Osteoarthritis of the knee in retired, elite Australian Rules footballers

被引:75
作者
Deacon, A
Bennell, K
Kiss, ZS
Crossley, K
Brukner, P
机构
[1] OLYMP PK SPORTS MED CTR,MELBOURNE,VIC 3004,AUSTRALIA
[2] UNIV MELBOURNE,SCH PHYSIOTHERAPY,MELBOURNE,VIC,AUSTRALIA
[3] E MELBOURNE RADIOL,MELBOURNE,VIC,AUSTRALIA
关键词
D O I
10.5694/j.1326-5377.1997.tb140072.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: To determine the functional and radiological status of knee joints of retired Australian Rules footballers compared with those of active community members. Design: Retrospective cohort study. Participants: Fifty retired elite footballers aged 34-85 years (mean, 53.7 years; SD, 11.4) from four AFL clubs and 50 age-matched controls (35-79 years; mean, 55.7 years; SD, 12.4) who had played no contact sport since their teenage years. Main outcome measures: Severity of knee functional osteoarthritis as determined by a questionnaire, and assessment of osteoarthritis by posteroanterior weight-bearing radiographs taken of both knees of each participant in 45-degree flexion. Results: After adjusting for age, height, weight and body mass index, footballers had a significantly greater prevalence (P<0.0001) and severity (P<0.05) of functional and radiological osteoarthritis than controls. Footballers with a history of intraarticular ligamentous and/or meniscal injury (Group 1) had a greater risk of functional osteoarthritis (P=0.002) and radiological (P=0.067) osteoarthritis than those with a history of collateral ligament injury or no injury (Group 2). Compared with controls, the odds of developing moderate to severe levels of functional and radiological osteoarthritis were 6.9 times (95% CI, 1.6-29.7; P=0.01) and 105.0 times (95% CI, 11.8-931.8; P<0.0001), respectively, those in Group 1 footballers and 3.6 times (95% CI, 0.8-16.2; P=0.10) and 17.7 times (95% CI, 2.2-146.2; P=0.0075), respectively, those in Group 2 footballers. Conclusions: Elite Australian Rules footballers have a significant risk of both functional and radiological osteoarthritis, and a history of intra-articular ligament or meniscal injury increases this risk.
引用
收藏
页码:187 / 190
页数:4
相关论文
共 16 条
[11]   EXERCISE AND ARTHRITIS [J].
PANUSH, RS ;
BROWN, DG .
SPORTS MEDICINE, 1987, 4 (01) :54-64
[12]   THE 45-DEGREE POSTEROANTERIOR FLEXION WEIGHT-BEARING RADIOGRAPH OF THE KNEE [J].
ROSENBERG, TD ;
PAULOS, LE ;
PARKER, RD ;
COWARD, DB ;
SCOTT, SM .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1988, 70A (10) :1479-1483
[13]  
Sali A, 1981, Aust Fam Physician, V10, P169
[14]   FOOTBALL INJURIES IN AUSTRALIA AT THE ELITE LEVEL [J].
SEWARD, H ;
ORCHARD, J ;
HAZARD, H ;
COLLINSON, D .
MEDICAL JOURNAL OF AUSTRALIA, 1993, 159 (05) :298-301
[15]  
Shawdon A, 1994, Aust J Sci Med Sport, V26, P59
[16]  
SPSS Inc, 1990, SPSS COMP PROGR VERS