Orthopedic consequences of modern gladiators: a systematic review of lower extremity musculoskeletal issues in retired NFL players

McClure, Myra O.; Cooke, Brett; Elphingstone, Joseph; Schick, Samuel; Paul, Kyle D; Jardaly, Achraf; Brabston, Eugene W.; Momaya, Amit; Ponce, Brent A.

doi:10.1080/00913847.2022.2119897

Cited by 3 publications

(2 citation statements)

References 49 publications

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“…These novel methods should be additionally used to study the lifelong cumulative impact of basketball on players' knees. Studies have shown a higher rate of osteoarthritis and chronic injury in retired collegiate and professional players compared to the general U.S. population, with even higher rates in those who sustained a severe injury 6,79,80 . Thus, our goal should be to utilize MRI to keep basketball players healthy during their active playing time and retirement by assessing the cumulative effect of sports over an athlete's whole career.…”

Section: Discussionmentioning

confidence: 99%

Advanced MRI Approaches for Evaluating Common Lower Extremity Injuries in Basketball Players: Current and Emerging Techniques

Rubin,

Schmidt,

Koff

et al. 2023

Magnetic Resonance Imaging

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Magnetic resonance imaging (MRI) can provide accurate and non‐invasive diagnoses of lower extremity injuries in athletes. Sport‐related injuries commonly occur in and around the knee and can affect the articular cartilage, patellar tendon, hamstring muscles, and bone. Sports medicine physicians utilize MRI to evaluate and diagnose injury, track recovery, estimate return to sport timelines, and assess the risk of recurrent injury. This article reviews the current literature and describes novel developments of quantitative MRI tools that can further advance our understanding of sports injury diagnosis, prevention, and treatment while minimizing injury risk and rehabilitation time. Innovative approaches for enhancing the early diagnosis and treatment of musculoskeletal injuries in basketball players span a spectrum of techniques. These encompass the utilization of T2, T1ρ, and T2* quantitative MRI, along with dGEMRIC and Na‐MRI to assess articular cartilage injuries, 3D‐Ultrashort echo time MRI for patellar tendon injuries, diffusion tensor imaging for acute myotendinous injuries, and sagittal short tau inversion recovery and axial long‐axis T1‐weighted, and 3D Cube sequences for bone stress imaging. Future studies should further refine and validate these MR‐based quantitative techniques while exploring the lifelong cumulative impact of basketball on players' knees.Level of Evidence5Technical EfficacyStage 2

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Section: Discussionmentioning

confidence: 99%

Advanced MRI Approaches for Evaluating Common Lower Extremity Injuries in Basketball Players: Current and Emerging Techniques

Rubin,

Schmidt,

Koff

et al. 2023

Magnetic Resonance Imaging

View full text Add to dashboard Cite

show abstract

“…First-line treatment is non-surgical, relying on several conservative strategies ranging from oral medications to physiotherapy [3,13,34,50]. However, these treatments often result in suboptimal recovery [22,36]. Other surgical procedures addressing the articular surface, the alignment, as well as ligament and menisci, are not always indicated [55], and total knee arthroplasty represents an end stage solution for older patients affected by OA, but it does not represent a suitable option in younger patients, due to their high expectations and functional demands [5,42].…”

Section: Introductionmentioning

confidence: 99%

Intra‐articular injections in sport‐active patients with degenerative cartilage lesions or osteoarthritis of the knee: a systematic review

De Marziani,

Sangiorgio,

Bensa

et al. 2023

J. exp. orthop.

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Purpose The aim of this systematic review was to analyse the available clinical evidence on intra-articular knee injections for the treatment of degenerative cartilage lesions and osteoarthritis (OA) in sport-active patients. Methods A literature search was performed in July 2023 according to the PRISMA guidelines on three electronic databases (PubMed, Cochrane, Web of Science). Studies addressing intra-articular injections for degenerative knee cartilage lesions or knee OA in sport-active patients were included. The Downs and Black’s “checklist for measuring quality” was used to evaluate risk of bias and quality of the included studies. Results Only 10 clinical studies for a total of 296 sport-active patients were included, with a publication trend increasing over time. The studies were 9 case series and 1 RCT; 7 studies focused on hyaluronic acid (HA), 2 studies focused on platelet-rich plasma (PRP), while 1 study compared HA and PRP. Overall, safety and positive clinical findings were for both HA and PRP, although not always with satisfactory results in terms of return to sport. The Downs and Black evaluation showed an overall poor quality of the included studies, with an average score of 21.1 points (range 19–25). Conclusions The available clinical evidence is still limited, with only a few studies published and an overall low-quality of evidence, suggesting a potential role of HA and PRP injections to treat these patients. However, further high-level trials are needed to confirm the real benefits of these treatments for the management of sport-active patients affected by degenerative cartilage lesions or OA of the knee.

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Outcomes of Birmingham Hip Resurfacing Based on Clinical Aspects and Retrieval Analysis of Failed Prosthesis

Antoniac,

Valeanu,

Niculescu

et al. 2024

Materials

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This research aims to identify the prevalence of failure for Birmingham Hip Prosthesis (BHR) in total hip arthroplasty and to analyze its reasons from biomaterials and biofunctional perspectives. We present our current analysis and tests on a series of different BHR-retrieved prostheses after premature failure. Relevant clinical data, such as X-ray investigations and intraoperative images for clinical case studies, were analyzed to better understand all factors involved in BHR prosthesis failure. A detailed analysis of the failures highlighted uneven cement distribution, overloading in certain areas, and void formation in the material. A closer investigation using microscopical techniques revealed the presence of a crack originating from the gap between the cement mantle and human bone. Additionally, scanning electron microscopy analyses were conducted as part of the investigation to examine bone cement morphology in detail and better understand the interactions at the interfaces between implant, cement, and bone. In conclusion, this research emphasizes the importance of surgical technique planning and the cementation procedure in the success rate of BHR prostheses. It also underscores the need to carefully evaluate patient characteristics and bone quality to minimize the risk of BHR prosthesis failure. The cementation procedure seems to be essential for the long-term functionality of the BHR prosthesis.

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Orthopedic consequences of modern gladiators: a systematic review of lower extremity musculoskeletal issues in retired NFL players

Cited by 3 publications

References 49 publications

Advanced MRI Approaches for Evaluating Common Lower Extremity Injuries in Basketball Players: Current and Emerging Techniques

Advanced MRI Approaches for Evaluating Common Lower Extremity Injuries in Basketball Players: Current and Emerging Techniques

Intra‐articular injections in sport‐active patients with degenerative cartilage lesions or osteoarthritis of the knee: a systematic review

Outcomes of Birmingham Hip Resurfacing Based on Clinical Aspects and Retrieval Analysis of Failed Prosthesis

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