Zur Arthrosegefährdung des oberen Sprunggelenkes bei Langstreckenläufern: Kontrollierte Nachuntersuchung ehemaliger Eliteathleten

Abstract

To study the potential influence of long-term, high-intensity physical training on premature osteoarthrosis of the ankle joint, we re-examined former members of the Swiss National team from 1973 in retrospective cohort study in 1988. Twenty-seven track and field long-distance runners and orienteers (mean age 42 [95% confidence interval 41-43] years), 9 bobsledders (42 [39-46] years) and a control group of 23 healthy normal men (35 [33-36] years) were investigated. Physiological and exercise characteristics of all subjects had been recorded in 1973, and in 1988 these measurements were repeated together with a rheumatological and radiological examination of the ankle joint. A four-point scale of radiological joint state was used, taking into account the degree of subchondral sclerosis, osteophyte formation and joint space narrowing. In univariate analysis, the long-distance runners, and among them especially the orienteers (n = 10), showed significantly (both p less than 0.05) more radiological signs of degenerative ankle disease than controls. After adjustment for age, this difference disappeared. Age was itself significantly and positively related to radiological degenerative ankle disease (r less than 0.38; p less than 0.01). Orienteers reported significantly more frequently (60 vs 12%; p less than 0,01) functional instability of the ankle joint than track and field runners. Functional and mechanical (clinical) instability were interrelated in our material (r = 0.33; p less than 0.05) but neither of them was significantly related to radiological signs of degenerative ankle disease.(ABSTRACT TRUNCATED AT 250 WORDS)

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

“…Sample sizes were frequently small: nine studies had ≤50 participants [ 10 , 16 – 21 , 23 , 28 ], three studies had 51–100 [ 22 , 24 , 29 ] and six studies had >100 [ 11 , 15 , 25 – 27 , 30 ]. The study populations were frequently specific sub-groups within a community setting rather than representing true general populations ( Table 1 ).…”

“…Fifteen studies used select sporting populations [ 10 , 11 , 15 – 26 , 30 ], one used a population with hereditary haemochromatosis [ 27 ], one utilised human cadavers [ 28 ] and one involved a small urban population in Nigeria who were attending a primary care facility with joint symptoms [ 29 ]. All studies included adults although these were frequently younger adults: in two studies age range was not reported but mean age was 35 years [ 18 ] and 50 years [ 30 ], six studies reported age range with an upper limit of 55 years [ 11 , 15 , 19 , 21 , 24 , 26 ], ten studies showed an age range which extended past 55 years [ 10 , 16 , 17 , 20 , 22 , 23 , 25 , 27 – 29 ]. Nine studies examined exclusively male populations [ 10 , 15 – 18 , 21 , 22 , 26 , 30 ] and one study examined an exclusively female population [ 20 ].…”

Risk of Degenerative Ankle Joint Disease in Volleyball Players: Study of Former Elite Athletes

“…The control group consisted of 19 healthy, untrained men (34.8 f 6 years, height 176.0 + 3 cm. weight 74.7 f 5 kg) who had volunteered earlier for a randomised training study and had been reexamined in 1988 [13]. Control subjects underwent the same radiological examination as the elite athletes.…”

Chronische Instabilität des oberen Sprunggelenks im Sport - ein Review für Sportärzte

“…Zur chronischen Instabilität des oberen Sprunggelenks liegen jedoch nur sehr wenige Daten vor. Im Orientierungslauf wird in einer Studie von Knobloch et al diese mit 60 % angegeben [9], was signifikant höher lag als die verglichenen Leichtathleten und Bobsportler. Leumann et al [10] lagen mit 73 % chronischer Sprunggelenksinstabilität im Orientierungslauf noch höher.…”