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Cartilage issues in football—today's problems and tomorrow's solutions

Articular cartilage injury is prevalent in football players and results from chronic joint stress or acute traumatic injuries. Articular cartilage injury can often result in progressive painful impairment of joint function and limit sports participation. Management of articular cartilage injury in a...

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Autores principales: Mithoefer, Kai, Peterson, Lars, Zenobi-Wong, Marcy, Mandelbaum, Bert R
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4413687/
https://www.ncbi.nlm.nih.gov/pubmed/25878075
http://dx.doi.org/10.1136/bjsports-2015-094772
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author Mithoefer, Kai
Peterson, Lars
Zenobi-Wong, Marcy
Mandelbaum, Bert R
author_facet Mithoefer, Kai
Peterson, Lars
Zenobi-Wong, Marcy
Mandelbaum, Bert R
author_sort Mithoefer, Kai
collection PubMed
description Articular cartilage injury is prevalent in football players and results from chronic joint stress or acute traumatic injuries. Articular cartilage injury can often result in progressive painful impairment of joint function and limit sports participation. Management of articular cartilage injury in athletes aims to return the player to competition, and requires effective and durable joint surface restoration that resembles normal hyaline articular cartilage that can withstand the high joint stresses of football. Existing articular cartilage repair techniques can return the athlete with articular cartilage injury to high-impact sports, but treatment does not produce normal articular cartilage, and this limits the success rate and durability of current cartilage repair in athletes. Novel scientific concepts and treatment techniques that apply modern tissue engineering technologies promise further advancement in the treatment of these challenging injuries in the high demand athletic population. We review the current knowledge of cartilage injury pathophysiology, epidemiology and aetiology, and outline existing management algorithms, developing treatment options and future strategies to manage articular cartilage injuries in football players.
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spelling pubmed-44136872015-05-11 Cartilage issues in football—today's problems and tomorrow's solutions Mithoefer, Kai Peterson, Lars Zenobi-Wong, Marcy Mandelbaum, Bert R Br J Sports Med Review Articular cartilage injury is prevalent in football players and results from chronic joint stress or acute traumatic injuries. Articular cartilage injury can often result in progressive painful impairment of joint function and limit sports participation. Management of articular cartilage injury in athletes aims to return the player to competition, and requires effective and durable joint surface restoration that resembles normal hyaline articular cartilage that can withstand the high joint stresses of football. Existing articular cartilage repair techniques can return the athlete with articular cartilage injury to high-impact sports, but treatment does not produce normal articular cartilage, and this limits the success rate and durability of current cartilage repair in athletes. Novel scientific concepts and treatment techniques that apply modern tissue engineering technologies promise further advancement in the treatment of these challenging injuries in the high demand athletic population. We review the current knowledge of cartilage injury pathophysiology, epidemiology and aetiology, and outline existing management algorithms, developing treatment options and future strategies to manage articular cartilage injuries in football players. BMJ Publishing Group 2015-05 /pmc/articles/PMC4413687/ /pubmed/25878075 http://dx.doi.org/10.1136/bjsports-2015-094772 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Review
Mithoefer, Kai
Peterson, Lars
Zenobi-Wong, Marcy
Mandelbaum, Bert R
Cartilage issues in football—today's problems and tomorrow's solutions
title Cartilage issues in football—today's problems and tomorrow's solutions
title_full Cartilage issues in football—today's problems and tomorrow's solutions
title_fullStr Cartilage issues in football—today's problems and tomorrow's solutions
title_full_unstemmed Cartilage issues in football—today's problems and tomorrow's solutions
title_short Cartilage issues in football—today's problems and tomorrow's solutions
title_sort cartilage issues in football—today's problems and tomorrow's solutions
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4413687/
https://www.ncbi.nlm.nih.gov/pubmed/25878075
http://dx.doi.org/10.1136/bjsports-2015-094772
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