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Prevalence of Asymptomatic Intra-articular Changes of the Knee in Adult Professional Soccer Players

BACKGROUND: Currently, there are few data on the association between participation in soccer and the condition of the knee joints in adult professional players. HYPOTHESIS: A high percentage of professional soccer players will have asymptomatic intra-articular changes of the knee. STUDY DESIGN: Cros...

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Autores principales: Bezuglov, Eduard Nikolayevich, Lyubushkina, Anastasiya Vladimirovna, Khaitin, Vladimir Yurevich, Tokareva, Alisa Viktorovna, Goncharov, Evgeny Nikolayevich, Gorinov, Artem Valerievich, Sivakova, Elena Yurevna, Sereda, Andrey Petrovitch
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6967194/
https://www.ncbi.nlm.nih.gov/pubmed/32010730
http://dx.doi.org/10.1177/2325967119885370
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author Bezuglov, Eduard Nikolayevich
Lyubushkina, Anastasiya Vladimirovna
Khaitin, Vladimir Yurevich
Tokareva, Alisa Viktorovna
Goncharov, Evgeny Nikolayevich
Gorinov, Artem Valerievich
Sivakova, Elena Yurevna
Sereda, Andrey Petrovitch
author_facet Bezuglov, Eduard Nikolayevich
Lyubushkina, Anastasiya Vladimirovna
Khaitin, Vladimir Yurevich
Tokareva, Alisa Viktorovna
Goncharov, Evgeny Nikolayevich
Gorinov, Artem Valerievich
Sivakova, Elena Yurevna
Sereda, Andrey Petrovitch
author_sort Bezuglov, Eduard Nikolayevich
collection PubMed
description BACKGROUND: Currently, there are few data on the association between participation in soccer and the condition of the knee joints in adult professional players. HYPOTHESIS: A high percentage of professional soccer players will have asymptomatic intra-articular changes of the knee. STUDY DESIGN: Cross-sectional study; Level of evidence, 3. METHODS: The condition of the intra-articular structures (osteophytes, cartilage, and menisci) in 94 knee joints of 47 adult professional soccer players (mean ± SD age, 25.7 ± 4.6 years; body mass index, 22.8 ± 1.4 kg/m(2)) was analyzed. A 1.5-T magnetic resonance imaging scanner was used to perform the imaging, and the anonymized data were analyzed by 2 experienced radiologists. RESULTS: Cartilage of both knee joints was affected in 97.9% of soccer players. Meniscal lesions were detected in 97.8% of joints, affecting both joints in 93.6% of athletes. Grade 2 cartilage lesions were the most prevalent (36%-60% depending on the lesion site), and grade 4 lesions were detected in 12.7% of joints. The medial femoral condyle and medial tibial plateau were most frequently affected by cartilage lesions (85.1%). Among meniscal lesions, grade 2 lesions were the most prevalent, being detected in 71% of the cases. Grade 3 lesions were detected in 13.8% of the joints. The posterior horn of the lateral meniscus was the most common site of meniscal lesions (affected in 95.7% of the joints). Osteophytes were detected in 4.2% of joints. CONCLUSION: The prevalence of asymptomatic cartilage and meniscal lesions in the knees of adult professional soccer players is extremely high and is not associated with the reduction of sports involvement. This research should promote the correct interpretation of magnetic resonance imaging data obtained from soccer players with acute trauma and the reduction of the number of unwarranted surgical procedures.
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spelling pubmed-69671942020-01-31 Prevalence of Asymptomatic Intra-articular Changes of the Knee in Adult Professional Soccer Players Bezuglov, Eduard Nikolayevich Lyubushkina, Anastasiya Vladimirovna Khaitin, Vladimir Yurevich Tokareva, Alisa Viktorovna Goncharov, Evgeny Nikolayevich Gorinov, Artem Valerievich Sivakova, Elena Yurevna Sereda, Andrey Petrovitch Orthop J Sports Med Article BACKGROUND: Currently, there are few data on the association between participation in soccer and the condition of the knee joints in adult professional players. HYPOTHESIS: A high percentage of professional soccer players will have asymptomatic intra-articular changes of the knee. STUDY DESIGN: Cross-sectional study; Level of evidence, 3. METHODS: The condition of the intra-articular structures (osteophytes, cartilage, and menisci) in 94 knee joints of 47 adult professional soccer players (mean ± SD age, 25.7 ± 4.6 years; body mass index, 22.8 ± 1.4 kg/m(2)) was analyzed. A 1.5-T magnetic resonance imaging scanner was used to perform the imaging, and the anonymized data were analyzed by 2 experienced radiologists. RESULTS: Cartilage of both knee joints was affected in 97.9% of soccer players. Meniscal lesions were detected in 97.8% of joints, affecting both joints in 93.6% of athletes. Grade 2 cartilage lesions were the most prevalent (36%-60% depending on the lesion site), and grade 4 lesions were detected in 12.7% of joints. The medial femoral condyle and medial tibial plateau were most frequently affected by cartilage lesions (85.1%). Among meniscal lesions, grade 2 lesions were the most prevalent, being detected in 71% of the cases. Grade 3 lesions were detected in 13.8% of the joints. The posterior horn of the lateral meniscus was the most common site of meniscal lesions (affected in 95.7% of the joints). Osteophytes were detected in 4.2% of joints. CONCLUSION: The prevalence of asymptomatic cartilage and meniscal lesions in the knees of adult professional soccer players is extremely high and is not associated with the reduction of sports involvement. This research should promote the correct interpretation of magnetic resonance imaging data obtained from soccer players with acute trauma and the reduction of the number of unwarranted surgical procedures. SAGE Publications 2019-11-27 /pmc/articles/PMC6967194/ /pubmed/32010730 http://dx.doi.org/10.1177/2325967119885370 Text en © The Author(s) 2019 http://creativecommons.org/licenses/by-nc-nd/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (http://www.creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Article
Bezuglov, Eduard Nikolayevich
Lyubushkina, Anastasiya Vladimirovna
Khaitin, Vladimir Yurevich
Tokareva, Alisa Viktorovna
Goncharov, Evgeny Nikolayevich
Gorinov, Artem Valerievich
Sivakova, Elena Yurevna
Sereda, Andrey Petrovitch
Prevalence of Asymptomatic Intra-articular Changes of the Knee in Adult Professional Soccer Players
title Prevalence of Asymptomatic Intra-articular Changes of the Knee in Adult Professional Soccer Players
title_full Prevalence of Asymptomatic Intra-articular Changes of the Knee in Adult Professional Soccer Players
title_fullStr Prevalence of Asymptomatic Intra-articular Changes of the Knee in Adult Professional Soccer Players
title_full_unstemmed Prevalence of Asymptomatic Intra-articular Changes of the Knee in Adult Professional Soccer Players
title_short Prevalence of Asymptomatic Intra-articular Changes of the Knee in Adult Professional Soccer Players
title_sort prevalence of asymptomatic intra-articular changes of the knee in adult professional soccer players
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6967194/
https://www.ncbi.nlm.nih.gov/pubmed/32010730
http://dx.doi.org/10.1177/2325967119885370
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