NCT07744789

Brief Summary

This prospective clinical study aims to establish normative values of knee ligament stiffness across different ethnic populations using shear wave elastography (SWE) and to investigate biomechanical alterations associated with knee osteoarthritis (OA). Healthy adults and patients with symptomatic knee OA will undergo standardized SWE examinations of the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), and lateral collateral ligament (LCL), together with clinical assessments. For patients who subsequently receive clinically indicated ultrasound-guided injection therapy, follow-up SWE and clinical evaluations will be performed to investigate changes in ligament stiffness after treatment.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
208

participants targeted

Target at P75+ for all trials

Timeline
16mo left

Started Jul 2023

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress70%
Jul 2023Dec 2027

Study Start

First participant enrolled

July 26, 2023

Completed
3 years until next milestone

First Submitted

Initial submission to the registry

July 27, 2026

Completed
8 days until next milestone

First Posted

Study publicly available on registry

August 4, 2026

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2027

Expected
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2027

Last Updated

August 4, 2026

Status Verified

March 1, 2026

Enrollment Period

3.9 years

First QC Date

July 27, 2026

Last Update Submit

August 2, 2026

Conditions

Keywords

Knee OsteoarthritisShear Wave ElastographyAnterior Cruciate LigamentPosterior Cruciate LigamentMedial Collateral LigamentLateral Collateral LigamentUltrasound

Outcome Measures

Primary Outcomes (1)

  • Knee Ligament Stiffness Measured by Shear Wave Elastography

    Shear wave velocity (m/s) of the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), and lateral collateral ligament (LCL) measured using standardized shear wave elastography.

    Baseline

Secondary Outcomes (2)

  • Pain Intensity

    Baseline

  • Physical Function

    Baseline

Study Arms (3)

Healthy Controls

Healthy adults without knee pain or major systemic disease undergoing standardized clinical assessment and bilateral knee ligament shear wave elastography.

Procedure: Shear Wave Elastography

Symptomatic Knee Osteoarthritis

Adults with symptomatic radiographic knee osteoarthritis undergoing baseline clinical assessment, physical examination, and bilateral knee ligament shear wave elastography.

Procedure: Shear Wave Elastography

Knee Osteoarthritis After Injection Therapy

Participants with symptomatic knee osteoarthritis who subsequently receive clinically indicated ultrasound-guided injection therapy and undergo follow-up clinical and shear wave elastography assessments after treatment.

Procedure: Shear Wave ElastographyProcedure: Ultrasound-Guided Injection Therapy

Interventions

Bilateral shear wave elastography of the anterior cruciate ligament, posterior cruciate ligament, medial collateral ligament, and lateral collateral ligament was performed to quantify ligament stiffness.

Healthy ControlsKnee Osteoarthritis After Injection TherapySymptomatic Knee Osteoarthritis

Ultrasound-guided ligament injection using corticosteroid, hypertonic dextrose, or platelet-rich plasma according to clinical indication.

Knee Osteoarthritis After Injection Therapy

Eligibility Criteria

Age20 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Healthy adult volunteers and adults with symptomatic radiographic knee osteoarthritis recruited from the outpatient Department of Physical Medicine and Rehabilitation at National Taiwan University Hospital, Bei-Hu Branch. Healthy participants are enrolled to establish normative knee ligament stiffness values, whereas patients with knee osteoarthritis undergo clinical assessment, shear wave elastography, and, when clinically indicated, follow-up evaluation after ultrasound-guided injection therapy.

You may qualify if:

  • Healthy Volunteers
  • Adults aged 20 years or older. Able to understand the study procedures and provide written informed consent. Able to ambulate independently without walking aids. No pain in either knee during the previous 6 months.
  • Patients with Symptomatic Knee Osteoarthritis
  • Adults aged 20 years or older. Able to understand the study procedures and provide written informed consent. Pain in at least one knee during the previous year. Knee pain, soreness, or stiffness documented within the previous month.
  • Radiographic knee osteoarthritis defined by at least one of the following:
  • Kellgren-Lawrence grade ≥2 on anteroposterior radiographs. Kellgren-Lawrence grade ≥2 on skyline radiographs. Superior or inferior patellar osteophytes or posterior tibial osteophytes on lateral radiographs.

You may not qualify if:

  • Healthy Volunteers
  • Previous knee surgery. Rupture of any cruciate or collateral ligament. Major knee or periarticular trauma. Rheumatic or autoimmune disease. Diagnosis of knee osteoarthritis within the previous 6 months.
  • Patients with Symptomatic Knee Osteoarthritis
  • Rheumatic or autoimmune disease. Malignancy. Previous major knee trauma or knee surgery. Corticosteroid injection into the affected knee within the previous 3 months.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

National Taiwan University Hospital, Bei-Hu Branch

Taipei, Taipei City, 108, Taiwan

RECRUITING

MeSH Terms

Conditions

Osteoarthritis, Knee

Condition Hierarchy (Ancestors)

OsteoarthritisArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic Diseases

Central Study Contacts

Ke-Vin Chang, MD, PhD

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
1 Month
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 27, 2026

First Posted

August 4, 2026

Study Start

July 26, 2023

Primary Completion (Estimated)

July 1, 2027

Study Completion (Estimated)

December 1, 2027

Last Updated

August 4, 2026

Record last verified: 2026-03

Data Sharing

IPD Sharing
Will not share

Locations