Bezuglov Eduard, Khaitin Vladimir, Lazarev Artemii, Brodskaia Alesia, Lyubushkina Anastasiya, Kubacheva Kamila, Waśkiewicz Zbigniew, Petrov Arseniy, Maffulli Nicola
Department of Sport Medicine and Medical Rehabilitation, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Federal Research and Clinical Center of Sports Medicine and Rehabilitation of Federal Medical Biological Agency, Moscow, Russia.
Orthop J Sports Med. 2021 Jan 29;9(1):2325967120979994. doi: 10.1177/2325967120979994. eCollection 2021 Jan.
Professional soccer players are often evaluated with asymptomatic lesions of the ankle and foot, and such abnormalities may eventually become clinically relevant.
To ascertain the prevalence of foot and ankle abnormalities in elite professional adult soccer players.
Case series; Level of evidence, 4.
Professional adult male elite soccer players (n = 37) underwent magnetic resonance imaging (MRI) scans of both their feet and ankles. All competed for their respective national junior or adult soccer teams. MRI scans were performed with 1.5-T scanners and analyzed independently by 2 experienced radiologists.
The MRI scans of 86.5% of the players showed degenerative joint disease (DJD) in at least 1 of the joints of the foot and ankle. Articular cartilage lesions in the joints of the foot and ankle were evident in 42% of the scans. Of all lesions, 17% were grade 3 or 4 (Noyes and Stabler classification) cartilage lesions and accompanied by subchondral bone marrow edema. The greater the age, weight, and height of the players, the greater was the odds ratio of DJD of the ankle joint. Synovitis in at least 1 of the joints of the foot was detected in 64% of the MRI scans. Leg dominance significantly correlated with bone marrow edema of the talus.
Elite professional soccer players are often evaluated with a high prevalence of asymptomatic osteochondral lesions with subchondral bone marrow edema in the foot and ankle. These osteochondral lesions may remain asymptomatic or, with the continuing high-intensity stresses that modern professional soccer demands of its athletes, may evolve and cause foot and ankle pain. It is unclear whether and which interventions can be implemented to prevent the occurrence of these abnormalities in the first place.
职业足球运动员常被评估出脚踝和足部有无症状性损伤，而此类异常情况最终可能具有临床相关性。
确定成年精英职业足球运动员足部和脚踝异常情况的患病率。
病例系列研究；证据等级为4级。
成年男性精英职业足球运动员（n = 37）接受了足部和脚踝的磁共振成像（MRI）扫描。所有运动员均代表各自国家的青年或成年足球队参赛。使用1.5-T扫描仪进行MRI扫描，并由2名经验丰富的放射科医生独立分析。
86.5%的运动员的MRI扫描显示足部和脚踝至少1个关节存在退行性关节病（DJD）。42%的扫描显示足部和脚踝关节存在关节软骨损伤。在所有损伤中，17%为3级或4级（Noyes和Stabler分类）软骨损伤，并伴有软骨下骨髓水肿。运动员的年龄、体重和身高越大，踝关节DJD的比值比就越高。64%的MRI扫描检测到足部至少1个关节存在滑膜炎。腿部优势与距骨骨髓水肿显著相关。
成年精英职业足球运动员常被评估出足部和脚踝存在无症状的骨软骨损伤且伴有软骨下骨髓水肿的患病率较高。这些骨软骨损伤可能保持无症状，或者随着现代职业足球对运动员持续的高强度压力，可能会发展并导致足部和脚踝疼痛。目前尚不清楚是否以及可以实施哪些干预措施来首先预防这些异常情况的发生。
