Using Cartilage MRI T2-Mapping to Analyze Early Cartilage Degeneration in the Knee Joint of Young Professional Soccer Players

Objective To evaluate and characterize the appearance of articular cartilage in the tibiofemoral joint of young professional soccer players using T2-relaxation time evaluation on magnetic resonance imaging (MRI). Design In this study, we included 57 male adolescents from the youth academy of a profe...

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Veröffentlicht in:Cartilage 2019-07, Vol.10 (3), p.288-298
Hauptverfasser: Waldenmeier, Leonie, Evers, Christoph, Uder, Michael, Janka, Rolf, Hennig, Frank Friedrich, Pachowsky, Milena L., Welsch, Götz Hannes
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container_end_page 298
container_issue 3
container_start_page 288
container_title Cartilage
container_volume 10
creator Waldenmeier, Leonie
Evers, Christoph
Uder, Michael
Janka, Rolf
Hennig, Frank Friedrich
Pachowsky, Milena L.
Welsch, Götz Hannes
description Objective To evaluate and characterize the appearance of articular cartilage in the tibiofemoral joint of young professional soccer players using T2-relaxation time evaluation on magnetic resonance imaging (MRI). Design In this study, we included 57 male adolescents from the youth academy of a professional soccer team. The MRI scans were acquired of the knee joint of the supporting leg. An “early unloading” (minute 0) and “late unloading” (minute 28) T2-sequence was included in the set of images. Quantitative T2-analysis was performed in the femorotibial joint cartilage in 4 slices with each 10 regions of interest (ROIs). Statistical evaluation, using Wilcoxon signed-rank tests, was primarily performed to compare the T2 values of the “early unloading” and “late unloading.” Results When comparing “early unloading” with “late unloading,” our findings showed a significant increase of T2-relaxation times in the weightbearing femoral cartilage of the medial (P < 0.001) and lateral (P < 0.001) compartment of the knee and in the tibial cartilage of the medial compartment (P < 0.001). Conclusion In this study, alterations of the cartilage were found with a maximum in the medial condyle where the biomechanical load of the knee joint is highest, as well as where most of the chronic cartilage lesions occur. To avoid chronic damage, special focus should be laid on this region.
doi_str_mv 10.1177/1947603518756986
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Design In this study, we included 57 male adolescents from the youth academy of a professional soccer team. The MRI scans were acquired of the knee joint of the supporting leg. An “early unloading” (minute 0) and “late unloading” (minute 28) T2-sequence was included in the set of images. Quantitative T2-analysis was performed in the femorotibial joint cartilage in 4 slices with each 10 regions of interest (ROIs). Statistical evaluation, using Wilcoxon signed-rank tests, was primarily performed to compare the T2 values of the “early unloading” and “late unloading.” Results When comparing “early unloading” with “late unloading,” our findings showed a significant increase of T2-relaxation times in the weightbearing femoral cartilage of the medial (P &lt; 0.001) and lateral (P &lt; 0.001) compartment of the knee and in the tibial cartilage of the medial compartment (P &lt; 0.001). Conclusion In this study, alterations of the cartilage were found with a maximum in the medial condyle where the biomechanical load of the knee joint is highest, as well as where most of the chronic cartilage lesions occur. To avoid chronic damage, special focus should be laid on this region.</description><identifier>ISSN: 1947-6035</identifier><identifier>EISSN: 1947-6043</identifier><identifier>DOI: 10.1177/1947603518756986</identifier><identifier>PMID: 29448816</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adolescent ; Athletic Injuries - diagnostic imaging ; Athletic Injuries - epidemiology ; Athletic Injuries - pathology ; Biomechanical Phenomena - physiology ; Cartilage Diseases - diagnostic imaging ; Cartilage Diseases - epidemiology ; Cartilage Diseases - pathology ; Cartilage, Articular - diagnostic imaging ; Cartilage, Articular - pathology ; Early Diagnosis ; Femur - pathology ; Humans ; Image Processing, Computer-Assisted - methods ; Imaging ; Knee Joint - diagnostic imaging ; Magnetic Resonance Imaging - instrumentation ; Magnetic Resonance Imaging - methods ; Male ; Prevalence ; Prospective Studies ; Soccer - statistics &amp; numerical data ; Tibia - pathology ; Weight-Bearing ; Young Adult</subject><ispartof>Cartilage, 2019-07, Vol.10 (3), p.288-298</ispartof><rights>The Author(s) 2018</rights><rights>The Author(s) 2018 2018 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c500t-1a5283a60eb6b32f90b88138fcb0e84d7ed2c3074497753943788fa1f11353043</citedby><cites>FETCH-LOGICAL-c500t-1a5283a60eb6b32f90b88138fcb0e84d7ed2c3074497753943788fa1f11353043</cites><orcidid>0000-0002-7115-474X ; 0000-0003-3140-3980</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6585295/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6585295/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,21945,27830,27901,27902,44921,45309,53766,53768</link.rule.ids><linktorsrc>$$Uhttps://journals.sagepub.com/doi/full/10.1177/1947603518756986?utm_source=summon&amp;utm_medium=discovery-provider$$EView_record_in_SAGE_Publications$$FView_record_in_$$GSAGE_Publications</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29448816$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Waldenmeier, Leonie</creatorcontrib><creatorcontrib>Evers, Christoph</creatorcontrib><creatorcontrib>Uder, Michael</creatorcontrib><creatorcontrib>Janka, Rolf</creatorcontrib><creatorcontrib>Hennig, Frank Friedrich</creatorcontrib><creatorcontrib>Pachowsky, Milena L.</creatorcontrib><creatorcontrib>Welsch, Götz Hannes</creatorcontrib><title>Using Cartilage MRI T2-Mapping to Analyze Early Cartilage Degeneration in the Knee Joint of Young Professional Soccer Players</title><title>Cartilage</title><addtitle>Cartilage</addtitle><description>Objective To evaluate and characterize the appearance of articular cartilage in the tibiofemoral joint of young professional soccer players using T2-relaxation time evaluation on magnetic resonance imaging (MRI). Design In this study, we included 57 male adolescents from the youth academy of a professional soccer team. The MRI scans were acquired of the knee joint of the supporting leg. An “early unloading” (minute 0) and “late unloading” (minute 28) T2-sequence was included in the set of images. Quantitative T2-analysis was performed in the femorotibial joint cartilage in 4 slices with each 10 regions of interest (ROIs). Statistical evaluation, using Wilcoxon signed-rank tests, was primarily performed to compare the T2 values of the “early unloading” and “late unloading.” Results When comparing “early unloading” with “late unloading,” our findings showed a significant increase of T2-relaxation times in the weightbearing femoral cartilage of the medial (P &lt; 0.001) and lateral (P &lt; 0.001) compartment of the knee and in the tibial cartilage of the medial compartment (P &lt; 0.001). Conclusion In this study, alterations of the cartilage were found with a maximum in the medial condyle where the biomechanical load of the knee joint is highest, as well as where most of the chronic cartilage lesions occur. 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numerical data</topic><topic>Tibia - pathology</topic><topic>Weight-Bearing</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Waldenmeier, Leonie</creatorcontrib><creatorcontrib>Evers, Christoph</creatorcontrib><creatorcontrib>Uder, Michael</creatorcontrib><creatorcontrib>Janka, Rolf</creatorcontrib><creatorcontrib>Hennig, Frank Friedrich</creatorcontrib><creatorcontrib>Pachowsky, Milena L.</creatorcontrib><creatorcontrib>Welsch, Götz Hannes</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cartilage</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Waldenmeier, Leonie</au><au>Evers, Christoph</au><au>Uder, Michael</au><au>Janka, Rolf</au><au>Hennig, Frank Friedrich</au><au>Pachowsky, Milena L.</au><au>Welsch, Götz Hannes</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Using Cartilage MRI T2-Mapping to Analyze Early Cartilage Degeneration in the Knee Joint of Young Professional Soccer Players</atitle><jtitle>Cartilage</jtitle><addtitle>Cartilage</addtitle><date>2019-07-01</date><risdate>2019</risdate><volume>10</volume><issue>3</issue><spage>288</spage><epage>298</epage><pages>288-298</pages><issn>1947-6035</issn><eissn>1947-6043</eissn><abstract>Objective To evaluate and characterize the appearance of articular cartilage in the tibiofemoral joint of young professional soccer players using T2-relaxation time evaluation on magnetic resonance imaging (MRI). Design In this study, we included 57 male adolescents from the youth academy of a professional soccer team. The MRI scans were acquired of the knee joint of the supporting leg. An “early unloading” (minute 0) and “late unloading” (minute 28) T2-sequence was included in the set of images. Quantitative T2-analysis was performed in the femorotibial joint cartilage in 4 slices with each 10 regions of interest (ROIs). Statistical evaluation, using Wilcoxon signed-rank tests, was primarily performed to compare the T2 values of the “early unloading” and “late unloading.” Results When comparing “early unloading” with “late unloading,” our findings showed a significant increase of T2-relaxation times in the weightbearing femoral cartilage of the medial (P &lt; 0.001) and lateral (P &lt; 0.001) compartment of the knee and in the tibial cartilage of the medial compartment (P &lt; 0.001). Conclusion In this study, alterations of the cartilage were found with a maximum in the medial condyle where the biomechanical load of the knee joint is highest, as well as where most of the chronic cartilage lesions occur. To avoid chronic damage, special focus should be laid on this region.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>29448816</pmid><doi>10.1177/1947603518756986</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-7115-474X</orcidid><orcidid>https://orcid.org/0000-0003-3140-3980</orcidid><oa>free_for_read</oa></addata></record>
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source Sage Journals GOLD Open Access 2024
subjects Adolescent
Athletic Injuries - diagnostic imaging
Athletic Injuries - epidemiology
Athletic Injuries - pathology
Biomechanical Phenomena - physiology
Cartilage Diseases - diagnostic imaging
Cartilage Diseases - epidemiology
Cartilage Diseases - pathology
Cartilage, Articular - diagnostic imaging
Cartilage, Articular - pathology
Early Diagnosis
Femur - pathology
Humans
Image Processing, Computer-Assisted - methods
Imaging
Knee Joint - diagnostic imaging
Magnetic Resonance Imaging - instrumentation
Magnetic Resonance Imaging - methods
Male
Prevalence
Prospective Studies
Soccer - statistics & numerical data
Tibia - pathology
Weight-Bearing
Young Adult
title Using Cartilage MRI T2-Mapping to Analyze Early Cartilage Degeneration in the Knee Joint of Young Professional Soccer Players
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