Presence of bone marrow oedema in asymptomatic elite fast bowlers: Implications for management

Taylor, Jane; Saw, Anna E; Saw, Richard; Sims, Kevin; Kountouris, Alex

doi:10.1016/j.bone.2020.115626

Cited by 5 publications

(34 citation statements)

References 29 publications

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“…Note that BME-like signal is quite often seen on MRI of repetitively stressed joints of asymptomatic athletes as well, 16 17 18 19 and these lesions can even fluctuate in location and size over time. The clinical significance of an incidental finding of BME-like signal on MRI in asymptomatic athletes is thus poorly understood.…”

Section: Imaging Findings In Symptomatic and Asymptomatic Athletesmentioning

confidence: 99%

“…To date, it remains unclear whether significant correlation exists between BMElike signal and clinical symptoms because the present studies are conflicting. 7 Note that BME-like signal is quite often seen on MRI of repetitively stressed joints of asymptomatic athletes as well, [16][17][18][19] and these lesions can even fluctuate in location and size over time. The clinical significance of an incidental finding of BME-like signal on MRI in asymptomatic athletes is thus poorly understood.…”

Section: Relative Energy Deficiency In Sportmentioning

confidence: 99%

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Bone Marrow Lesions in Athletic Stress Injuries: An Overview

Navas

Kassarjian²

2023

Semin Musculoskelet Radiol

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Section: Imaging Findings In Symptomatic and Asymptomatic Athletesmentioning

confidence: 99%

Section: Relative Energy Deficiency In Sportmentioning

confidence: 99%

Bone Marrow Lesions in Athletic Stress Injuries: An Overview

Navas

Kassarjian²

2023

Semin Musculoskelet Radiol

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“…Asymptomatic LBSI detected as part of routine screening (introduced in 2016) were included if the medical staff determined that the bone marrow edema was advanced enough to require time off cricket, based on previous research. 14,15 Recurrent LBSI were defined as injuries which occurred to the same individual at the same site as a previous injury after returning to match availability. Injury grade (stress reaction, incomplete stress fracture, and complete stress fracture) was determined as the most progressed stage of the lesion on the LBSI continuum 1 observed on imaging (if imaged multiple times).…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…Magnetic resonance imaging (MRI) is a primary diagnostic tool for LBSI and has been incorporated into the management of elite pace bowlers. 1,14 Screening MRI are an effective tool for the diagnosis of early bone stress, enabling intervention to avoid progression along the spectrum to more severe LBSI. 1,15 The healing status of LBSI can also be assessed with MRI.…”

Section: Introductionmentioning

confidence: 99%

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Lumbar Bone Stress Injuries and Nonunited Defects in Elite Australian Cricket Players

Saw

Eales²,

Jones

et al. 2023

Clinical Journal of Sport Medicine

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Objective: To describe the presentation and management of lumbar bone stress injuries (LBSI), recurrent LBSI, and lumbar nonunited defects in elite Australian male and female cricket players. Design: Retrospective case series. Setting: Professional domestic and international cricket teams over 13 seasons. Participants: Elite Australian cricket players. Independent variables: Symptomatic LBSI requiring time off cricket and lumbar nonunited defects, both confirmed by imaging. Main outcome measures: Incidence, presentation, history, healing, and management. Results: 211 LBSI were identified at an average incidence of 5.4 per 100 players per season. LBSI were most common in male pace bowlers younger than 20 years of age (58.1 per 100 players per season), however, were also observed in older players, females, and non-pace bowlers. Recurrent LBSI accounted for 33% (27%-40%) of all LBSI. Median days to return to match availability was 182 (128-251) days for all LBSI, with a shorter time frame observed for new and less severe injuries, and male spin bowlers. Healing was demonstrated in 87% (81%-91%) of all LBSI cases. 29 nonunited defects were identified and predisposed subsequent pain, LBSI, and spondylolisthesis. Conclusions: LBSI are experienced by approximately 5.4 in every 100 elite Australian cricket players per season, with a high time cost of approximately 4 to 8 months. Nonunited defects also have a high time cost with associated subsequent lumbar spine issues. The findings of this study reinforce the importance of early detection and conservative management of LBSI, particularly for younger male pace bowlers and players with recurrent LBSI, which may be supported by MRI.

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