Frequency of MRI-detected peripheral osteoarthritis in athletes during the Summer Olympics in Rio 2016

Merritt, Alexander; Roemer, Frank W.; Heiss, Rudolf; Jarraya, Mohamed; Guermazi, Dorra; Hayashi, Daichi; Engebretsen, Lars; Crema, M.D.; Guermazi, Ali

doi:10.1016/j.ocarto.2021.100199

Cited by 4 publications

(13 citation statements)

References 27 publications

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“…The anatomical sites assessed were as follows: knee (89%) [ 46 , 47 , 48 , 49 , 50 , 51 , 53 , 54 ], hip (78%) [ 46 , 47 , 48 , 50 , 51 , 52 , 54 ], ankle (44%) [ 47 , 48 , 50 , 52 ], spine (33%) [ 47 , 50 , 53 ], foot (33%) [ 47 , 50 , 52 ], hand (22%) [ 47 , 53 ], shoulder (11%) [ 48 ], elbow (11%) [ 48 ], and wrist (11%) ( Table 2 ) [ 48 ]. Seven of the included studies recruited elite sports participants, with a total of 808 females [ 46 , 47 , 48 , 49 , 50 , 51 , 52 ], and two studies recruited non-elite sports participants, with a total of 5427 females ( Table 1 ) [ 53 , 54 ]. The study designs were: four cross-sectional studies (44%) [ 46 , 47 , 48 , 49 ], three case-control studies (33%) [ 51 , 52 , 53 ], and two cohort studies (22%) [ 50 , 54 ].…”

Section: Resultsmentioning

confidence: 99%

“…Seven of the included studies recruited elite sports participants, with a total of 808 females [ 46 , 47 , 48 , 49 , 50 , 51 , 52 ], and two studies recruited non-elite sports participants, with a total of 5427 females ( Table 1 ) [ 53 , 54 ]. The study designs were: four cross-sectional studies (44%) [ 46 , 47 , 48 , 49 ], three case-control studies (33%) [ 51 , 52 , 53 ], and two cohort studies (22%) [ 50 , 54 ].…”

Section: Resultsmentioning

confidence: 99%

“…Three studies investigated the association between Olympic athletes and OA. The study conducted by Merritt et al (2021) examined the frequency and severity of OA in active athletes during the Olympic Games in Rio 2016 [ 48 ]. The study included both males and females with a total of 320 participants ( n = 160, females).…”

Section: Resultsmentioning

confidence: 99%

“…The nine included studies were conducted in the United Kingdom (UK), Germany, Sweden, Netherlands, United States (US), and Brazil. There was no outcome parameter common to all nine studies since several different diagnostic methods were used, including questionnaires [ 46 , 47 ], measured markers of OA using magnetic resonance imaging (MRI) [ 48 , 49 , 50 ] and radiography [ 51 , 52 , 53 ], or surgery and arthroplasty data collected through national health registers [ 54 ]. Demographic and arthroplasty data from the included studies are presented in Table 1 .…”

Section: Methodsmentioning

confidence: 99%

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Sports Participation and Osteoarthritis in Females: A Systematic Review

Brent,

Brent

2023

Sports

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Sports participation and the risk of osteoarthritis (OA) have been a concern for decades. Few research efforts have been dedicated to clarify this issue for females, although they are considered at greater risk of developing OA than males. In contrast, several reviews have established an association between sports participation and OA for males. The aim of the systematic review was to assess the association between OA and participation in popular sports for females. PubMed, Embase, and Google Scholar were searched and yielded 578 articles. Nine eligible studies were included and covered ballet (age range: 19–54 years), running or tennis (age range: 40–65 years), Olympic sports (age range: not specified), volleyball (age range: 16.0 ± 0.8 to 46.8 ± 5.1 years), and cross-country skiing (age range: 15 to ≥60 years). For females, participating in sports at an elite level was associated with a higher risk of OA and an increased need for surgical treatment. At non-elite level, it was associated with a higher risk of OA, but it did not materialize to an increased risk for surgical treatment. Few studies compared females and males, and these studies suggested that sex did not affect the risk of developing OA from participating in sports. Nevertheless, to isolate the precise effect of sports participation on the development of OA remains difficult as injuries are common among athletes and are independently associated with an increased risk of OA.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Sports Participation and Osteoarthritis in Females: A Systematic Review

Brent,

Brent

2023

Sports

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“…OA is a condition typically associated with aging, so the high prevalence of radiographic OA in these young officers (median age 28 years) is deeply concerning. These findings are comparable to other studies in young populations, including a cohort of female soccer players with a high prevalence of knee radiographic OA (51%) 12 years post-ACL injury (3), a sample of youth and young adults with a high prevalence (29%) of magnetic resonance imaging (MRI)-defined OA 3-10 years after sport-related knee injury (11), a sample of young adult Olympic athletes with a notable prevalence (17%) of MRI-defined OA during the 2016 Olympic Games (12), as well as a randomized trial of young adults with acute ACL injury, among whom 25% had radiographic OA at 5-year follow-up, regardless of treatment assigned (13). Additionally, a study of military service members conducted in 2019 reported that the median time from knee injury to diagnosis of knee OA was 4.1 years, also supporting the idea of faster progression to OA following injury (14).…”

Section: Discussionmentioning

confidence: 99%

Association of Traumatic Knee Injury With Radiographic Evidence of Knee Osteoarthritis in Military Officers

Golightly

Shiue

Nocera

et al. 2023

Arthritis Care & Research

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Objective The association between knee injury and knee osteoarthritis (OA) is understudied relative to its importance, particularly in younger populations. This study was undertaken to examine the association of knee injury with radiographic features of knee OA in military officers, who have a physically demanding profession and high rates of knee injury. Methods Participants were recruited in 2015–2017 from an existing program that enrolled 6,452 military officers during 2004–2009. Officers with a history of knee ligament or meniscal injuries (n = 117 via medical record review) were compared to officers with no history of knee injury (n = 143). Bilateral posteroanterior knee radiographs were obtained using a standardized fixed‐flexion positioning frame. All images were read for Kellgren/Lawrence (K/L) grade, osteophyte (OST), and joint space narrowing (JSN) scores. Data were analyzed using linear‐risk regression models with generalized estimating equations. Results Injured and noninjured participants were similar (mean age 28 years, mean body mass index 25 kg/m2, ~40% female). The mean time from first knee injury to imaging among injured participants was 9.2 years. Compared with noninjured knees, greater prevalence of radiographic OA (K/L grade ≥ 2), OST (grade ≥ 1), and JSN (grade ≥ 1) was observed among injured knees, with prevalence differences of +16% (95% confidence interval [95% CI] 10%, 22%), +29% (95% CI 20%, 38%), and + 17% (95% CI 10%, 24%), respectively. Approximately 1 in 6 officers with prior knee injury progressed to radiographic OA by age 30 years. Conclusion At the midpoint of a projected 20‐year military career, officers with a history of traumatic knee injury have a markedly increased prevalence of knee radiographic OA compared to officers without injury.

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