Caroline Emilie van Woensel Kooy Tveiten

Norwegian version of this page Department of Sports Medicine

Researcher

Email: carolinekt@nih.no

Research

Peadiatric ACL reconstructions: a study on incidence, treatment and outcomes over the past 17 years.
ACL reconstructed pivoting sports athletes in the genetal population following usual care; how many return to sport, what happends between ACL reconstruction and return, and how do the cope.
ACL injuries treated non-operatively: who are they, how do they cope, and how are their outcomes compared with those treated operatively.

Short biography

Caroline Kooy Tveiten is connected to OSTRC through her work in the field of anterior cruciate ligament (ACL) injuries. She graduated as a doctor from the University of Oslo. Employed as a research assistant she developed a web-based resource related to orthopedics and the musculoskeletal system, which was awarded the prize of “Quality and innovation” by the Faculty of Medicine. She is currently employed as a PhD-student at Akershus University Hospital, and as a fellow at NiH and the Orthopedic Department at Ullevål University Hospital and Olympiatoppen. She is also team physician for a national football team, and previously worked as doctor at the Oslo Emergency Department, and she is part of the NextGen-group; a program for future physicians in Sports Medicine at Olympiatoppen. Her first publication was recently awarded the NIMF and FIAs research prize for best international publication in 2023.

Tveiten, Caroline Emilie Van Woensel Ko; Jakobsen, Rune Bruhn; Fenstad, Anne Marie; Persson, Andreas; Visnes, Håvard & Engebretsen, Lars [Show all 7 contributors for this article] (2023). Major Increase in Incidence of Pediatric ACL Reconstructions From 2005 to 2021: A Study From the Norwegian Knee Ligament Register. American Journal of Sports Medicine. ISSN 0363-5465. 51(11), p. 2891–2899. doi: 10.1177/03635465231185742. Full text in Research Archive Show summary
Background: The incidence of pediatric and adolescent anterior cruciate ligament reconstruction (ACLR) is increasing in several countries. It is uncertain whether this trend applies to countries that traditionally prefer an initial nonoperative treatment approach whenever possible, like Norway. Nationwide, long-term patient-reported outcomes and revision rates after ACLR in the pediatric population are also lacking. Purpose: To determine the incidence of pediatric ACLR in Norway since 2005, as well as to detect trends in surgical details and describe patient-reported outcomes up to 10 years after ACLR. Study Design: Descriptive cohort study. Methods: This study is based on prospectively collected data on girls ≤14 years and boys ≤16 years, registered in the Norwegian Knee Ligament Register at the time of their primary ACLR, between 2005 and 2021. The main outcome was the incidence of ACLR, adjusted to the corresponding population numbers for each year. The time trend was analyzed by comparing the mean of the first and last 3-year period (2005-2007 and 2019-2021). Patient-reported outcomes were assessed using the Knee injury and Osteoarthritis Outcome Score preoperatively and at 2, 5, and 10 years postoperatively. Results: A total of 1476 patients (1484 cases) were included, with a mean follow-up of 8.1 years (range, 1-17). The incidence of pediatric ACLRs per 100,000 population increased from 18 to 26, which corresponds to an increase of 40% for boys and 55% for girls. Concurrent meniscal procedures increased significantly from 45% to 62%, and the proportion of meniscal repairs increased from 19% to 43% when comparing the first and last time period. The mean Knee injury and Osteoarthritis Outcome Score values for the Sport and Recreation and Quality of Life subscales were between 72 and 75 at the 2-, 5- and 10-year follow-up. The 5-year revision rate was 9.9%. Conclusion: There was a major increase in incidence of pediatric ACLR in Norway during the study period. There was a shift in the approach to concomitant meniscal procedures from resection to repair, with more than a doubling of the proportion of meniscal repairs. Patient-reported outcomes revealed long-lasting reduced knee function.
Holten, Aleksander Rygh; Nore, Kristin Grotle; Tveiten, Caroline Emilie Van Woensel Ko; Olasveengen, Theresa M. & Tonby, Kristian (2020). Predicting severe COVID-19 in the Emergency Department. Resuscitation Plus. ISSN 2666-5204. 4. doi: 10.1016/j.resplu.2020.100042.

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Tveiten, Caroline Emilie Van Woensel Ko (2024). ACL injuries in children.
Tveiten, Caroline Emilie Van Woensel Ko; Jakobsen, Rune Bruhn; Bache-Mathiesen, Lena Kristin; Persson, Andreas; Myklebust, Grethe & Engebretsen, Lars [Show all 7 contributors for this article] (2023). Kommer utøvere på alle nivåer tilbake til vridningsidrett etter ACL rekonstruksjon?
Tveiten, Caroline Emilie Van Woensel Ko; Jakobsen, Rune Bruhn; Bache-Mathiesen, Lena Kristin; Persson, Andreas; Myklebust, Grethe & Engebretsen, Lars [Show all 7 contributors for this article] (2023). Kommer utøvere på alle nivåer tilbake til vridningsidrett etter ACL rekonstruksjon?
Tveiten, Caroline Emilie Van Woensel Ko (2022). Trends in pediatric ACL reconstructions in Norway 2005-2019.
Tveiten, Caroline Emilie Van Woensel Ko (2022). IMPROVE_ACL - a registry-based RCT of ACL treatment - an update.

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Published Oct. 17, 2023 1:08 PM - Last modified June 3, 2024 10:07 AM