Schreiner Julia K, Recker Florian, Scheicht Dennis, Karakostas Pantelis, Ziob Jana, Behning Charlotte, Preuss Peter, Brossart Peter, Schäfer Valentin S
Clinic of Internal Medicine III, Department of Oncology, Haematology, Rheumatology and Clinical Immunology, University Hospital Bonn, Bonn, Germany.
Department of Obstetrics and Prenatal Medicine, University Hospital Bonn, Venusberg Campus 1, 53127 Bonn, Germany.
Ther Adv Musculoskelet Dis. 2022 Jul 22;14:1759720X221111610. doi: 10.1177/1759720X221111610. eCollection 2022.
Joint effusion and enthesitis are common ultrasound findings in rheumatic diseases such as rheumatoid arthritis or spondyloarthritis. However, changes of joints and entheses were not only observed in patients but also in physically active individuals and athletes.
The purpose of this study was to evaluate joint, entheseal, bursal and tendon musculoskeletal ultrasound (MSUS) findings in large and medium joints of young healthy individuals after completing a standardised weight training.
This is a prospective cohort study.
MSUS examinations of large- and medium-sized joints, and related entheseal sites, bursae and tendons were performed on young healthy individuals (ages 18-30 years). Before, 24 and 48 h after completing 1 h of standardised weight exercise, the subjects were evaluated by MSUS. The development of the MSUS findings and associated effects were examined using generalised linear mixed effects models.
In total, 51 healthy individuals (52.9% female) with a mean age of 23.7 (±2.5) years were enrolled. The results showed an increase in the number of individuals with at least one joint effusion from 37 (72.5%) before the weight training to 48 (94.1%) after 48 h. Entheses with pathologies were observed in 14 participants (27.5%) at baseline, increasing to 29 participants (56.9%) 48 h after the weight training. Biceps tendon sheath effusion was detected in 9 individuals (17.6%) prior to training, rising to 22 individuals (43.1%) after 48 h. A significant increase in the number of joints with effusion and abnormal entheses within 48 h after the weight training was indicated by the generalised linear mixed effects models.
Within 48 h after the weight training session, a significant increase in the prevalence of joint effusion in large and medium joints and the prevalence of abnormal entheses was observed. As a result, when performing and interpreting an MSUS examination, the patient's physical activities should be taken into account.
关节积液和附着点炎是类风湿关节炎或脊柱关节炎等风湿性疾病常见的超声表现。然而，关节和附着点的变化不仅在患者中观察到，在体育活动者和运动员中也有发现。
本研究旨在评估年轻健康个体在完成标准化重量训练后，其大、中关节的关节、附着点、滑囊和肌腱的肌肉骨骼超声（MSUS）表现。
这是一项前瞻性队列研究。
对年轻健康个体（年龄18 - 30岁）的大、中关节以及相关附着点部位、滑囊和肌腱进行MSUS检查。在完成1小时标准化重量训练前、训练后24小时和48小时，通过MSUS对受试者进行评估。使用广义线性混合效应模型检查MSUS表现的发展及相关影响。
共纳入51名健康个体（52.9%为女性），平均年龄23.7（±2.5）岁。结果显示，至少有一处关节积液的个体数量从重量训练前的37例（72.5%）增加到训练后48小时的48例（94.1%）。基线时14名参与者（27.5%）观察到附着点病变，重量训练后48小时增加到29名参与者（56.9%）。训练前9名个体（17.6%）检测到肱二头肌肌腱鞘积液，48小时后增加到22名个体（43.1%）。广义线性混合效应模型表明，重量训练后48小时内，关节积液和异常附着点的关节数量显著增加。
在重量训练 session 后48小时内，观察到大、中关节关节积液患病率和异常附着点患病率显著增加。因此，在进行和解读MSUS检查时，应考虑患者的身体活动情况。
