Prevention and management of knee osteoarthritis and knee cartilage injury in sports

Autor: Hideki Takeda, Takumi Nakagawa, Lars Engebretsen, Kozo Nakamura
Rok vydání: 2011
Předmět:
Cartilage
Articular

musculoskeletal diseases
medicine.medical_specialty
Anterior cruciate ligament
Population
physical activity
Physical Therapy
Sports Therapy and Rehabilitation

Knee Injuries
Osteoarthritis
chondral defects
Meniscus (anatomy)
Mesenchymal Stem Cell Transplantation
3-year follow-up
soccer players
Chondrocytes
Risk Factors
medicine
Humans
articular cartilage
Orthopedics and Sports Medicine
Autologous chondrocyte implantation
education
long-term
education.field_of_study
business.industry
Anterior Cruciate Ligament Injuries
anterior cruciate ligament
Muscle weakness
General Medicine
Osteoarthritis
Knee

musculoskeletal system
medicine.disease
medicine.anatomical_structure
Joint pain
Athletic Injuries
arthroscopic partial meniscectomy
Physical therapy
tibial plateau fractures
medicine.symptom
autologous chondrocyte implantation
Range of motion
business
human activities
Zdroj: British Journal of Sports Medicine. 45:304-309
ISSN: 0306-3674
Popis: Articular cartilage defects in the knee of young or active individuals remain a problem in orthopaedic practice. These defects have limited ability to heal and may progress to osteoarthritis. The prevalence of knee osteoarthritis among athletes is higher than in the non-athletic population. The clinical symptoms of osteoarthritis are joint pain, limitation of range of motion and joint stiffness. The diagnosis of osteoarthritis is confirmed by the symptoms and the radiological findings (narrowing joint space, osteophyte formation and subchondral sclerosis). There is no strong correlation between symptoms and radiographic findings. The aetiology of knee osteoarthritis is multifactorial. Excessive musculoskeletal loading (at work or in sports), high body mass index, previous knee injury, female gender and muscle weakness are well-known risk factors. The high-level athlete with a major knee injury has a high incidence of knee osteoarthritis. Cartilage injuries are frequently observed in young and middle-aged active athletes. Often this injury precedes osteoarthritis. Reducing risk factors can decrease the prevalence of knee osteoarthritis. The prevention of knee injury, especially anterior cruciate ligament and meniscus injury in sports, is important to avoid progression of knee osteoarthritis.
Databáze: OpenAIRE