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在连续两个橄榄球赛季中,有膝关节囊内损伤史的大学橄榄球运动员在创伤性膝关节损伤后接受康复治疗对股骨关节软骨形态的影响。

The effect of attending rehabilitation after traumatic knee joint injury on femoral articular cartilage morphology in collegiate rugby players with a history of intracapsular knee joint injury during two-year consecutive rugby seasons.

作者信息

Hori Miyuki, Terada Masafumi, Suga Tadashi, Isaka Tadao

机构信息

Faculty of Sport and Health Science, Ritsumeikan University, Kusatsu, Japan.

Research Organization of Science and Technology, Ritsumeikan University, Kusatsu, Japan.

出版信息

Front Sports Act Living. 2024 Jan 11;5:1309938. doi: 10.3389/fspor.2023.1309938. eCollection 2023.

Abstract

INTRODUCTION

This present study aimed to compare ultrasonographic measures of femoral articular cartilage during two-year seasons between collegiate rugby players who have attended supervised rehabilitation following intracapsular knee joint injury and those without a history of knee injury.

METHODS

Using a prospective observational study design, 12 male collegiate rugby players with a previous history of intracapsular knee joint injury who have received and completed supervised rehabilitation following their injury and 44 players without knee joint injury participated in this study. Ultrasonographic images were used to verify changes in femoral articular cartilage thickness and cross-sectional area (CSA) with or without a previous history of knee joint injury over two consecutive rugby seasons.

RESULTS

Significant time main effects were observed for the lateral condylar thickness ( < 0.001), the intercondylar thickness ( = 0.001), the medial condylar thickness ( < 0.001), and CSA ( < 0.001). No significant interactions nor group main effects were identified for all femoral articular cartilage ( < 0.05).

CONCLUSIONS

Collegiate rugby players demonstrated a decrease in femoral articular cartilage thickness and CSA over two-year consecutive rugby seasons. These findings indicate that engaging in collegiate rugby induces alterations in femoral articular cartilage structure. Furthermore, there were no differences in all femoral cartilage outcome measures between rugby players with and without a previous history of traumatic knee joint injury. Therefore, attending supervised rehabilitation at the time of their knee joint injury appeared to reduce the impact of a previous history of intracapsular knee joint injury on the change in femoral articular cartilage thickness and CSA among active rugby players.

摘要

引言

本研究旨在比较在两个赛季期间,接受过膝关节囊内损伤监督康复治疗的大学橄榄球运动员与无膝关节损伤史的运动员之间股骨关节软骨的超声测量结果。

方法

采用前瞻性观察研究设计,12名有膝关节囊内损伤史且受伤后接受并完成监督康复治疗的男性大学橄榄球运动员和44名无膝关节损伤的运动员参与了本研究。利用超声图像验证连续两个橄榄球赛季中有无膝关节损伤史的运动员股骨关节软骨厚度和横截面积(CSA)的变化。

结果

观察到外侧髁厚度(<0.001)、髁间厚度(=0.001)、内侧髁厚度(<0.001)和CSA(<0.001)有显著的时间主效应。对于所有股骨关节软骨,未发现显著的交互作用和组主效应(<0.05)。

结论

大学橄榄球运动员在连续两个橄榄球赛季中股骨关节软骨厚度和CSA有所下降。这些发现表明,参与大学橄榄球运动会导致股骨关节软骨结构发生改变。此外,有和无创伤性膝关节损伤史的橄榄球运动员在所有股骨软骨测量结果上没有差异。因此,在膝关节损伤时接受监督康复治疗似乎可以减少既往膝关节囊内损伤史对现役橄榄球运动员股骨关节软骨厚度和CSA变化的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/089a/10808301/936cc327ee10/fspor-05-1309938-g001.jpg

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