scholarly journals Intra-articular Injection Administration in UK Ex-professional Footballers During Their Playing Careers and the Association with Post-career Knee Osteoarthritis

2020 ◽  
Vol 50 (5) ◽  
pp. 1039-1046 ◽  
Author(s):  
Gwen S. Fernandes ◽  
Sanjay M. Parekh ◽  
Jonathan P. Moses ◽  
Colin W. Fuller ◽  
Brigitte E. Scammell ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Dose Response ◽  
Knee Injury ◽  
Knee Injuries ◽  
Cross Sectional Study ◽  
Postal Questionnaire ◽  
Return To Play ◽  
Cross Sectional ◽  
Professional Career

Abstract Background The long-term risk from knee intra-articular (KIA) injections in professional athletes such as ex-footballers remains unknown. The use of KIA injections is controversial and remains anecdotally prolific as it is perceived as being safe/beneficial. The aim of this study was to determine the number, type and frequency KIA injections administered to retired professional footballers during their playing careers and the associations with post-career knee osteoarthritis (KOA). Methods This is a cross-sectional study involving a postal questionnaire (n = 1207) and subsequent knee radiographs in a random sample of questionnaire responders (n = 470). Footballers self-reported in the questionnaire whether they had received KIA injections and the estimated total number over the course of their playing career. Participant characteristics and football career-related details were also recorded. KOA was measured as self-reported knee pain (KP), total knee replacement (TKR) and radiographic KOA (RKOA). Results 44.5% of footballers had received at least one KIA injection (mean: 7.5; SD ± 11.2) during their professional career. 71% of knee injections were cortisone/corticosteroid based. Multivariate logistic regression, adjusting for age, body mass index (BMI) and significant knee injury identified that footballers with injections were two times more likely to have KP (OR 1.81, 95% CI 1.40–2.34) and TKR (OR 2.21, 95% CI 1.43–3.42) than those without injections. However, there was no association with RKOA (OR 1.30, 95% CI 0.85–2.01). Given, the association with KP and TKR, we found a significant dose–response relationship as the more injections a player received (by dose–response groups), the greater the risk of KP and TKR outcomes after adjustment for knee injury and other confounders (p for trend < 0.01). Conclusion On average, 8 KIA injections were given to the ex-footballers during their professional career. The most commonly administered injections were cortisone based. These injections associated with KP and TKR after they retired. The associations are independent of knee injuries and are dose dependent. The study suggests that there may have been excessive use of KIA injections to expedite return to play and this contributed to detrimental long-term outcomes such as KP and TKR post-retirement from professional football.

scholarly journals An Investigation of Knee Injury Profiles among Iranian Elite Karatekas: Observations from a Cross-Sectional Study

2021 ◽  
Vol 18 (13) ◽  
pp. 6888
Author(s):  
Hamidreza Naserpour ◽  
Julien S. Baker ◽  
Amir Letafatkar ◽  
Giacomo Rossettini ◽  
Frédéric Dutheil
Keyword(s):  
Knee Injury ◽  
Cruciate Ligament ◽  
Knee Injuries ◽  
Cross Sectional Study ◽  
Lower Extremity Injury ◽  
Sectional Study ◽  
Positive Health ◽  
Sports Activity ◽  
Cross Sectional ◽  
National Team

Karate training, despite the many positive health benefits, carries a risk of injury for participants. The current cross-sectional study aimed to investigate knee injury profiles among Iranian elite karatekas. Participants who attended the national team qualifiers, which included 390 male Kumite karatekas (age 24 ± 3 years old and weight 63 ± 12 kg), participated in this study. Information on knee injuries (injury history, type of injury mechanisms, and effects of knee symptoms on the ability to perform daily activities and recreational activities) were obtained using the Knee Outcome Survey (KOS). Using Pearson’s correlation coefficient, the study examined the relationships between different variables, including KOS subscales and levels of self-reported knee joint function. Our findings indicated that 287 karatekas (73.6%) experienced knee injuries. The anterior cruciate ligament (ACL) rupture (6.9%), articular cartilage (5.4%), and meniscus damage (3.8%) were the main typology of injury. In addition, there were no differences in knee injuries between the non-dominant and dominant legs. Most injuries occurred during the preparatory period (n = 162, 50%), especially during training periods. The KOS subscales scores (Mean ± Sd) for activities of daily living (ADL) and sports activity (SAS) were, respectively, 89 ± 11 and 91 ± 9. The self-reported scores for both the ADL and SAS subscales were, respectively, 89 ± 11 and 90 ± 10. Pearson coefficients of ADL and SAS subscales with their self-reported score were r = 0.761 (p < 0.0001) and r = 0.782 and (p < 0.0001), respectively. The profile of knee injuries in the current investigation is similar to previous surveys that reported lower extremity injury patterns. The findings of this study could be adopted to inform practice aimed at planning interventions for the reduction and prevention of knee injuries among karatekas.

scholarly journals Relationship of Breastfeeding Duration with Joint Pain and Knee Osteoarthritis in Middle-aged Korean Women: A Cross-sectional Study using the Korea National Health and Nutrition Examination Survey

2020 ◽  
Author(s):  
Min-Young Kim ◽  
Hyun-Joong Kim ◽  
Je-Heon Noh ◽  
Sun-A Kim ◽  
Deok-Sang Hwang ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Joint Pain ◽  
Cross Sectional Study ◽  
Breastfeeding Duration ◽  
Korean Women ◽  
Sectional Study ◽  
Middle Aged ◽  
Cross Sectional ◽  
Health And Nutrition

Abstract Background The effect of joint health on quality of life in middle-aged and older women is becoming more widely recognized with the aging of the world’s population. However, the association of long-term breastfeeding with joint pain and knee osteoarthritis has not been fully examined. The aim of this study was to determine the association of long-term breastfeeding with joint pain and knee osteoarthritis in middle-aged Korean women. Methods A cross-sectional study was conducted among 3,454 women aged ≥50 years who underwent knee radiography and answered a questionnaire on breastfeeding and joint pain for the 5 th Korean National Health and Nutrition Examination Survey (2010–2011). After adjusting for confounding sociodemographic, medical history, and obstetric and gynecologic variables, logistic regression analysis was conducted to analyze the incidence of joint pain and knee osteoarthritis according to breastfeeding and its duration. Among the 3,454 participants, 298 had not breastfed and 1,042, 815, and 1,299 had breastfed for 1–24, 25–48, and ≥49 months, respectively. Of all participants, 1,731 had joint pain and 739 were diagnosed with knee osteoarthritis after radiography. Results The odds ratio (OR) for joint pain among women who breastfed was 1.493 times higher than that among women who did not (p=0.044). As breastfeeding duration increased, the OR of joint pain incidence also increased (p for trend; p=0.002). For knee osteoarthritis, the OR was significantly different between the 25–48 and ≥49 months groups (2.299 [p=0.03] and 2.166 [p=0.047], respectively). Reanalysis after selecting only participants aged ≥60 years showed that the prevalence of joint pain and knee osteoarthritis was more positively correlated with extended breastfeeding duration (joint pain, p for trend; p=0.005) (knee osteoarthritis, p for trend; p=0.012). Conclusions Long-term feeding of more than 25 months was associated with an increased prevalence of arthralgia and degenerative arthritis after menopause in Korean elderly women.

scholarly journals Factors Associated With Osteoarthritis Of The Knee In Former Professional Male Footballers In Bangladesh

KYAMC Journal ◽  
2020 ◽  
Vol 11 (3) ◽  
pp. 141-144
Author(s):  
Md Ali Emran ◽  
Taufiq Morshed ◽  
Md Israt Hasan ◽  
Mohammed Emran ◽  
Md Atiquzzaman ◽  
...  
Keyword(s):  
Sports Medicine ◽  
Knee Injury ◽  
Human Life ◽  
Knee Injuries ◽  
Significant Risk ◽  
Cross Sectional Study ◽  
Osteoarthritis Of The Knee ◽  
Cross Sectional ◽  
History Of ◽  
Medical University

Background:: Osteoarthritis is one of the commonest disabilities that affect human life. Knee joint is most commonly affected by osteoarthritis. The professional footballers are exposed to heavy and prolonged physical activities that often exceed normal health capacities during both training and competition and are at risk of developing knee osteoarthritis of the knee (KOA). Objective: To evaluate the factors related to KOA in former professional male footballers in Bangladesh. Materials and Methods: This was a multicenter cross-sectional study. Purposively Selected footballers subsequently underwent knee radiographs at Bangabandhu Sheikh Mujib Medical University (BSMMU) and Kurmitola General Hospital (KGH). Patients were examined at Sports Medicine Clinic of KGH and Department of Physical Medicine and Rehabilitation of BSMMU from January 2019 to December 2019. Results: The mean age of ex footballers was 59.49±9.19 years. We found 46.55% prevalence of KOA among footballers. Among 174 footballers 37.63% had history of familial OA and 8.62% had gout. An average matches played by a footballer was 497 and average training in career was 3924 hours. We found knee injury, BMI, family history of OA, gout and total matches played were significant risk factors for KOA. Other did not proved significant. Conclusion: Knee injury was the prime factor here for causing KOA later. So we need to give more attention in preventing knee injuries beside other strategies to reduce risk of developing KOA, moreover early diagnosis of KOA, modification of activities of daily living and exercise is needed. KYAMC Journal Vol. 11, No.-3, October 2020, Page 141-144

scholarly journals Relationship of Breastfeeding Duration with Joint Pain and Knee Osteoarthritis in Middle-aged Korean Women: A Cross-sectional Study using the Korea National Health and Nutrition Examination Survey

2020 ◽  
Author(s):  
Min-Young Kim ◽  
Hyun-Joong Kim ◽  
Je-Heon Noh ◽  
Sun-A Kim ◽  
Deok-Sang Hwang ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Joint Pain ◽  
Cross Sectional Study ◽  
Breastfeeding Duration ◽  
Korean Women ◽  
Sectional Study ◽  
Middle Aged ◽  
Cross Sectional ◽  
Health And Nutrition

Abstract Background The effect of joint health on the quality of life of middle-aged and older women is becoming more widely recognized with the aging of the world’s population. However, the association of long-term breastfeeding with joint pain and knee osteoarthritis has not been fully examined. The aim of this study was to determine the association of prior breastfeeding duration with current joint pain and knee osteoarthritis in middle-aged Korean women. Methods This cross-sectional study was conducted among 3,454 women aged ≥50 years who underwent knee radiography and answered a questionnaire on breastfeeding and joint pain for the 5th Korea National Health and Nutrition Examination Survey (2010–2011). After adjusting for confounding sociodemographic, medical history, and obstetric and gynecologic variables, logistic regression analysis was conducted to analyze the prevalence of joint pain and knee osteoarthritis according to breastfeeding and its duration. Results Among the 3,454 participants, 298 had not breastfed and 1,042, 815, and 1,299 had breastfed for 1–24, 25–48, and ≥49 months, respectively. Of all participants, 1,731 had joint pain and 739 were diagnosed with knee osteoarthritis after radiography.Using the non-breastfeeding group as a reference, the odds ratio (OR) for joint pain among women who breastfed ≥1 month was 1.49 (95% confidence interval [CI] 1.01-2.21). As the breastfeeding duration increased, the OR of joint pain prevalence also increased (p for trend; p=0.002). For knee osteoarthritis, the OR was 2.30 in the 25–48 months group (95% CI 1.09-4.86). The OR of knee osteoarthritis in the ≥49 months group was 2.17 (95% CI 1.01-4.64). Sensitivity analysis after selecting only participants aged ≥60 years showed that the prevalence of joint pain and knee osteoarthritis was more positively correlated with extended breastfeeding duration (joint pain, p for trend; p=0.005) (knee osteoarthritis, p for trend; p=0.012).Conclusions Long-term feeding for more than 25 months was associated with an increased prevalence of joint pain and degenerative arthritis in Korean women aged ≥50 years.

scholarly journals Pattern of Knee Injury Cases Attending Combined Military Hospital, Dhaka

2020 ◽  
Vol 15 (1) ◽  
pp. 98-101
Author(s):  
Md Mashiur Rahman ◽  
Md Fashiur Rahman ◽  
Zulfiquer Ahmed Amin ◽  
Zakia Hossain Faiza ◽  
Zahidul Islam ◽  
...  
Keyword(s):  
Knee Injury ◽  
Cruciate Ligament ◽  
Knee Injuries ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Left Knee ◽  
Military Hospital ◽  
Age Group ◽  
Cross Sectional ◽  
Increased Risk

Introduction: Knee injury one of the most common injuries among soldiers accounts for losses in efficient combat power as well as increase burden of disability placed to the different units of Armed Forces. Objectives: To find out the pattern of knee injury of patients attending at a tertiary military hospital. Materials and Methods: This descriptive cross-sectional study carried out during January 2017 to December 2017 at Orthopedic Center of CMH, Dhaka. A total of 153 knee injuries patients were selected purposively as per selection criteria and data were collected by face to face interview and record review. Results: Total 153 respondents’ mean age was 31.03±10.19 years, most of them (41.8%) were from age group 25-34 years and were male (90.8%). Anterior Cruciate Ligament (ACL) injury was predominant (37.9%) and main precipitating physical event was football (20.3%) followed by jumping 9 feet ditch (16.3%). Right knee was more involved (49.7%) than left knee (46.4%). Most of injuries occurred in the exercise ground (40.5%) then sports ground (35.3%). ACL injuries (19%) were common in the age group 25-34 years and 9.8% were in 15-24 years. Morbidity duration of knee injuries was <1 year for 49% and 1-5 years for 36.6% of the respondents. Conclusion: Training-related injuries negatively impact the capabilities of any Armed Forces. Low fitness levels among soldiers are associated with increased risk for injury and attrition. Knee injury may be considered as one of the major occupational health problems of Armed Forces. Journal of Armed Forces Medical College Bangladesh Vol.15 (1) 2019: 98-101

scholarly journals Relationship of Breastfeeding Duration with Joint Pain and Knee Osteoarthritis in Middle-aged Korean Women: A Cross-sectional Study using the Korea National Health and Nutrition Examination Survey

2020 ◽  
Author(s):  
Min-Young Kim ◽  
Hyun-Joong Kim ◽  
Je-Heon Noh ◽  
Sun-A Kim ◽  
Deok-Sang Hwang ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Joint Pain ◽  
Cross Sectional Study ◽  
Breastfeeding Duration ◽  
Korean Women ◽  
Sectional Study ◽  
Middle Aged ◽  
Cross Sectional ◽  
Health And Nutrition

Abstract Background The effect of joint health on the quality of life of middle-aged and older women is becoming more widely recognized with the aging of the world’s population. However, the association of long-term breastfeeding with joint pain and knee osteoarthritis has not been fully examined. The aim of this study was to determine the association of prior breastfeeding duration with current joint pain and knee osteoarthritis in middle-aged Korean women. Methods This cross-sectional study was conducted among 3,454 women aged ≥50 years who underwent knee radiography and answered a questionnaire on breastfeeding and joint pain for the 5th Korea National Health and Nutrition Examination Survey (2010–2011). After adjusting for confounding sociodemographic, medical history, and obstetric and gynecologic variables, logistic regression analysis was conducted to analyze the prevalence of joint pain and knee osteoarthritis according to breastfeeding and its duration. Results Among the 3,454 participants, 298 had not breastfed and 1,042, 815, and 1,299 had breastfed for 1–24, 25–48, and ≥49 months, respectively. Of all participants, 1,731 had joint pain and 739 were diagnosed with knee osteoarthritis after radiography.The odds ratio (OR) for joint pain among women who breastfed was 1.49 (95% confidence interval [CI] 1.01-2.21). As the breastfeeding duration increased, the OR of joint pain prevalence also increased (p for trend; p=0.002). For knee osteoarthritis, the OR was 2.30 in the 25–48 months group (95% CI 1.09-4.86). The OR of knee osteoarthritis in the ≥49 months group was 2.17 (95% CI 1.01-4.64). Sensitivity analysis after selecting only participants aged ≥60 years showed that the prevalence of joint pain and knee osteoarthritis was more positively correlated with extended breastfeeding duration (joint pain, p for trend; p=0.005) (knee osteoarthritis, p for trend; p=0.012).Conclusions Long-term feeding for more than 25 months was associated with an increased prevalence of arthralgia and degenerative arthritis in Korean women aged ≥50 years.

scholarly journals Relationship of breastfeeding duration with joint pain and knee osteoarthritis in middle-aged Korean women: a cross-sectional study using the Korea National Health and Nutrition Examination Survey

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Min-Young Kim ◽  
Hyun-Joong Kim ◽  
Je-Heon Noh ◽  
Sun-A Kim ◽  
Deok-Sang Hwang ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Joint Pain ◽  
Cross Sectional Study ◽  
Breastfeeding Duration ◽  
Korean Women ◽  
Sectional Study ◽  
Middle Aged ◽  
Cross Sectional ◽  
Health And Nutrition

Abstract Background The effect of joint health on the quality of life of middle-aged and older women is becoming more widely recognized with the aging of the world’s population. However, the association of long-term breastfeeding with joint pain and knee osteoarthritis has not been fully examined. The aim of this study was to determine the association of prior breastfeeding duration with current joint pain and knee osteoarthritis in middle-aged Korean women. Methods This cross-sectional study was conducted among 3454 women aged ≥50 years who underwent knee radiography and answered a questionnaire on breastfeeding and joint pain for the 5th Korea National Health and Nutrition Examination Survey (2010–2011). After adjusting for confounding sociodemographic, medical history, and obstetric and gynecologic variables, logistic regression analysis was conducted to analyze the prevalence of joint pain and knee osteoarthritis according to breastfeeding and its duration. Results Among the 3454 participants, 298 had not breastfed and 1042, 815, and 1299 had breastfed for 1–24, 25–48, and ≥ 49 months, respectively. Of all participants, 1731 had joint pain and 739 were diagnosed with knee osteoarthritis after radiography. Using the non-breastfeeding group as a reference, the odds ratio (OR) for joint pain among women who breastfed ≥1 month was 1.49 (95% confidence interval [CI] 1.01–2.21). As the breastfeeding duration increased, the OR of joint pain prevalence also increased (p for trend; p = 0.002). For knee osteoarthritis, the OR was 2.30 in the 25–48 months group (95% CI 1.09–4.86). The OR of knee osteoarthritis in the ≥49 months group was 2.17 (95% CI 1.01–4.64). Sensitivity analysis after selecting only participants aged ≥60 years showed that the prevalence of joint pain and knee osteoarthritis was more positively correlated with extended breastfeeding duration (joint pain, p for trend; p = 0.005) (knee osteoarthritis, p for trend; p = 0.012). Conclusions Long-term feeding for more than 25 months was associated with an increased prevalence of joint pain and degenerative arthritis in Korean women aged ≥50 years.

Sign in / Sign up

Export Citation Format

Share Document