Bezuglov Eduard Nikolayevich, Lyubushkina Anastasiya Vladimirovna, Khaitin Vladimir Yurevich, Tokareva Alisa Viktorovna, Goncharov Evgeny Nikolayevich, Gorinov Artem Valerievich, Sivakova Elena Yurevna, Sereda Andrey Petrovitch
Department of Sport Medicine and Medical Rehabilitation, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation.
Department of Medical Rehabilitation, Faculty of Continuing Professional Education, Pirogov Russian National Research Medical University, Moscow, Russian Federation.
Orthop J Sports Med. 2019 Nov 27;7(11):2325967119885370. doi: 10.1177/2325967119885370. eCollection 2019 Nov.
Currently, there are few data on the association between participation in soccer and the condition of the knee joints in adult professional players.
A high percentage of professional soccer players will have asymptomatic intra-articular changes of the knee.
Cross-sectional study; Level of evidence, 3.
The condition of the intra-articular structures (osteophytes, cartilage, and menisci) in 94 knee joints of 47 adult professional soccer players (mean ± SD age, 25.7 ± 4.6 years; body mass index, 22.8 ± 1.4 kg/m) was analyzed. A 1.5-T magnetic resonance imaging scanner was used to perform the imaging, and the anonymized data were analyzed by 2 experienced radiologists.
Cartilage of both knee joints was affected in 97.9% of soccer players. Meniscal lesions were detected in 97.8% of joints, affecting both joints in 93.6% of athletes. Grade 2 cartilage lesions were the most prevalent (36%-60% depending on the lesion site), and grade 4 lesions were detected in 12.7% of joints. The medial femoral condyle and medial tibial plateau were most frequently affected by cartilage lesions (85.1%). Among meniscal lesions, grade 2 lesions were the most prevalent, being detected in 71% of the cases. Grade 3 lesions were detected in 13.8% of the joints. The posterior horn of the lateral meniscus was the most common site of meniscal lesions (affected in 95.7% of the joints). Osteophytes were detected in 4.2% of joints.
The prevalence of asymptomatic cartilage and meniscal lesions in the knees of adult professional soccer players is extremely high and is not associated with the reduction of sports involvement. This research should promote the correct interpretation of magnetic resonance imaging data obtained from soccer players with acute trauma and the reduction of the number of unwarranted surgical procedures.
目前，关于成年职业足球运动员参与足球运动与膝关节状况之间关联的数据较少。
高比例的职业足球运动员会有膝关节无症状的关节内改变。
横断面研究；证据等级，3级。
分析了47名成年职业足球运动员（平均年龄±标准差，25.7±4.6岁；体重指数，22.8±1.4kg/m²）的94个膝关节的关节内结构（骨赘、软骨和半月板）状况。使用1.5-T磁共振成像扫描仪进行成像，由2名经验丰富的放射科医生对匿名数据进行分析。
97.9%的足球运动员双侧膝关节软骨均受影响。97.8%的关节检测到半月板损伤，93.6%的运动员双侧关节均受影响。2级软骨损伤最为普遍（根据损伤部位不同，占36%-60%），12.7%的关节检测到4级损伤。股骨内侧髁和胫骨内侧平台最常受到软骨损伤（85.1%）。在半月板损伤中，2级损伤最为普遍，71%的病例中检测到该损伤。13.8%的关节检测到3级损伤。外侧半月板后角是半月板损伤最常见的部位（95.7%的关节受影响）。4.2%的关节检测到骨赘。
成年职业足球运动员膝关节无症状软骨和半月板损伤的患病率极高，且与运动参与度降低无关。本研究应促进对急性创伤足球运动员磁共振成像数据的正确解读，并减少不必要的手术数量。
