Mithoefer Kai, Peterson Lars, Zenobi-Wong Marcy, Mandelbaum Bert R
Department of Orthopedics and Sports Medicine, Harvard Vanguard Medical Associates, Harvard Medical School, Boston, Massachusetts, USA.
Department of Orthopedic Surgery, University of Gothenburg, Gothenburg, Sweden.
Br J Sports Med. 2015 May;49(9):590-6. doi: 10.1136/bjsports-2015-094772.
Articular cartilage injury is prevalent in football players and results from chronic joint stress or acute traumatic injuries. Articular cartilage injury can often result in progressive painful impairment of joint function and limit sports participation. Management of articular cartilage injury in athletes aims to return the player to competition, and requires effective and durable joint surface restoration that resembles normal hyaline articular cartilage that can withstand the high joint stresses of football. Existing articular cartilage repair techniques can return the athlete with articular cartilage injury to high-impact sports, but treatment does not produce normal articular cartilage, and this limits the success rate and durability of current cartilage repair in athletes. Novel scientific concepts and treatment techniques that apply modern tissue engineering technologies promise further advancement in the treatment of these challenging injuries in the high demand athletic population. We review the current knowledge of cartilage injury pathophysiology, epidemiology and aetiology, and outline existing management algorithms, developing treatment options and future strategies to manage articular cartilage injuries in football players.
关节软骨损伤在足球运动员中很常见，是由慢性关节压力或急性创伤性损伤引起的。关节软骨损伤通常会导致关节功能逐渐出现疼痛性损害，并限制运动参与。运动员关节软骨损伤的治疗旨在使运动员恢复比赛，这需要有效且持久地恢复关节表面，使其类似于能够承受足球运动中高关节压力的正常透明软骨。现有的关节软骨修复技术可以让关节软骨损伤的运动员重返高强度运动，但治疗并不能产生正常的关节软骨，这限制了当前运动员软骨修复的成功率和耐久性。应用现代组织工程技术的新科学概念和治疗技术有望在高需求的运动员群体中进一步推进这些具有挑战性损伤的治疗。我们回顾了软骨损伤病理生理学、流行病学和病因学的当前知识，并概述了现有的管理算法、正在开发的治疗选择以及管理足球运动员关节软骨损伤的未来策略。
