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Abstract
OBJECTIVE Focal cartilage injuries, and posttraumatic osteoarthritis (OA) in the wrist are likely common and a cause of wrist pain. To estimate the incidence of cartilage lesions and to understand the pathomechanisms leading to wrist cartilage injuries and OA, a literature review on the subject was performed combined with a presentation of one of the authors' own experience. DESIGN This study includes a literature review of the topic. As a comparison to the review findings, the observations of one of the authors' consecutive 48 wrist arthroscopies, were assessed. PubMed, Scholar, and Cochrane databases were searched using the keywords "cartilage injury AND wrist AND treatment" and "wrist AND cartilage AND chondral AND osteochondral AND degenerative OA." :RESULT A total of 11 articles, including 9 concerning chondral and osteochondral repair and treatment and 2 regarding posttraumatic OA, were retrieved. The cartilage repair treatments used in these articles were drilling, osteochondral autograft, juvenile articular cartilage allograft, and chondrocyte implantation. One article displayed concomitant cartilage injuries in displaced distal radius fractures in 32% of the patients. The review of our findings from a 1-year cohort of wrist arthroscopies showed 17% cartilage injuries. CONCLUSION There is a lack of knowledge in current literature on cartilage injuries and treatment, as well as posttraumatic OA in the wrist. Cartilage injuries appear to be common, being found in 17% to 32% of all wrist arthroscopies after trauma, but no guidelines regarding conservative or surgical treatment can be recommended at the moment. Larger prospective comparative studies are needed.
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Affiliation(s)
- Jonny K. Andersson
- Department of Surgery, Aspetar
Orthopaedic and Sports Medicine Hospital, Doha, Qatar,Department of Orthopaedics, Institute
of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Göteborg,
Sweden,Jonny K. Andersson, Aspetar Orthopaedic and
Sports Medicine Hospital, Sports City Street, Inside Aspire Zone, Al Buwairda
St, Doha, Qatar.
| | - Elisabet Hagert
- Arcademy, H.M. Queen Sophia Hospital,
Stockholm, Sweden,Department of Clinical Science and
Education, Karolinska Institutet, Stockholm, Sweden,Department of Health Promotion Science,
Musculoskeletal and Sports Injury Epidemiology Center, Sophiahemmet University,
Stockholm, Sweden
| | - Mats Brittberg
- Cartilage Research Unit, Region Halland
Orthopaedics, Kungsbacka Hospital, University of Gothenburg, Kungsbacka,
Sweden
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Chechik Y, Beit Ner E, Lysyy O, Tal S, Stern N, Agar G, Beer Y, Ben-Eliezer N, Lindner D. Post-Run T 2 Mapping Changes in Knees of Adolescent Basketball Players. Cartilage 2021; 13:707S-717S. [PMID: 34128410 PMCID: PMC8808782 DOI: 10.1177/19476035211021891] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE While articular cartilage defects are common incidental findings among adult athletes, the effect of running on the cartilage of adolescent athletes have rarely been assessed. This study aims to assess the variations in the articular cartilage of the knees in healthy adolescent basketball players using quantitative T2 MRI (magnetic resonance imaging). DESIGN Fifteen adolescent basketball players were recruited (13.8 ± 0.5 years old). Girls were excluded to avoid potential gender-related confounding effects. Players underwent a pre-run MRI scan of both knees. All participants performed a 30-minute run on a treadmill. Within 15 minutes after completion of their run, players underwent a second, post-run MRI scan. Quantitative T2 maps were generated using the echo modulation curve (EMC) algorithm. Pre-run scans and post-run scans were compared using paired t test. RESULTS Participants finished their 30-minute run with a mean running distance of 5.77 ± 0.42 km. Pre-run scans analysis found statistically significant (P < 0.05) changes in 3 regions of the knee lateral compartment representing the cartilaginous tissue. No differences were found in the knee medial compartment. Post-run analysis showed lower T2 values in the medial compartment compared to the pre-run scans in several weight-bearing regions: femoral condyle central (pre/post mean values of 33.9/32.2 ms, P = 0.020); femoral condyle posterior (38.1/36.8 ms, P = 0.038); and tibial plateau posterior (34.1/31.0 ms, P < 0.001). The lateral regions did not show any significant changes. CONCLUSIONS Running leads to microstructural changes in the articular cartilage in several weight-bearing areas of the medial compartment, both in the femoral and the tibial cartilage.
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Affiliation(s)
- Yigal Chechik
- Department of Orthopedic Surgery,
Yitzhak Shamir Medical Center, Zerifin, Israel, affiliated to the Sackler Faculty of
Medicine, Tel Aviv University, Tel Aviv, Israel,Yigal Chechik, Department of Orthopedic
Surgery, Yitzhak Shamir Medical Center, Zerifin 70300, Israel.
| | - Eran Beit Ner
- Department of Orthopedic Surgery,
Yitzhak Shamir Medical Center, Zerifin, Israel, affiliated to the Sackler Faculty of
Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Oleg Lysyy
- Department of Imaging, Yitzhak Shamir
Medical Center, Zerifin, Israel, affiliated to the Sackler Faculty of Medicine,
Tel-Aviv University, Tel Aviv, Israel
| | - Sigal Tal
- Department of Imaging, Yitzhak Shamir
Medical Center, Zerifin, Israel, affiliated to the Sackler Faculty of Medicine,
Tel-Aviv University, Tel Aviv, Israel
| | - Neta Stern
- Department of Biomedical Engineering,
Tel Aviv University, Tel Aviv, Israel
| | - Gabriel Agar
- Department of Orthopedic Surgery,
Yitzhak Shamir Medical Center, Zerifin, Israel, affiliated to the Sackler Faculty of
Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Yiftach Beer
- Department of Orthopedic Surgery,
Yitzhak Shamir Medical Center, Zerifin, Israel, affiliated to the Sackler Faculty of
Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Noam Ben-Eliezer
- Department of Biomedical Engineering,
Tel Aviv University, Tel Aviv, Israel,Sagol School of Neuroscience, Tel Aviv
University, Tel Aviv, Israel,Center for Advanced Imaging Innovation
and Research (CAI2R), New-York University Langone Medical Center, New York, NY,
USA
| | - Dror Lindner
- Department of Orthopedic Surgery,
Yitzhak Shamir Medical Center, Zerifin, Israel, affiliated to the Sackler Faculty of
Medicine, Tel Aviv University, Tel Aviv, Israel
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