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超耐力运动员下肢关节软骨无损伤——一项 MRI 研究。

No damage of joint cartilage of the lower limbs in an ultra-endurance athlete--an MRI-study.

机构信息

Institute of General Practice and for Health Services Research, University of Zurich, Zurich, Switzerland.

出版信息

BMC Musculoskelet Disord. 2013 Dec 5;14:343. doi: 10.1186/1471-2474-14-343.

DOI:10.1186/1471-2474-14-343
PMID:24314152
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3903073/
Abstract

BACKGROUND

Osteoarthritis is an increasing burden in an ageing population. Sports, especially when leading to an overstress of joints, is under suspicion to provoke or at least accelerate the genesis of osteoarthritis. We present the radiologic findings of a 49-years old ultra-endurance athlete with 35 years of training and competing, whose joints of the lower limbs were examined using three different types of magnetic resonance imaging, including a microscopic magnetic resonance imaging coil. To date no case report exists where an ultra-endurance athlete was examined such detailed regarding overuse-injuries of his joints.

CASE PRESENTATION

A 49 years old, white, male ultra-endurance athlete reporting no pain during training and racing and with no significant injuries of the lower limbs in his medical history was investigated regarding signs of chronic damage or overuse injuries of the joints of his lower limbs.

CONCLUSION

Despite the age of nearly 50 years and a training history of over 35 years, the athlete showed no signs of chronic damage or overuse injuries in the joints of his lower limbs. This leads to the conclusion that extensive sports and training does not compulsory lead to damages of the musculoskeletal system. This is a very important finding for all endurance-athletes as well as for their physicians.

摘要

背景

骨关节炎在老龄化人口中是一个日益加重的负担。运动,尤其是导致关节过度劳损的运动,被怀疑会引发或至少加速骨关节炎的发生。我们介绍了一位 49 岁的超耐力运动员的影像学发现,他有 35 年的训练和比赛经验,使用三种不同类型的磁共振成像(包括微观磁共振成像线圈)检查了他的下肢关节。迄今为止,尚无关于超耐力运动员如此详细地检查其关节过度使用损伤的病例报告。

病例介绍

一位 49 岁的白人男性超耐力运动员,在训练和比赛中没有疼痛,也没有下肢的重大受伤史,他接受了检查,以确定下肢关节是否有慢性损伤或过度使用损伤的迹象。

结论

尽管年龄接近 50 岁,且有 35 年以上的训练史,但该运动员的下肢关节没有慢性损伤或过度使用损伤的迹象。这得出结论,广泛的运动和训练不一定会导致肌肉骨骼系统的损伤。这对所有耐力运动员及其医生来说都是一个非常重要的发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef8/3903073/d29d98017a8f/1471-2474-14-343-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef8/3903073/1255be283250/1471-2474-14-343-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef8/3903073/4abb229b33ff/1471-2474-14-343-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef8/3903073/67cfa5ceba34/1471-2474-14-343-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef8/3903073/e6ff7233272c/1471-2474-14-343-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef8/3903073/a9539aefd7ce/1471-2474-14-343-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef8/3903073/d29d98017a8f/1471-2474-14-343-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef8/3903073/1255be283250/1471-2474-14-343-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef8/3903073/4abb229b33ff/1471-2474-14-343-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef8/3903073/67cfa5ceba34/1471-2474-14-343-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef8/3903073/e6ff7233272c/1471-2474-14-343-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef8/3903073/a9539aefd7ce/1471-2474-14-343-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef8/3903073/d29d98017a8f/1471-2474-14-343-6.jpg

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