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Titre : | Osgood-Schlatter Disease in youth elite football: Minimal time-loss and no association with clinical and ultrasonographic factors (2022) |
Auteurs : | Mohamed Schultz ; Johannes L. Tol ; Linda Veltman ; Lisanne Kaaden van der ; Gustaaf Reurink |
Type de document : | Article |
Dans : | Physical therapy in sport (Vol. 55, May 2022) |
Article en page(s) : | p. 98-105 |
Note générale : | https://doi.org/10.1016/j.ptsp.2022.02.024 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Athlètes ; Football américain ; Jeune adulte (19-24 ans) ; Ostéochondrose ; Ultrason |
Résumé : |
Background
Osgood-Schlatter Disease is the most common cause of knee pain in youth. Scientific research in youth elite football is limited. Objectives To assess clinical and ultrasonographic factors associated with Osgood-Schlatter Disease and calculate point prevalence of clinical diagnosis and time-loss in youth elite male football. Study design Nested case-control study and cross-sectional prevalence study; Level of evidence: 3. Methods We obtained data during the pre-season periodic health evaluation. Osgood-Schlatter Disease diagnosis was defined as (1) athlete-reported anterior knee pain and (2) clinical confirmation by pain provocation at the tibial tuberosity. Time-loss was defined as inability to participate in team training and/or competition. For the nested-case control study, we examined clinical and ultrasonographic factors in the U13 to U16 teams. We matched on calendar-age. The clinical factors were: self-reported history of Sever's disease, growth measures, leg muscles flexibility and strength and ultrasonographic bone maturity stages according to Ehrenborg, For the cross-sectional study, we included players of the U13 to U19 teams to calculate the point prevalence. Results The case-control study consisted 30 players and the cross-sectional study 127 players. Previous Sever's disease was strongly associated with Osgood-Schlatter Disease (OR = 16.8; p = 0.02; 95% CI = 1.6174.5). None of the other clinical or ultrasonographic factors were associated. The point prevalence was 17% and 80% had no time-loss despite presence of clinical symptoms. Conclusion Considering the 16.8OR, previous Sever's disease indicates a strong association with Osgood-Schlatter Disease. Although generally suggested, growth velocity and bone maturity are not associated in an age-matched comparison. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1466853X22000402#! |