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

机译:成人专业足球运动员膝关节中无症状内关节变化的患病率

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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.
机译:背景:目前,参与足球与成人专业参与者的膝关节状况的关系很少。假设:高比例的职业足球运动员将具有膝关节的无症状内部变化。研究设计:横截面研究;证据水平,3.方法:在47名成人专业足球运动员的94个膝关节内(骨赘,软骨和半月形)的病情(骨赘,软骨,和半月形)(平均±SD AGE,25.7±4.6岁;体重指数,22.8分析±1.4 kg / m〜(2))。使用1.5-T磁共振成像扫描仪进行成像,并通过2个经验丰富的放射科医师分析匿名数据。结果:膝关节的软骨受到97.9%的足球运动员的影响。在97.8%的关节中检测到半月板病变,影响93.6%的运动员的关节。 2级软骨病变是最普遍的(取决于病变部位的36%-60%),并在12.7%的关节中检测到4级病变。内侧股骨髁和内侧胫骨平台最常受软骨病变(85.1%)的影响。在半月板病变中,2级病变是最普遍的,在71%的病例中被检测到。在13.8%的关节中检测到3级病变。侧半月板的后角是半月板病变最常见的部位(受到95.7%的关节影响)。在4.2%的关节中检测到骨赘。结论:成人专业足球运动员膝关型中无症状软骨和半月板病变的患病率极高,与减少体育参与无关。本研究应促进从足球运动员获得的磁共振成像数据的正确解释,急性创伤和减少无标记的外科手术的数量。

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