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Every second retired elite female football player has MRI evidence of knee osteoarthritis before age 50 years: a cross-sectional study of clinical and MRI outcomes.

每 2 名退役优秀女子足球运动员在 50 岁前就有膝关节骨性关节炎的MRI证据: 一项临床和MRI结果的横断面研究。

  • 影响因子:3.28
  • DOI:10.1007/s00167-019-05560-w
  • 作者列表:"Prien A","Boudabous S","Junge A","Verhagen E","Delattre BMA","Tscholl PM
  • 发表时间:2020-02-01
Abstract

PURPOSE:To assess knee health in retired female football players, using magnetic resonance imaging (MRI) and self-report. The focus of analysis were degenerative changes of the tibiofemoral joint, and their relationship to osteoarthritis symptoms and previous knee injury. METHODS:Forty-nine retired elite, female football players (98 knees) aged 37 years on average participated. Tibiofemoral cartilage and meniscus status of both knees were evaluated using MRI and graded according to modified Outerbridge and Stoller classifications, respectively. Symptoms were assessed through a standardised questionnaire (Knee Osteoarthritis Outcome Score: KOOS). Knee injury history was recorded via a semi-structured interview. To investigate how injury variables relate to outcomes, binary logistic regression models were used and reported with odds ratios (OR). RESULTS:Fifty-one per cent of players (n = 25) fulfilled the MRI criterion for knee osteoarthritis, 69.4% (n = 34) had substantial meniscal loss and 59.6% (n = 28) reported substantial clinical symptoms. Chondral- and meniscal loss were associated with significantly lower scores on three of five KOOS subscales (p < .05). Both chondral and meniscal loss were significantly predicted by previous traumatic knee injury (OR = 4.6, OR = 2.6), the injury affecting the non-striking leg (OR = 8.6, OR = 10.6) and type of injury; participants with combined ACL/meniscus injuries had the highest risk for substantial chondral and meniscal loss (OR = 14.8, OR = 9.5). Chondral loss was significantly predicted by isolated meniscus injury treated with partial meniscectomy (OR = 5.4), but not by isolated reconstructed ACL injury. Clinical symptoms were only significantly predicted by previous traumatic knee injury (OR = 5.1). CONCLUSIONS:Serious degenerative changes were found in a high number of retired female football players' knees 10 years after their career. Meniscal integrity is key for knee osteoarthritis outcomes in young adults, and thus, its preservation should be a priority.

摘要

目的: 使用磁共振成像 (MRI) 和自我报告评估退役女性足球运动员的膝关节健康状况。分析的重点是胫股关节的退行性改变,以及它们与骨关节炎症状和既往膝关节损伤的关系。 方法: 49 名平均年龄 37 岁的退役优秀女子足球运动员 (98 名膝关节) 参加。使用MRI评估双膝关节的胫股软骨和半月板状态,并分别根据改良的Outerbridge和Stoller分类进行分级。通过标准化问卷 (膝骨关节炎结局评分: KOOS) 评估症状。通过半结构式访谈记录膝关节损伤史。为了研究损伤变量如何与结局相关,使用二元logistic回归模型并报告比值比 (OR)。 结果: 69.4% 的运动员 (n = 25) 符合膝关节骨关节炎的MRI标准,(n = 34) 有大量半月板缺失,59.6% (n = 28) 报告了大量临床症状。软骨和半月板缺失与 5 个KOOS分量表中的 3 个评分显著降低相关 (p <.05)。以前的创伤性膝关节损伤 (or = 4.6,or = 2.6) 、影响非打击腿的损伤 (or = 8.6,or = 10.6) 和损伤类型; ACL/半月板损伤合并的参与者软骨和半月板损伤的风险最高 (or = 14.8,or = 9.5)。单纯半月板损伤行部分半月板切除术 (or = 5.4) 可显著预测软骨丧失,但孤立性重建ACL损伤不能预测软骨丧失。临床症状仅由既往创伤性膝关节损伤显著预测 (or = 5.1)。 结论: 在职业生涯 10 年后的大量退休女性足球运动员膝关节中发现了严重的退行性改变。半月板完整性是年轻成人膝关节骨关节炎结局的关键,因此,其保存应该是一个优先事项。

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发表时间:2020-01-01
DOI:10.1002/acr.23824
作者列表:["Chen SK","Liao KP","Liu J","Kim SC"]

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DOI:10.1002/acr.23827
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关节疾病方向

各类骨关节疾病,包括退行性关节炎、滑囊炎、滑膜炎、颈椎病、腰椎病、肩周炎、骨质增生、风湿性关节炎、类风湿性关节炎、股骨头坏死等。

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