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

Volume: 10

Issue: 6

Year of Publication: 2021

Affiliated Institutions:  Orthopaedic Surgery, Amsterdam UMC - Locatie AMC, Amsterdam, North Holland, The Netherlands l.d.paget@amsterdamumc.nl. St Marianna University School of Medicine, Kawasaki, Japan. Rugby Football Union, Twickenham, UK. Division of Exercise Science and Sports Medicine (ESSM), University of Cape Town, Cape Town, Western Cape, South Africa. Orthopaedic Surgery, Amsterdam UMC - Locatie AMC, Amsterdam, North Holland, The Netherlands. Academic Center for Evidence-based Sports Medicine (ACES), Amsterdam, The Netherlands.

Abstract summary 

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.

Authors & Co-authors:  Paget Liam D A LDA Aoki Haruhito H Kemp Simon S Lambert Mike M Readhead Clint C Stokes Keith A KA Viljoen Wayne W Reurink Gustaaf G Tol Johannes L JL Kerkhoffs Gino M M J GMMJ Gouttebarge Vincent V

Study Outcome 

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Statistics
Citations :  Sankey RA, Brooks JHM, Kemp SPT, et al. . The epidemiology of ankle injuries in professional rugby union players. Am J Sports Med 2008;36:2415–24. 10.1177/0363546508322889
Authors :  11
Identifiers
Doi : e036775
SSN : 2044-6055
Study Population
Male
Mesh Terms
Adult
Other Terms
epidemiology;foot & ankle;orthopaedic & trauma surgery;orthopaedic sports trauma;sports medicine
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
England