Institute and Policlinic of Occupational and Social Medicine, Medical Faculty Carl Gustav Carus, Technische Universität Dresden; Division of Occupational Health, Department of Occupational Safety and Environment, Regional Government of South Hesse, Wiesbaden; Extraordinary Chair of Occupational Medicine, University of Gießen.
Dtsch Arztebl Int. 2021 Jan 29;118(4):49-55. doi: 10.3238/arztebl.m2021.0007.
We address the question whether professional soccer players with and without macroinjury of the knee joint are at an elevated risk for knee osteoarthritis.
A systematic review with meta-analyses was conducted. The study protocol was prospectively registered (registration number CRD42019137139). The MEDLINE, EMBASE, and Web of Science databases were searched for relevant publications; in addition, forward searching was performed, and the listed references were considered. All steps of the process were undertaken independently by two reviewers, and any discordances were resolved by consensus. For all publications whose full text was included, the methods used were critically evaluated. The quality of the evidence was judged using the GRADE criteria.
The pooled odds ratio for objectively ascertained osteoarthrosis of the knee was 2.25 (95% confidence interval [1.41-3.61], I = 71%). When only radiologically ascertained knee osteoarthrosis was considered, the odds ratio was 3.98 [1.34; 11.83], I = 58%). The pooled risk estimator in studies in which knee joint macroinjury was excluded was 2.81 ([1.25; 6.32], I = 71%).
A marked association was found between soccer playing and knee osteoarthritis in male professional soccer players. For female professional soccer players, the risk of knee osteoarthritis could not be assessed because of the lack of data. Knee injuries seem to play an important role in the development of knee osteoarthritis in professional soccer players.
我们探讨了膝关节是否有宏观损伤的职业足球运动员是否存在膝关节骨关节炎风险增加的问题。
进行了系统评价和荟萃分析。研究方案已预先注册（注册号 CRD42019137139）。检索了 MEDLINE、EMBASE 和 Web of Science 数据库中相关的出版物；此外，还进行了正向搜索，并考虑了列出的参考文献。所有步骤均由两名评审员独立进行，如果出现分歧，则通过协商解决。对于所有包含全文的出版物，均使用批判性评估方法对其方法进行评估。使用 GRADE 标准判断证据质量。
膝关节客观确定的骨关节炎的合并比值比为 2.25（95%置信区间 [1.41-3.61]，I = 71%）。当仅考虑放射学确定的膝关节骨关节炎时，比值比为 3.98 [1.34; 11.83]，I = 58%）。在排除膝关节宏观损伤的研究中，合并风险估计值为 2.81 [1.25; 6.32]，I = 71%）。
在男性职业足球运动员中，足球运动与膝关节骨关节炎之间存在明显的关联。对于女性职业足球运动员，由于缺乏数据，无法评估膝关节骨关节炎的风险。膝关节损伤似乎在职业足球运动员膝关节骨关节炎的发展中起着重要作用。
