Magnetic Resonance Imaging–Documented Chondral Injuries About the Knee in College Football Players: 3-Year National Football League Combine Data

Hirshorn, Kurt; Cates, Taylor; Gillogly, Scott D.

doi:10.1016/j.arthro.2010.01.025

Cited by 23 publications

(17 citation statements)

References 14 publications

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“…In support of this finding, multiple chondral lesions in the knee were identified by MRI at the NFL Combine in 8% of players. 8 However, no difference in RTP was found for lesion location, size, or grade in our study. Furthermore, there was no difference found among concomitant procedures performed including microfracture, ACL debridement, and open procedures, which would significantly alter the postoperative rehabilitation course.…”

Section: Scillia Et Almentioning

confidence: 57%

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Return to Play After Chondroplasty of the Knee in National Football League Athletes

et al. 2015

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A majority (67%) of NFL players are able to RTP after arthroscopic knee surgery including chondroplasty of articular cartilage lesions. Athletes who play more games per season are more likely to RTP after chondroplasty of articular cartilage lesions of the knee, but those undergoing concomitant microfracture are less likely to return. No statistical significance was determined when comparing the athletes who returned to play with respect to age at surgery, lesion location, lesion size, lesion grade, position that the athlete played, or draft round.

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Section: Scillia Et Almentioning

confidence: 57%

“…5 Another study identified linebackers to be the highest risk of having MRI evidence of knee cartilage injury. 8 However, there were no significant differences between positions played with respect to RTP in this report.…”

Section: Scillia Et Almentioning

confidence: 65%

Return to Play After Chondroplasty of the Knee in National Football League Athletes

et al. 2015

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“…Another study from the NFL combine reported that 38.2 % of athletes at the NFL combine from 2005 through 2007 had full thickness chondral injury [ 6 ]. Player position (higher in linebackers, lower in defensive backs), weight and BMI were associated with chondral injury in this study.…”

Section: Prevalence Of Articular Cartilage Injury In Athletesmentioning

confidence: 86%

Articular Cartilage Repair of the Knee in Athletes

Brophy¹

2013

Developing Insights in Cartilage Repair

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Athletes are at an elevated risk for articular cartilage injury of the knee, especially in pivoting sports such as soccer and basketball. Due to the poor intrinsic healing response of articular cartilage, these injuries can be debilitating and even career threatening for high level athletes. Athletes often damage their articular cartilage in conjunction with other pathology such as an anterior cruciate ligament tear or meniscus tear, and these typically need to be addressed at the same time as the articular cartilage. Fortunately, there are an increasing number of surgical treatment options available to restore the articular cartilage of the knee. Outcomes data is still relatively limited, especially for athletes, but there is a growing body of evidence that patients can return to sport after articular cartilage surgery, although the recovery may be lengthy. Microfracture and autologous chondrocyte implantation, and osteochondral autograft to a lesser degree, have demonstrated fair to good rates of return to sport. Appropriate rehabilitation is essential and the quality of the tissue repair appears to be an important factor infl uencing return to play. Much of the evidence for return to play is in soccer and American football, with less data for other sports. Although promising, more studies are needed to better defi ne and predict return to play and long term outcomes in athletes after articular cartilage surgery in the knee.

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“…The prevalence of MRI findings in various joints in asymptomatic athletes is well documented. [25][26][27][28][29][30][31][32][33] However, once a diagnosis is made on MRI, there are often pressures to treat the findings surgically. Misinterpretation of pathology found on MRI by physicians, athletes, athletic trainers, and other involved people can lead to unnecessary surgical treatment.…”

Section: Discussionmentioning

confidence: 99%

The Role of Magnetic Resonance Imaging in a Division I University Sports Medicine Program

Huston

Mitchell

Wadsworth³

et al. 2014

Clinical Journal of Sport Medicine

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Objectives: Magnetic Resonance Imaging (MRI) is commonly used for examination of soft tissue and some bony injuries. MRIs are seemingly ordered more commonly and sooner after injury diagnosis in athletes than in the general population. There is no published data or guidelines regarding the use of MRI in this patient population. The purpose of this study was to prospectively document musculoskeletal MRI use and its effect on diagnosis, playing status and treatment of athletes at a division I university sports program. We hypothesized that MRI is commonly used early in the injury course and often has little or no effect on the diagnosis or treatment plan for most injuries. Methods: Data was collected of musculoskeletal MRI use in varsity student athletes for 2 full academic years from 2010-12 at a NCAA Division I institution. Data collected included timing of the injury and physician visit as well as pre and post-MRI diagnosis, playing status and treatment. Results: 86 MRI's were obtained during the 2 years studied. Average age was 19.9 (18-23). 45 percent of injuries occurred during competition season, 34% pre-season and 21% post-season. No statistically significant difference was seen with respect to pre-MRI vs post-MRI diagnosis, treatment or participation status (p>.05) With removal of the 15 MRI's obtained for preoperative planning no significance was again seen with regards to pre-MRI post-MRI diagnosis, participation status or treatment (p>.05). There was a change in diagnosis in 13 athletes (only 1 led to surgery performed after completion of the season) and there was a change in participation status in 8 athletes (5 increased, 3 decreased). No athlete required surgery immediately following an MRI that wasn't already being planned. Conclusion:The use of MRI in a division I sports medicine athletic program rarely changed diagnosis, treatment or playing status of an athlete. MRI did not demonstrate significant benefit over history and physical examination. The role of MRI in athletes is mainly for pre-surgical planning and reassurance of the athlete, athletic training

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Magnetic Resonance Imaging–Documented Chondral Injuries About the Knee in College Football Players: 3-Year National Football League Combine Data

Cited by 23 publications

References 14 publications

Return to Play After Chondroplasty of the Knee in National Football League Athletes

Return to Play After Chondroplasty of the Knee in National Football League Athletes

Articular Cartilage Repair of the Knee in Athletes

The Role of Magnetic Resonance Imaging in a Division I University Sports Medicine Program

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