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Knee Arthritis in Athletes

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Book cover Arthroscopy and Sport Injuries

Abstract

Osteoarthritis is the most common joint disease. Being exposed to a high-intensity and prolonged sports activity, athletes are particularly vulnerable to osteoarthritis as a long-term effect of such vigorous physical stress and results in irreversible pathological changes in affected joints.

The main symptoms are joint pain, stiffness, dysfunction, instability, deformity, swelling, and crepitus. These symptoms can be presented early in an athlete’s career and lead to sports dismission.

The etiology of osteoarthritis is multifactorial and not fully understood.

In this chapter, we are focusing on those mechanical factors that accelerate such process.

We will go through malalignment, loss of meniscal tissue, cartilage defects, and joint instability, focusing on conservative or surgical treatment and on the impact of such treatment on return to sports.

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References

  1. Loeser RF (2010) Age-related changes in the musculoskeletal system and the development of osteoarthritis. Clin Geriatr Med 26:371–386

    Article  PubMed Central  PubMed  Google Scholar 

  2. Buckwalter JA, Martin JA, Brown TD (2006) Perspectives on chondrocyte mechanobiology and osteoarthritis. Biorheology 43:603–660

    PubMed  Google Scholar 

  3. Tetsworth K, Paley D (1994) Malalignment and degenerative arthropathy. Orthop Clin North Am 25:367–377

    CAS  PubMed  Google Scholar 

  4. Brouwer GM, van Tol AW, Bergink AP, Belo JN, Bernsen RM, Reijman M, Pols HA, Bierma-Zeinstra SM (2007) Association between valgus and varus alignment and the development and progression of radiographic osteoarthritis of the knee. Arthritis Rheum 56:1204–1211

    Article  CAS  PubMed  Google Scholar 

  5. Cicuttini F, Wluka A, Hankin J, Wang Y (2004) Longitudinal study of the relationship between knee angle and tibiofemoral cartilage volume in subjects with knee osteoarthritis. Rheumatology (Oxford) 43:321–324

    Article  CAS  Google Scholar 

  6. Heijink A, Gomoll AH, Madry H, Drobnič M, Filardo G, Espregueira-Mendes J, Van Dijk CN (2012) Biomechanical considerations in the pathogenesis of osteoarthritis of the knee. Knee Surg Sports Traumatol Arthrosc 20(3):423–435

    Article  PubMed Central  PubMed  Google Scholar 

  7. Roos EM, Ostenberg A, Roos H, Ekdahl C, Lohmander LS (2001) Long-term outcome of meniscectomy: symptoms, function, and performance tests in patients with or without radio- graphic osteoarthritis compared to matched controls. Osteoarthritis Cartilage 9:316–324

    Article  CAS  PubMed  Google Scholar 

  8. Alford JW, Lewis P, Kang RW, Cole BJ (2005) Rapid progression of chondral disease in the lateral compartment of the knee following meniscectomy. Arthroscopy 21:1505–1509

    Article  PubMed  Google Scholar 

  9. van Dijk CN, Tol JL, Struijs PAA (1997) Complications, rehabilitation and results of arthroscopic meniscectomy and meniscal repair: a review of the literature. J Sports Traumatol Rel Res 19:43–50

    Google Scholar 

  10. Ahmed AM, Burke DL (1983) In vitro measurement of static pressure distribution in synovial joints—part I: tibial surface of the knee. J Biomech Eng 105:216–225

    Article  CAS  PubMed  Google Scholar 

  11. Baratz ME, Fu FH, Mengato R (1986) Meniscal tears: the effect of meniscectomy and of repair on intraarticular contact areas and stress in the human knee. A preliminary report. Am J Sports Med 14:270–275

    Article  CAS  PubMed  Google Scholar 

  12. Fairbank TJ (1948) Knee joint changes after meniscectomy. J Bone Joint Surg Br 30B:664–670

    CAS  PubMed  Google Scholar 

  13. Jackson JP (1968) Degenerative changes in the knee after meniscectomy. Br Med J 2:525–527

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  14. Voloshin AS, Wosk J (1983) Shock absorption of meniscectomized and painful knees: a comparative in vivo study. J Biomed Eng 5:157–161

    Article  CAS  PubMed  Google Scholar 

  15. Buckwalter JA (2002) Articular cartilage injuries. Clin Orthop Relat Res 402:21–37

    Article  PubMed  Google Scholar 

  16. Ding C, Cicuttini F, Scott F, Boon C, Jones G (2005) Association of prevalent and incident knee cartilage defects with loss of tibial and patellar cartilage: a longitudinal study. Arthritis Rheum 52:3918–3927

    Article  PubMed  Google Scholar 

  17. Heir S, Nerhus TK, Rotterud JH, Loken S, Ekeland A, Engebretsen L, Aroen A (2010) Focal cartilage defects in the knee impair quality of life as much as severe osteoarthritis: a comparison of knee injury and osteoarthritis outcome score in 4 patient categories scheduled for knee surgery. Am J Sports Med 38:231–237

    Article  PubMed  Google Scholar 

  18. Lohmander LS, Ostenberg A, Englund M, Roos H (2004) High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury. Arthritis Rheum 50:3145–3152

    Article  CAS  PubMed  Google Scholar 

  19. Hollander JL (1951) The local effects of compound F (hydro cortisone) injected into joints. Bull Rheum Dis 2:3–4

    CAS  PubMed  Google Scholar 

  20. Miller JH, White J, Norton TH (1958) The value of intraarticular injections in osteoarthritis of the knee. J Bone Joint Surg Br 40-B:636–643

    CAS  PubMed  Google Scholar 

  21. Kon E, Filardo G, Drobnic M, Madry H, Jelic M, van Dijk N, Della Villa S (2012) Non-surgical management of early knee osteoarthritis. Knee Surg Sports Traumatol Arthrosc 20(3):436–449

    Article  PubMed  Google Scholar 

  22. Kon E, Buda R, Filardo G, Di Martino A, Timoncini A, Cenacchi A, Fornasari PM, Giannini S, Marcacci M (2010) Platelet-rich plasma: intra-articular knee injections produced favorable results on degenerative cartilage lesions. Knee Surg Sports Traumatol Arthrosc 18:472–479

    Article  PubMed  Google Scholar 

  23. Filardo G, Kon E, Buda R, Timoncini A, Di Martino A, Cenacchi A, Fornasari PM, Giannini S, Marcacci M (2011) Platelet-rich plasma intra-articular knee injections for the treatment of degenerative cartilage lesions and osteoarthritis. Knee Surg Sports Traumatol Arthrosc 19:528–535

    Article  PubMed  Google Scholar 

  24. Gomoll AH, Filardo G, Almqvist FK, Bugbee WD, Jelic M, Monllau JC, Puddu G, Rodkey WG, Verdonk P, Verdonk R, Zaffagnini S, Marcacci M (2012) Surgical treatment for early osteoarthritis. Part II: allografts and concurrent procedures. Knee Surg Sports Traumatol Arthrosc 20(3):468–486

    Article  CAS  PubMed  Google Scholar 

  25. Gomoll AH, Filardo G, de Girolamo L, Espregueira-Mendes J, Marcacci M, Rodkey WG, Steadman JR, Zaffagnini S, Kon E (2012) Surgical treatment for early osteoarthritis. Part I: cartilage repair procedures. Knee Surg Sports Traumatol Arthrosc 20(3):450–466

    Article  CAS  PubMed  Google Scholar 

  26. Marcacci M, Kon E, Delcogliano M, Filardo G, Busacca M, Zaffagnini S (2007) Arthroscopic autologous osteochondral grafting for cartilage defects of the knee: prospective study results at a minimum 7-year follow-up. Am J Sports Med 35:2014–2021

    Article  PubMed  Google Scholar 

  27. Dozin B, Malpeli M, Cancedda R, Bruzzi P, Calcagno S, Molfetta L, Priano F, Kon E, Marcacci M (2005) Comparative evaluation of autologous chondrocyte implantation and mosaicplasty: a multicentered randomized clinical trial. Clin J Sport Med 15:220–226

    Article  PubMed  Google Scholar 

  28. Hangody L, Dobos J, Baló E, Pánics G, Hangody LR, Berkes I (2010) Clinical experiences with autologous osteochondral mosaicplasty in an athletic population: a 17-year prospective multicenter study. Am J Sports Med 38:1125–1133

    Article  PubMed  Google Scholar 

  29. Cavallo C, Desando G, Facchini A, Grigolo B (2010) Chondrocytes from patients with osteoarthritis express typical extra- cellular matrix molecules once grown onto a three-dimensional hyaluronan-based scaffold. J Biomed Mater Res A 93:86–95

    PubMed  Google Scholar 

  30. Filardo G, Kon E, Di Martino A, Patella S, Altadonna G, Balboni F, Visani A, Bragonzoni L, Marcacci M (2011) Second- generation arthroscopic autologous chondrocyte implantation for the treatment of degenerative cartilage lesions. A prospective 6-year follow-up Study. Knee Surg Sports Traumatol Arthrosc 20(9):1704–1713. doi:10.1007/s00167-011-1732-5

    Article  PubMed  Google Scholar 

  31. Zaffagnini S, Marcheggiani Muccioli GM, Lopomo N, Bruni D, Giordano G, Ravazzolo G, Molinari M, Marcacci M (2011) Prospective long-term outcomes of the medial collagen meniscus implant versus partial medial meniscectomy: a minimum 10-year follow-up study. Am J Sports Med 39:977–985

    Article  PubMed  Google Scholar 

  32. Zaffagnini S, Marcheggiani Muccioli GM, Grassi A, Bonanzinga T, Filardo G, Canales Passalacqua A, Marcacci M (2011) Arthroscopic lateral collagen meniscus implant in a professional soccer player. Knee Surg Sports Traumatol Arthrosc 19:1740–1743

    Article  PubMed  Google Scholar 

  33. Marcacci M, Marcheggiani Muccioli GM, Grassi A, Ricci M, Tsapralis K, Nanni G, Bonanzinga T, Zaffagnini S (2014) Arthroscopic meniscus allograft transplantation in male professional soccer players: a 36-month follow-up study. Am J Sports Med 42(2):382–388. doi: 10.1177/0363546513508763

    Article  PubMed  Google Scholar 

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Correspondence to Stefano Zaffagnini .

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Zaffagnini, S. et al. (2016). Knee Arthritis in Athletes. In: Volpi, P. (eds) Arthroscopy and Sport Injuries. Springer, Cham. https://doi.org/10.1007/978-3-319-14815-1_47

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  • DOI: https://doi.org/10.1007/978-3-319-14815-1_47

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-14814-4

  • Online ISBN: 978-3-319-14815-1

  • eBook Packages: MedicineMedicine (R0)

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