Subjects with acute anterior cruciate ligament (ACL) injury have a high risk of developing post-traumatic osteoarthritis (PTOA) even after ACL reconstruction. To identify novel NMR biomarkers of synovial fluid that may predict cartilage degeneration after acute injury and to develop potential preventative strategies for PTOA, human knee synovial fluid harvested from 25 anterior cruciate ligament (ACL) injured subjects were studied using high resolution magic angle spinning (HR-MAS) NMR spectroscopy and correlated to immunoassay and longitudinal cartilage MR T1ρ and T2 imaging.
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