Lower limb clinical and radiographic osteoarthritis in former elite male athletes

Iosifidis, Michael; Tsarouhas, Alexander; Fylaktou, Asimina

doi:10.1007/s00167-014-3047-9

Cited by 30 publications

(51 citation statements)

References 37 publications

(44 reference statements)

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“…Screening the reference lists of these papers identified a further four studies suitable for inclusion. Therefore, a total of 18 papers were included [ 10 , 11 , 15 – 30 ].…”

Section: Results: Systematic Reviewmentioning

confidence: 99%

Population prevalence and distribution of ankle pain and symptomatic radiographic ankle osteoarthritis in community dwelling older adults: A systematic review and cross-sectional study

et al. 2018

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ObjectivesTo identify by systematic review published prevalence estimates of radiographic ankle osteoarthritis (OA) and to subsequently estimate the prevalence of ankle pain and symptomatic, radiographic ankle OA within community-dwelling older adults from North Staffordshire, UK.MethodsElectronic databases were searched using terms for ankle, osteoarthritis and radiography. Data regarding population, radiographic methods, definitions and prevalence estimates of ankle OA were extracted from papers meeting predetermined selection criteria. Adults aged ≥50 years and registered with four general practices in North Staffordshire were mailed a health questionnaire. Ankle pain in the previous month was determined using a foot and ankle pain manikin. Respondents reporting pain in or around the foot in the last 12 months were invited to attend a research clinic where weight-bearing, antero-posterior and lateral ankle radiographs were obtained and scored for OA using a standardised atlas. Prevalence estimates for ankle pain and symptomatic, radiographic ankle OA were calculated using multiple imputation and weighted logistic regression, and stratified by age, gender and socioeconomic status.ResultsEighteen studies were included in the systematic review. The methods of radiographic classification of ankle OA were poorly reported and showed heterogeneity. No true general population prevalence estimates of radiographic ankle OA were found, estimates in select sporting and medical community-dwelling populations ranged from 0.0–97.1%. 5109 participants responded to the health survey questionnaire (adjusted response 56%). Radiographs were obtained in 557 participants. The prevalence of ankle pain was 11.7% (10.8,12.6) and symptomatic, radiographic ankle OA grade≥2 was 3.4% (2.3, 4.5) (grade≥1: 8.8% (7.9,9.8); grade = 3: 1.9% (1.0,2.7). Prevalence was higher in females, younger adults (50–64 years) and those with routine/manual occupations.ConclusionNo general population prevalence estimates of radiographic ankle OA were identified in the published literature. Our prevalence study found that ankle pain was common in community-dwelling older adults, whereas moderate to severe symptomatic, radiographic ankle OA occurred less frequently. Further investigations of the prevalence of ankle OA using more sensitive imaging modalities are warranted.

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“…Screening the reference lists of these papers identified a further four studies suitable for inclusion. Therefore, a total of 18 papers were included [ 10 , 11 , 15 – 30 ].…”

Section: Results: Systematic Reviewmentioning

confidence: 99%

Population prevalence and distribution of ankle pain and symptomatic radiographic ankle osteoarthritis in community dwelling older adults: A systematic review and cross-sectional study

et al. 2018

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“…OA is a prevalent joint disease in the general population, ranging between 10 and 20 % in the male general population (from age 35 and above) in many countries [ 19 , 23 ]. Among former elite athletes from various sport disciplines (ice hockey, basketball, handball, track and field athletes, power sport athletes, weight lifters, shooters and non-impact sport athletes), the prevalence of OA reaches up to 60 % for the hip and ranges from 16 to 95 % for the knee [ 12 , 22 , 23 ]. In our study, 33 % of the former elite athletes reported that a medical professional had diagnosed them with OA (mostly in the lower limbs), which is in accordance with the prevalence found in previous studies [ 9 , 13 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

Osteoarthritis is associated with symptoms of common mental disorders among former elite athletes

Schuring

Aoki

Gray

et al. 2016

Knee Surg Sports Traumatol Arthrosc

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PurposeThe primary aim was to establish the association between osteoarthritis (OA) and the occurrence and comorbidity of symptoms of common mental disorders (CMD: distress, anxiety/depression, sleep disturbance, adverse alcohol use) in a group of former elite athletes (rugby, football, ice hockey, Gaelic sports and cricket). A secondary aim was to explore this association in the subgroups of sports.MethodsCross-sectional analysis was performed on the baseline questionnaires from five prospective cohort studies conducted between April 2014 and January 2016 in former elite athletes of rugby, football, ice hockey, Gaelic sports and cricket. The presence of OA (diagnosed by a medical professional) was examined with a single question, and symptoms of CMD were evaluated through multiple validated questionnaires (4DSQ, GHQ-12, PROMIS, AUDIT-C).ResultsThere was a significant association between OA and symptoms of distress (OR 1.7, 95 % CI 1.2–2.6), sleep disturbance (OR 1.6, 95 % CI 1.1–2.3), adverse alcohol use (OR 1.8, 95 % CI 1.2–2.6) and a comorbidity of symptoms of CMD (OR 1.5, 95 % CI 1.0–2.1) in former elite athletes.ConclusionOA might be a risk factor for developing symptoms of CMD in former elite athletes. The clinical relevance of this study is that an interdisciplinary approach to the clinical care and support of former elite athletes after their careers is advocated as the interaction between the physical and mental health issues occurring on the long term is complex. Monitoring OA among former elite athletes should be empowered while strategies to prevent symptoms worsening should be developed and implemented. The self-awareness, prevention and care of mental health problems that might occur after a professional sports career should also be addressed.Level of evidenceLevel III.

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“…In 3 studies, 27,28,31 the prevalence of OA was lower in those with mandatory national military service requirements than in controls; however, the prevalence of OA was significantly lower in only 1 of these studies. 31 Conversely, investigators in 5 studies [27][28][29][30]32 reported a higher prevalence of OA in those with mandatory national military service requirements compared with controls, but again, the prevalence of OA was significantly higher in only 1 of these studies. 30 Authors of 2 studies 37,28 found a higher prevalence for some OA outcomes and a lower prevalence for others.…”

Section: Mandatory National Military Service and Oamentioning

confidence: 98%

“…21 The remaining researchers either examined the incidence or prevalence of OA in active-duty or veteran military populations [22][23][24][25][26] or examined the prevalence of OA in European countries where national military service is mandatory. [27][28][29][30][31][32] Two studies examined OA incidence rates in active-duty military populations 22,23 and compared them with published reference rates in the general population. 3,35,36 No studies were identified that examined OA incidence or prevalence in other tactical athlete populations (eg, law enforcement, first responders).…”

Section: Study Characteristicsmentioning

confidence: 99%

Osteoarthritis and the Tactical Athlete: A Systematic Review

Cameron

Driban

Svoboda

2016

Journal of Athletic Training

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Objective: Although tactical athletes (eg, military service members, law enforcement personnel, fire fighters) are exposed to several known risk factors, it remains unclear if they are at increased risk for osteoarthritis (OA). The purpose of this systematic review was to investigate the association between serving as a tactical athlete and the incidence and prevalence of OA. Data Sources: We completed a comprehensive systematic literature search in November 2014 using 12 bibliographic databases (eg, PubMed, Ovid, SportDiscus) supplemented with manual searches of reference lists. Study Selection: Studies were included if they met the following criteria: (1) an aim of the study was to investigate an association between tactical athletes and OA; (2) the outcome measure was radiographic OA, clinical OA, total joint replacement, self-reported diagnosis of OA, or placement on a waiting list for a total joint replacement; (3) the study design was a cohort study; and (4) the study was written in English. Data Extraction: One investigator extracted data from articles that met all inclusion criteria (eg, group descriptions, measures of disease burden, source of nonexposed controls). Data Synthesis: Twelve articles met the inclusion criteria and described retrospective cohort studies. Firefighters, active-duty military service members, and veteran military parachutists consistently had a higher incidence or prevalence of knee, hip, or any OA diagnosis (4 studies). Active-duty pilots and veteran military parachutists may have a higher prevalence of spine OA, but this was not statistically significant (2 studies). Occupational risk factors for OA among tactical athletes include rank and branch of military service. The risk of OA among individuals who completed mandatory national military service remains unclear (6 studies). Conclusions: The incidence of OA among tactical athletes appears to be significantly higher when compared with nonexposed controls. Further research is needed to specifically identify modifiable risk factors within this high-risk population to develop and implement effective risk-reduction strategies.

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Lower limb clinical and radiographic osteoarthritis in former elite male athletes

Cited by 30 publications

References 37 publications

Population prevalence and distribution of ankle pain and symptomatic radiographic ankle osteoarthritis in community dwelling older adults: A systematic review and cross-sectional study

Population prevalence and distribution of ankle pain and symptomatic radiographic ankle osteoarthritis in community dwelling older adults: A systematic review and cross-sectional study

Osteoarthritis is associated with symptoms of common mental disorders among former elite athletes

Osteoarthritis and the Tactical Athlete: A Systematic Review

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