 HealthDay. All rights reserved.)

Read more:

Preventing of osteoarthritis

Symptoms of osteoarthritis


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Professor Asgar Ali Kalla completed his MBChB (Bachelor of Medicine and Bachelor of Surgery) degree in 1975 at the University of Cape Town and his FRCP in 2003 in London. Professor Ali Kalla is the Isaac Albow Chair of Rheumatology at the University of Cape Town and also the Head of Division of Rheumatology at Groote Schuur Hospital. He has participated in a number of clinical trials for rheumatology and is active in community outreach. Prof Ali Kalla is an expert in Arthritis for Health24.

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