Reducing Disparities in Knee Arthroscopy for Adolescents

NCT07580625 | Recruiting

• 2 other identifiers: 2024-6880K23AR084596
• Study Type: observational
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

Hundreds of thousands of youth athletes require surgery for knee injuries annually. The incidence of operative knee injuries has skyrocketed, but surgery can be delayed due to late recognition and barriers, such as insurance, language, and difficulty navigating the healthcare system. Delays may have lifelong effects, including arthritis, persistent instability, poor patient reported outcomes, and reoperation. There is little patient-centered research on barriers to orthopaedic care, and none on interventions to reduce disparities in pediatric sports medicine. This study will focus on Hispanic children, a growing population nationally and 38% of the Chicago's children, who are at increased risk of delayed knee surgery and its sequelae compared to white, non-Hispanic patients. The overall objectives are to identify barriers to timely knee surgery in Hispanic athletes and develop an intervention to implement evidence on expedient treatment. The specific aims are to: (1) identify barriers and facilitators to timely care of knee injuries for Hispanic high school athletes; (2) design an evidence-based, culturally-tailored intervention for Hispanic athletes, families, and coaches to reduce delays in evaluation of acute knee injuries via user-centered principles; and (3) evaluate feasibility, acceptability, and appropriateness of the culturally-tailored intervention in a pilot study of Hispanic youth soccer leagues. The proposed aims will drive creation of a future community trial of a culturally-tailored intervention.

Conditions

Knee Injury; ACL Injury; Meniscus Tear; Hispanic or Latino; Adolescent

Outcome Measures

Primary Outcomes (1)

• Barriers to timely care

  As this is a qualitative study, barriers to care will be determined deductively and inductively based on qualitative analysis of interviews using a codebook. Given the qualitative nature, there is no specific measurement or scale that is used for this outcome.

  From injury to surgery

Interventions

Not applicable- observational study OTHER

Eligibility Criteria

• Age: 14 Years - 18 Years
• Sex: all
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Hispanic adolescent athletes aged 14-18 years at the time of arthroscopic knee injury for an acute injury.

You may qualify if:

• Hispanic athlete
• Between 14-18 years of age
• History of arthroscopic knee surgery for an acute injury

You may not qualify if:

• Non-Hispanic patient
• Younger than 14 or older than 18 years of age
• No history of arthroscopic knee surgery
• No acute knee injury

Sponsors & Collaborators

• Ann & Robert H Lurie Children's Hospital of Chicago: lead
• National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS): collaborator

Study Sites (1)

Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois, 60611, United States

RECRUITING

MeSH Terms

Conditions

Knee Injuries; Anterior Cruciate Ligament Injuries

Condition Hierarchy (Ancestors)

Leg Injuries; Wounds and Injuries

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Attending surgeon

Study Record Dates

• First Submitted: April 28, 2026
• First Posted: May 12, 2026
• Study Start: July 15, 2025
• Primary Completion (Estimated): December 1, 2026
• Study Completion (Estimated): May 1, 2027
• Last Updated: May 12, 2026

Record last verified: 2026-05

Locations

US (1)