Ankle osteoarthritis and its association with severe ankle injuries, ankle surgeries and health-related quality of life in recently retired professional male football and rugby players: a cross-sectional observational study.


Journal

BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874

Informations de publication

Date de publication:
21 06 2020
Historique:
entrez: 23 6 2020
pubmed: 23 6 2020
medline: 16 2 2021
Statut: epublish

Résumé

To determine (1) the prevalence of ankle osteoarthritis (OA) among former professional football and rugby players, (2) assess the association between ankle injuries or ankle surgeries with ankle OA, and (3) compare the mental and physical quality of life (QoL) between former professional football and rugby players with and without OA. We conducted a questionnaire-based observational study with a cross-sectional design. Former professional football and rugby players were recruited by the Football Players Worldwide and the International Rugby Players. Information concerning ankle OA, sustained ankle injuries and ankle surgeries was gathered (medical record or most recent medical professional). Health-related QoL was assessed using the Patient-Reported Outcomes Measurement Information System (PROMIS) physical and mental health scores. Overall, 553 former professional football (n=401) and rugby (n=152) players were enrolled in the study (response rate of 56%). Ankle OA prevalence among former professional football and rugby players was 9.2% and 4.6%, respectively. Football players were more likely to suffer from ankle OA following every ankle injury and/or surgery. Football and rugby players with ankle OA had similar PROMIS physical and mental health scores to the norm for the general population. Former professional football and rugby players had higher ankle OA prevalence than the general population (3.4%). Football players are more likely to suffer from ankle OA following every ankle injury and/or surgery. No clinically relevant difference was seen for physical or mental health-related QoL among football and rugby players. Preventive measures for ankle injuries are recommended.

Identifiants

pubmed: 32565473
pii: bmjopen-2020-036775
doi: 10.1136/bmjopen-2020-036775
pmc: PMC7310999
doi:

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

e036775

Informations de copyright

© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Liam D A Paget (LDA)

Orthopaedic Surgery, Amsterdam UMC - Locatie AMC, Amsterdam, North Holland, The Netherlands l.d.paget@amsterdamumc.nl.
Academic Center for Evidence-based Sports Medicine (ACES), Amsterdam, The Netherlands.
Amsterdam Collaboration for Health and Safety in Sports, AMC/VUMC IOC Research Center (ACHSS), Amsterdam, The Netherlands.

Haruhito Aoki (H)

St Marianna University School of Medicine, Kawasaki, Japan.
Yokohama City Sports Medical Center, Yokohama, Japan.

Simon Kemp (S)

Rugby Football Union, Twickenham, UK.

Mike Lambert (M)

Division of Exercise Science and Sports Medicine (ESSM), University of Cape Town, Cape Town, Western Cape, South Africa.

Clint Readhead (C)

Division of Exercise Science and Sports Medicine (ESSM), University of Cape Town, Cape Town, Western Cape, South Africa.
South African Rugby Union (SARU), Cape Town, Western Cape, South Africa.

Keith A Stokes (KA)

Rugby Football Union, Twickenham, UK.
Department for Health, University of Bath, Bath, United Kingdom.
Centre for Sport, Exercise and Osteoarthritis Research versus Arthritis, Nottingham, United Kingdom.

Wayne Viljoen (W)

Division of Exercise Science and Sports Medicine (ESSM), University of Cape Town, Cape Town, Western Cape, South Africa.
South African Rugby Union (SARU), Cape Town, Western Cape, South Africa.

Gustaaf Reurink (G)

Orthopaedic Surgery, Amsterdam UMC - Locatie AMC, Amsterdam, North Holland, The Netherlands.
Academic Center for Evidence-based Sports Medicine (ACES), Amsterdam, The Netherlands.
Amsterdam Collaboration for Health and Safety in Sports, AMC/VUMC IOC Research Center (ACHSS), Amsterdam, The Netherlands.
Sports Medicine, The Sport Physician Group, OLVG, Amsterdam, The Netherlands.

Johannes L Tol (JL)

Academic Center for Evidence-based Sports Medicine (ACES), Amsterdam, The Netherlands.
Amsterdam Collaboration for Health and Safety in Sports, AMC/VUMC IOC Research Center (ACHSS), Amsterdam, The Netherlands.
Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Ad Dawhah, Qatar.

Gino M M J Kerkhoffs (GMMJ)

Orthopaedic Surgery, Amsterdam UMC - Locatie AMC, Amsterdam, North Holland, The Netherlands.
Academic Center for Evidence-based Sports Medicine (ACES), Amsterdam, The Netherlands.
Amsterdam Collaboration for Health and Safety in Sports, AMC/VUMC IOC Research Center (ACHSS), Amsterdam, The Netherlands.

Vincent Gouttebarge (V)

Orthopaedic Surgery, Amsterdam UMC - Locatie AMC, Amsterdam, North Holland, The Netherlands.
Academic Center for Evidence-based Sports Medicine (ACES), Amsterdam, The Netherlands.
Amsterdam Collaboration for Health and Safety in Sports, AMC/VUMC IOC Research Center (ACHSS), Amsterdam, The Netherlands.
St Marianna University School of Medicine, Kawasaki, Japan.
Football Players Worldwide (FIFPRO), Hoofddorp, The Netherlands.

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