Prevention and management of knee osteoarthritis and knee cartilage injury in sports
Autor: | Hideki Takeda, Takumi Nakagawa, Lars Engebretsen, Kozo Nakamura |
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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 |
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