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MRI findings prior to return to play as predictors of reinjury in professional athletes: a novel decision-making tool

BACKGROUND: Because MRI has shown great accuracy in assessing acute muscle injuries, identification of risk factors for reinjury before return to play (RTP) in professional athletes during the healing process could be very relevant. We assessed the value of MRI findings prior to RTP as predictors of...

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Autores principales: Isern-Kebschull, Jaime, Pedret, Carles, Mechó, Sandra, Pruna, Ricard, Alomar, Xavier, Yanguas, Xavier, Valle, Xavier, Kassarjian, Ara, Martínez, Javier, Tomas, Xavier, Rodas, Gil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Vienna 2022
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9794673/
https://www.ncbi.nlm.nih.gov/pubmed/36575363
http://dx.doi.org/10.1186/s13244-022-01341-1
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author Isern-Kebschull, Jaime
Pedret, Carles
Mechó, Sandra
Pruna, Ricard
Alomar, Xavier
Yanguas, Xavier
Valle, Xavier
Kassarjian, Ara
Martínez, Javier
Tomas, Xavier
Rodas, Gil
author_facet Isern-Kebschull, Jaime
Pedret, Carles
Mechó, Sandra
Pruna, Ricard
Alomar, Xavier
Yanguas, Xavier
Valle, Xavier
Kassarjian, Ara
Martínez, Javier
Tomas, Xavier
Rodas, Gil
author_sort Isern-Kebschull, Jaime
collection PubMed
description BACKGROUND: Because MRI has shown great accuracy in assessing acute muscle injuries, identification of risk factors for reinjury before return to play (RTP) in professional athletes during the healing process could be very relevant. We assessed the value of MRI findings prior to RTP as predictors of reinjury. METHODS: Retrospective observational study of 59 professional athletes, mean age 26 years, with first-time acute muscle injury and successful rehabilitation ready to RTP. They underwent MRI within 6 days of the injury and within 7 days prior to RTP. The primary outcome was reinjury. Risk of reinjury was assessed using radiological signs in control MRI scans before RTP. The risk was classified as low, medium or high when none, one or two radiological signs were observed, respectively. RESULTS: Reinjury occurred in 9 participants, with a rate of 15.2%. None of the baseline MRI-related variables was significantly associated with reinjury. In the control MRI scan performed within 7 days prior to RTP, three independent findings were significantly associated with reinjury. These included transversal and/or mixed connective tissue gap (p = 0.002), intermuscular oedema (p = 0.015) and callus gap (p = 0.046). In the predictive model of the risk of reinjury, the presence of two of these radiological signs, together with interstitial feathery oedema, was associated with a high risk of recurrence (OR 29.58, 95% CI 3.86–226.64; p = 0.001). CONCLUSIONS: In professional athletes with acute muscle injuries of the lower limbs successfully rehabilitated, some radiological signs on MRI performed shortly before RTP were associated with a high risk of reinjury. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13244-022-01341-1.
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spelling pubmed-97946732022-12-29 MRI findings prior to return to play as predictors of reinjury in professional athletes: a novel decision-making tool Isern-Kebschull, Jaime Pedret, Carles Mechó, Sandra Pruna, Ricard Alomar, Xavier Yanguas, Xavier Valle, Xavier Kassarjian, Ara Martínez, Javier Tomas, Xavier Rodas, Gil Insights Imaging Original Article BACKGROUND: Because MRI has shown great accuracy in assessing acute muscle injuries, identification of risk factors for reinjury before return to play (RTP) in professional athletes during the healing process could be very relevant. We assessed the value of MRI findings prior to RTP as predictors of reinjury. METHODS: Retrospective observational study of 59 professional athletes, mean age 26 years, with first-time acute muscle injury and successful rehabilitation ready to RTP. They underwent MRI within 6 days of the injury and within 7 days prior to RTP. The primary outcome was reinjury. Risk of reinjury was assessed using radiological signs in control MRI scans before RTP. The risk was classified as low, medium or high when none, one or two radiological signs were observed, respectively. RESULTS: Reinjury occurred in 9 participants, with a rate of 15.2%. None of the baseline MRI-related variables was significantly associated with reinjury. In the control MRI scan performed within 7 days prior to RTP, three independent findings were significantly associated with reinjury. These included transversal and/or mixed connective tissue gap (p = 0.002), intermuscular oedema (p = 0.015) and callus gap (p = 0.046). In the predictive model of the risk of reinjury, the presence of two of these radiological signs, together with interstitial feathery oedema, was associated with a high risk of recurrence (OR 29.58, 95% CI 3.86–226.64; p = 0.001). CONCLUSIONS: In professional athletes with acute muscle injuries of the lower limbs successfully rehabilitated, some radiological signs on MRI performed shortly before RTP were associated with a high risk of reinjury. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13244-022-01341-1. Springer Vienna 2022-12-27 /pmc/articles/PMC9794673/ /pubmed/36575363 http://dx.doi.org/10.1186/s13244-022-01341-1 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Isern-Kebschull, Jaime
Pedret, Carles
Mechó, Sandra
Pruna, Ricard
Alomar, Xavier
Yanguas, Xavier
Valle, Xavier
Kassarjian, Ara
Martínez, Javier
Tomas, Xavier
Rodas, Gil
MRI findings prior to return to play as predictors of reinjury in professional athletes: a novel decision-making tool
title MRI findings prior to return to play as predictors of reinjury in professional athletes: a novel decision-making tool
title_full MRI findings prior to return to play as predictors of reinjury in professional athletes: a novel decision-making tool
title_fullStr MRI findings prior to return to play as predictors of reinjury in professional athletes: a novel decision-making tool
title_full_unstemmed MRI findings prior to return to play as predictors of reinjury in professional athletes: a novel decision-making tool
title_short MRI findings prior to return to play as predictors of reinjury in professional athletes: a novel decision-making tool
title_sort mri findings prior to return to play as predictors of reinjury in professional athletes: a novel decision-making tool
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9794673/
https://www.ncbi.nlm.nih.gov/pubmed/36575363
http://dx.doi.org/10.1186/s13244-022-01341-1
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