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fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
Hillesund, Svein Egil Bakkevig (2012)
Languages: Norwegian
Types: Master thesis
Subjects:

Classified by OpenAIRE into

mesheuropmc: human activities, musculoskeletal system
Objectives: Football is the world biggest sport (7), and the estimates for ACL(Anterior Cruciate Ligament)-injuries varies; 0,06-3,7 for each 1000 playing-hours. (5,44) In Scandinavia football is the most common activity that leads to ACL-injury. (35) The objectives for this article are to investigate the radiological prevalence of osteoarthritis among former footballplayers, and the relation to ACL-injury. Methods: The data and material are mainly from unsystematic searches in PubMed and Ovid Medline, and from the Norwegian National Knee Ligament Registry. Results: In eight cohorts of former elite-players the knee osteoarthritis-prevalence were 29-80%. (16-21,28,29) The prevalence among elite-players might rise with later year of birth. (Figur 3) Two studies of nonelite-players also found football activity to be a significant risk factor for developing knee osteoarthritis. (22,29) Adjusted for previous knee injuries, there were still a significant difference between elite-players and the general population in seven of eight studies (17-21,28,29), but among non elite-players the significant difference disappeared. (22,29) Footballplayers with previous ACL-injury were found to have a knee osteoarthritis-prevalence at 31-77%, divided into subgroups there were a significant higher prevalence for ACL-injury combined with meniscectomy, 59-77% versus 31-39%. (26,32,33) Conclusions: Former elite football players are at higher risk of developing knee osteoarthritis than the general population. Adjusted for knee injuries there are still a higher risk among elite-players. Football players with ACL-injuries and meniscectomy are at great risk of developing osteoarthritis. Players with ACL-injury, but without meniscectomy, are probably also more prone than football players without ACL-injury, but surveys comparing this two groups are not done. Challenges regarding this article are the lack of radiological standards (62), and the discrepancy between radiological and clinical osteoarthritis. (54)
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    • 8. Michael JW, Schlüter-Brust KU, Eysel P: The epidemiology, etiology, diagnosis, and treatment of osteoarthritis of the knee. Dtsch Arztebl Int. 2010 Mar;107(9):152-62. Epub 2010 Mar 5.
    • 13. Cimino F, Volk BS, Setter D.: Anterior cruciate ligament injury: diagnosis, management, and prevention. Am Fam Physician. 2010 Oct 15;82(8):917-22.
    • 14. Øiestad BE, Engebretsen L, Storheim K, Risberg MA: Knee osteoarthritis after anterior cruciate ligament injury: a systematic review. Am J Sports Med. 2009 Jul;37(7):1434-43.
    • Med Sci Sports Exerc.: What is the effect of physical activity on the knee joint? A systematic review. 2011 Mar;43(3):432-42
    • 79. KELLGREN JH, LAWRENCE JS.: Radiological assessment of osteo-arthrosis. Ann Rheum Dis. 1957 Dec;16(4):494-502.
    • 80. Schiphof D, Boers M, Bierma-Zeinstra SM.: Differences in descriptions of Kellgren and Lawrence grades of knee osteoarthritis. Ann Rheum Dis. 2008 Jul;67(7):1034-6. Epub 2008 Jan 15.
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