Prevalence of Knee Osteoarthritis in 100 Athletically Active Veteran Soccer Players Compared With a Matched Group of 100 Military Personnel

Paxinos, Odysseas; Karavasili, Alexandra; Delimpasis, Georgios; Stathi, Afroditi

doi:10.1177/0363546516629648

Cited by 18 publications

(22 citation statements)

References 75 publications

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“…21 23 25–32 35 36 38 41 42 46 47 49–51 54–60 62 63 Of these, seven were cross-sectional 54–60. The other 16 (34.8%) did not show an increased risk 19…”

Section: Resultsmentioning

confidence: 99%

“…The most common sport studied was soccer in 15 studies (34.6%),18 21 25 27 33 34 38 40 41 47 56 58–60 63 12 recruited cohorts of long-distance runners (26.1%),19 22–24 37 43–45 48 52 53 55 4 recruited track and field athletes,31 39 51 62 1 recruited people who participated in high jump and javelin,31 1 study javelin alone,62 and 1 on high jump alone 39. One study recruited swimmers,54 one tennis61 and one study recruited orienteering runners 46.…”

Section: Resultsmentioning

confidence: 99%

“…The remaining 12 studies (26.1%) recruited cohorts with mixed sporting participation, that is, some participants participated in soccer, basketball, long-distance running, track and field athletics, ice hockey, racket sports, swimming or golf 2024 28–30 32 35 36 41 42 49 50 57 Twenty-three studies recruited elite sports participants 1819 23 25 27 28 30 31 33 34 36 39 49–51 56–59 61–63 The age of participants ranged from 1754 to 70 years 49…”

Section: Resultsmentioning

confidence: 99%

“…23 25 27 28 30 31 36 40 41 49–51 56–59 61–63 Nineteen (79%) studies of elite sports participants demonstrated an increased risk of OA,18 23 25 27 28 30 31 36 41 49–51 56–59 61–63 with one of these demonstrating an increased risk of hospital admission due to OA 36. The remaining five studies (20.0%) demonstrated no relationship between sports participation and OA 19…”

Section: Resultsmentioning

confidence: 99%

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Does sports participation (including level of performance and previous injury) increase risk of osteoarthritis? A systematic review and meta-analysis

et al. 2016

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BackgroundTo assess the relationship between sport and osteoarthritis (OA), and specifically to determine whether previous participation, in terms of level (elite or non-elite), type of sport, intensity or previous injury, was associated with OA.MethodsThis systematic review was developed using PRISMA guidelines. Databases were searched (to May 2016). Narrative review and meta-analysis (with risk ratio (RR) and 95% CIs) approaches were undertaken where appropriate. Study quality was assessed using GRADE.Results46 studies were included. Narratively, 31 studies reported an increased risk of OA, with 19 demonstrating an increased risk in elite athletes. There was an increased risk after sports exposure (irrespective of type; RR 1.37; 95% CI 1.14 to 1.64; 21 studies). It remained uncertain whether there was a difference in risk of OA between elite and non-elite athletes (RR 1.37; 95% CI 0.84 to 2.22; 17 studies). The risk was higher in soccer (RR 1.42; 95% CI 1.14 to 1.77; 15 studies) but lower in runners (RR 0.86; 95% CI 0.53 to 1.41; 12 studies). 9 studies showed an association with the intensity of sport undertaken and OA. 5 studies demonstrated a higher prevalence of OA following meniscectomies and anterior cruciate ligament tears. Overall, the evidence was of GRADE ‘very low’ quality.ConclusionsThere was very low-quality evidence to support an increased relationship between sports participation and OA in elite participants. It is unclear whether there is a difference in risk between elite and non-elite participants with further prospective studies needed to evaluate this. Pooled findings suggested that significant injuries were associated with OA in soccer players.

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“…21 23 25–32 35 36 38 41 42 46 47 49–51 54–60 62 63 Of these, seven were cross-sectional 54–60. The other 16 (34.8%) did not show an increased risk 19…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Does sports participation (including level of performance and previous injury) increase risk of osteoarthritis? A systematic review and meta-analysis

et al. 2016

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“…The ACL tears often occur during participation in pivoting sports, such as soccer 11. Pivoting sports cause high-impact loading on the knees, and a higher prevalence of knee OA has been reported in uninjured soccer players compared with a matched group of military personnel 12. Returning to pivoting sport following an ACL tear with poor knee function may predispose for future knee OA 13…”

Section: Introductionmentioning

confidence: 99%

Return to pivoting sport after ACL reconstruction: association with osteoarthritis and knee function at the 15-year follow-up

Øiestad

Holm

Risberg³

2018

Br J Sports Med

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This file was dowloaded from the institutional repository Brage NIH -brage.bibsys.no/nih Øiestad, B. E., Holm, I., Risberg, M. A. (2018 Results: Two hundred and ten (81%) participants (57% men) with mean age 39.1 (±8.7) years completed the 15-year follow-up, and 109 (52%) had returned to pivoting sport. Returning to pivoting sport was associated with less symptomatic OA (OR 0.28, 95% CI 0.09, 0.89) and radiographic OA (OR 0.40, 95% CI 0.17, 0.98), adjusted for age, sex, combined injury, self-reported knee function, and time between injury and surgery. Those who returned to pivoting sport had better function in activities of daily living (ADL). Conclusion:The participants with ACLR who returned to pivoting sport had lower odds of knee OA, and better self-reported ADL function. Further investigation is required to understand the clinical significance of these findings. 2What are the new findings: Participants with ACLR who returned to pivoting sport had lower odds of symptomatic and radiographic OA after 15 years  Participants who returned to pivoting sport were younger and had better self-reported knee function in the early phase post-ACLR How might it impact on clinical practice in the near future:

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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

Prien

Boudabous

Junge

et al. 2019

Knee Surg Sports Traumatol Arthrosc

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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.

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Prevalence of Knee Osteoarthritis in 100 Athletically Active Veteran Soccer Players Compared With a Matched Group of 100 Military Personnel

Abstract: Veteran soccer players had a higher sonographic prevalence of knee OA but better pain scores than a matched group of athletically active military personnel.

Cited by 18 publications

References 75 publications

Does sports participation (including level of performance and previous injury) increase risk of osteoarthritis? A systematic review and meta-analysis

Does sports participation (including level of performance and previous injury) increase risk of osteoarthritis? A systematic review and meta-analysis

Return to pivoting sport after ACL reconstruction: association with osteoarthritis and knee function at the 15-year follow-up

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

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