Schmitt H, Rohs C, Schneider S, Clarius M
Stiftung Orthopädische Universitätsklinik, Schlierbacher Landstrasse 200a, 69118 Heidelberg.
Orthopade. 2006 Oct;35(10):1087-92. doi: 10.1007/s00132-006-0998-7.
The aim of the study was to find what degenerative changes were present in the hip and knee joints of former elite marathon runners and how these subjects' joints differ from those of control persons.
Twenty former elite German marathon runners (active careers 1972-86) underwent clinical (FFbH-OA [hip joint] and AKSS [knee joint]) and radiographic (hip and knee joints, Kellgren and Lawrence classification) examination. X-Rays of the hip joints were compared with those of controls matched for age, gender and BMI who did not engage in much sport.
In the group of former elite marathon runners, 3 of the 38 knee joints for which comparison with control joints was possible were found to be affected by grade 2 osteoarthritis. In the same group, severe osteoarthritis (Kellgren and Lawrence grade 3) was documented in 1 and moderate osteoarthritis (grade 2) in 6 of the 28 hips for which direct comparison against the controls was possible, as against 1 hip affected by grade 2 osteoarthritis in the entire control group. The clinical evaluation showed high scores in all athletes.
Osteoarthritis of the knee joint is rare in former elite marathon runners. The risk of osteoarthritis of the hip joint seems to be higher than in control subjects who do not engage in much sport.
本研究的目的是找出前精英马拉松运动员的髋关节和膝关节存在哪些退行性变化，以及这些受试者的关节与对照组人员的关节有何不同。
20名前德国精英马拉松运动员（活跃职业生涯为1972 - 1986年）接受了临床检查（FFbH - OA[髋关节]和AKSS[膝关节]）以及影像学检查（髋关节和膝关节，凯尔格伦和劳伦斯分级）。将髋关节的X线片与年龄、性别和体重指数相匹配且不经常运动的对照组人员的X线片进行比较。
在前精英马拉松运动员组中，在38个可与对照关节进行比较的膝关节中，有3个被发现患有2级骨关节炎。在同一组中，在28个可直接与对照组比较的髋关节中，有1个记录为重度骨关节炎（凯尔格伦和劳伦斯3级），6个为中度骨关节炎（2级），而在整个对照组中只有1个髋关节患有2级骨关节炎。临床评估显示所有运动员的得分都很高。
前精英马拉松运动员膝关节骨关节炎罕见。髋关节骨关节炎的风险似乎高于不经常运动的对照组受试者。
