Prevalence of knee pain, radiographic osteoarthritis and arthroplasty in retired professional footballers compared with men in the general population: a cross-sectional study

British Journal of Sports Medicine
Gwen Sascha FernandesMichael Doherty

Abstract

To determine the prevalence of knee pain, radiographic knee osteoarthritis (RKOA), total knee replacement (TKR) and associated risk factors in male ex-professional footballers compared with men in the general population (comparison group). 1207 male ex-footballers and 4085 men in the general population in the UK were assessed by postal questionnaire. Current knee pain was defined as pain in or around the knees on most days of the previous month. Presence and severity of RKOA were assessed on standardised radiographs using the Nottingham Line Drawing Atlas (NLDA) in a subsample of 470 ex-footballers and 491 men in the comparison group. The adjusted risk ratio (aRR) and adjusted risk difference (aRD) with 95% CI in ex-footballers compared with the general population were calculated using the marginal model in Stata. Ex-footballers were more likely than the comparison group to have current knee pain (aRR 1.91, 95% CI 1.77 to 2.06), RKOA (aRR 2.21, 95% CI 1.92 to 2.54) and TKR (aRR 3.61, 95% CI 2.90 to 4.50). Ex-footballers were also more likely to present with chondrocalcinosis (aRR 3.41, 95% CI 2.44 to 4.77). Prevalence of knee pain and RKOA were higher in ex-footballers at all ages. However, even after adjustment for significant...Continue Reading

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Citations

Mar 13, 2018·The Physician and Sportsmedicine·Vincent GouttebargeGino M M J Kerkhoffs
Jul 4, 2018·International Journal of Rheumatic Diseases·Nam H ChoJae-Bum Jun
Sep 10, 2019·The American Journal of Sports Medicine·Madeleine A M DaviesBrian Pietrosimone
Feb 14, 2020·British Journal of Sports Medicine·Ahmad KhosraviMohammad Ali Mansournia
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Jul 5, 2018·JAMA : the Journal of the American Medical Association·Gwen Sascha FernandesWeiya Zhang
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Jan 14, 2021·Deutsches Ärzteblatt International·Alice FreibergAndreas Seidler
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Aug 10, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Matthias KochWerner Krutsch

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Methods Mentioned

BETA
imaging techniques

Software Mentioned

Stata IC
HIPAX Dicom
NLDA
Power Precision
Stata
Windows

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