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There are an increasing number of middle-aged and older athletes who remain active and regularly participate in sports. While remaining physically fit and maintaining athletic capacity into advanced age is possible, it is important to understand the differences in anatomy and physiology as we become older. The knee joint is one of the more common areas of concern in this population. Treatment must be tailored to meet the functional needs of the individual, as well as the musculoskeletal problem, such as osteoarthritis, which affects nearly one third of middle aged and older adults.

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