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Increased risk of knee injuries and osteoarthritis in the non-dominant leg of former professional football players

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Summary

The aim of the study was to evaluate differences in knee injuries and osteoarthritis between the dominant and non-dominant legs of former professional football players. The study cohort comprised 40 retired professional players with an average age of 49.2 years. Participants completed a questionnaire about their sports and personal history with special emphasis on knee injuries/operations of the dominant and non-dominant leg. Bilateral standing knee radiographs were taken. Overall, 29 footballers (73%) had experienced at least one moderate or severe knee injury and 18 (40%) had undergone at least one knee operation during their career. Among those injured, 14 (35%) players had suffered a dominant knee injury and 22 (55%) a non-dominant knee injury. Evidence of osteoarthritis (Kellgren–Lawrence scale ≥ 2) was found in 17 (43%) dominant and 23 (58%) non-dominant knees. Professional football players have a significant risk of knee injuries and early osteoarthritis with preponderance in the non-dominant leg.

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References

  • Garrick JG, Requa RK (2003) Sport and fitness activities: the negative consequences. J Am Acad Orthop Surg 11: 439–43

    PubMed  Google Scholar 

  • Drawer S, Fuller CW (2001) Propensity for osteoarthritis and lower limb joint pain in retired professional soccer players. Br J Sports Med 35: 402–8

    Article  CAS  PubMed  Google Scholar 

  • Turner AP, Barlow JH, Heathcote-Elliott C (2000) Long term health impact of playing professional football in the United Kingdom. Br J Sports Med 34: 332–6

    Article  CAS  PubMed  Google Scholar 

  • Arnason A, Sigurdsson SB, Gudmundsson A, Holme I, Engebretsen L, Bahr R (2004) Risk factors for injuries in football. Am J Sports Med 32: 5–16S

    Article  Google Scholar 

  • Hagglund M, Walden M, Ekstrand J (2005) Injury incidence and distribution in elite football – a prospective study of the Danish and Swedish top divisions. Scand J Med Sci Sports 15: 21–8

    Article  PubMed  Google Scholar 

  • Peterson L, Junge A, Chomiak J, Graf-Baumann T, Dvorak J (2000) Incidence of football injuries and complaints in different age groups and skill-level groups. Am J Sports Med 28: S51–7

    CAS  PubMed  Google Scholar 

  • Junge A, Dvorak J (2004) Soccer injuries: a review on incidence and prevention. Sports Med 34: 929–38

    Article  PubMed  Google Scholar 

  • Buckwalter JA, Martin JA (2004) Sports and osteoarthritis. Curr Opin Rheumatol 16: 634–9

    Article  PubMed  Google Scholar 

  • Buckwalter JA (2003) Sports, joint injury, and posttraumatic osteoarthritis. J Orthop Sports Phys Ther 33: 578–88

    PubMed  Google Scholar 

  • Kettunen JA, Kujala UM, Kaprio J, Koskenvuo M, Sarna S (2001) Lower-limb function among former elite male athletes. Am J Sports Med 29: 2–8

    CAS  PubMed  Google Scholar 

  • Ding C, Martel-Pelletier J, Pelletier JP, Abram F, Raynauld JP, Cicuttini F, et al (2007) Meniscal tear as an osteoarthritis risk factor in a largely non-osteoarthritic cohort: a cross-sectional study. J Rheumatol 34: 776–84

    PubMed  Google Scholar 

  • Felson DT (1988) Epidemiology of hip and knee osteoarthritis. Epidemiol Rev 10: 1–28

    CAS  PubMed  Google Scholar 

  • Wolf BR, Amendola A (2005) Impact of osteoarthritis on sports careers. Clin Sports Med 24: 187–98

    Article  PubMed  Google Scholar 

  • Sandmark H, Vingard E (1999) Sports and risk for severe osteoarthrosis of the knee. Scand J Med Sci Sports 9: 279–84

    CAS  PubMed  Google Scholar 

  • Buckwalter JA, Lane NE (1997) Athletics and osteoarthritis. Am J Sports Med 25: 873–81

    Article  CAS  PubMed  Google Scholar 

  • Deacon A, Bennell K, Kiss ZS, Crossley K, Brukner P (1997) Osteoarthritis of the knee in retired, elite Australian rules footballers. MJA 166: 187–90

    CAS  PubMed  Google Scholar 

  • Junge A, Dvorak J (2000) Influence of definition and data collection on the incidence of injuries in football. Am J Sports Med 28: 40–6

    Google Scholar 

  • Frobell RB, Svensson E, Göthrick (2008) Self-reported activity level and knee function in amateur football players: the influence of age, gender, history of knee injury and level of competition. Knee Surg Sports Traumatol Arthrosc 16: 713–9

    Article  CAS  PubMed  Google Scholar 

  • Elleuch MH, Guermazi M, Mezghanni, Ghroubi S, Fki H, Mefteh S, et al (2008) Knee osteoarthritis in 50 former top-level footballers: a comparative (control group) study. Ann Readapt Med Phys 51: 174–8

    CAS  PubMed  Google Scholar 

  • Larsen E, Jensen PK, Jensen PR (1999) Long term outcome of knee and ankle injuries in elite football. Scand J Med Sci Sports 9: 285–9

    CAS  PubMed  Google Scholar 

  • Hawkins RD, Fuller CW (1999) A prospective epidemiological study of injuries in four English professional football clubs. Br J Sports Med 33: 196–203

    Article  CAS  PubMed  Google Scholar 

  • Lane NE, Kremer LB (1995) Radiographic indices for osteoarthritis. Rheum Dis Clin North Am 21: 379–94

    CAS  PubMed  Google Scholar 

  • Balint G, Szebenyi B (1996) Diagnosis of osteoarthritis: guidelines and current pitfalls. Drugs 52[Suppl 3]: 1–13

    Article  PubMed  Google Scholar 

  • Sun Y, Günther P, Brenner H (1997) Reliability of radiographic grading of osteoarthritis of the hip and knee. Scand J Rheumatol 26: 155–65

    Article  CAS  PubMed  Google Scholar 

  • Felson DT, Naimark A, Anderson JJ, Kazis L, Castelli W, Meenan RF (1987) The prevalence of knee osteoarthritis in the elderly: the Framingham osteoarthritis study. Arthritis Rheum 30: 914–8

    Article  CAS  PubMed  Google Scholar 

  • Chantraine A (1985) Knee joint in soccer players: osteoarthritis and axis deviation. Med Sci Sports Ex 17: 434–9

    Article  CAS  Google Scholar 

  • Roos EM (2005) Joint injury causes knee osteoarthritis in young adults. Curr Opin Rheumatol 17: 195–200

    Article  PubMed  Google Scholar 

  • Meredith DS, Losina E, Mahomed NN, Wright J, Katz JN (2005) Factors predicting functional and radiographic outcomes after arthroscopic partial meniscectomy: a review of literature. Arthroscopy 21: 211–23

    PubMed  Google Scholar 

  • Wong P, Hong Y (2005) Soccer injury in the lower extremities. Br J Sports Med 39: 473–82

    Article  CAS  PubMed  Google Scholar 

  • Fried T, Lloyd GJ (1992) An overview of common soccer injuries. Sports Med 14: 269–75

    Article  CAS  PubMed  Google Scholar 

  • Unger F (2008) Health is wealth – toward a European lead market in health care. Acta Medico-Biotechnica 1: 11–8

    Google Scholar 

Download references

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Correspondence to Zmago Krajnc.

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Krajnc, Z., Vogrin, M., Rečnik, G. et al. Increased risk of knee injuries and osteoarthritis in the non-dominant leg of former professional football players. Wien Klin Wochenschr 122 (Suppl 2), 40–43 (2010). https://doi.org/10.1007/s00508-010-1341-1

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