Abstract：
OBJECTIVE: To evaluate the relationship between football (soccer) participation and tibiofemoral knee osteoarthritis (OA), considering the influence of competitive level and previous knee injuries. DESIGN: Etiology systematic review with meta-analysis. LITERATURE SEARCH: PubMed, Embase, AMED, and Cochrane were searched for relevant publications. STUDY SELECTION CRITERIA: Studies of football players that included a control group consisting of mainly sedentary nonfootball players, and the relationship of knee OA, were considered. The studies had to report radiographically verified knee OA and specify football activity. DATA SYNTHESIS: Eleven studies, involving 1805 football players and 4022 control individuals were included. Subgroups consisting of data regarding level of play and previous injuries were also synthesized. RESULTS: The overall prevalence of knee OA among football players was increased among professional and recreational players, compared with controls. When knee injuries were excluded, there was no difference in knee OA between football players and controls (OR = 1.25; 95% CI: 0.61, 2.54). Football players with a previous knee injury had a greater risk of knee OA when compared with football players with no history of previous knee injury (OR = 4.16; 95% CI: 1.97, 8.77). CONCLUSION: Football players were at increased risk of knee OA. However, after excluding participants with a history of previous knee injury, there were no differences in knee OA between football players and controls. Previous knee injury was important for developing knee OA. Playing football, in the absence of major knee injuries, did not increase the risk of knee OA. J Orthop Sports Phys Ther 2024;54(5):1-12. Epub 26 February 2024. doi:10.2519/jospt.2024.12029.
摘要：
目的：评估足球（足球）参与与胫骨股膝关节骨关节炎（OA）之间的关系，考虑到竞技水平和以前膝盖受伤的影响。设计：病因学系统评价和荟萃分析。文学搜索:PubMed,Embase,搜索了AMED和Cochrane的相关出版物。研究选择标准：对足球运动员的研究，包括一个主要由久坐的非足球运动员组成的对照组，和膝关节OA的关系，被考虑。研究必须报告影像学证实的膝关节OA并指定足球活动。数据综合：11项研究，涉及1,805名足球运动员和4,022名对照个人。还合成了由有关比赛水平和先前受伤的数据组成的亚组。结果：足球运动员膝关节OA的总体患病率在职业和休闲运动员中增加，与对照组相比。当膝盖受伤被排除在外时，足球运动员和对照组的膝关节OA无差异(OR1.25;[95%CI0.61-2.54]).与没有膝关节损伤史的足球运动员相比，曾有膝关节损伤的足球运动员患膝关节OA的风险更大(OR4.16;[95%CI1.97-8.77])。结论：足球运动员患膝关节OA的风险增加。然而,排除既往有膝关节损伤史的参与者后，足球运动员和对照组之间的膝关节OA没有差异。先前的膝关节损伤对于发展膝关节OA很重要。踢足球,在没有严重膝盖受伤的情况下，没有增加膝关节OA的风险。
