2021, Number 1
<< Back Next >>
Ortho-tips 2021; 17 (1)
Surgical and non-surgical management of osteoarthritis in the athlete. A systematic review of recent studies
Villalobos CFE, Cruz LF, Meraz LG, Díaz LME, Rangel GF, Martínez HJL, Alfaro BS, Calzada CCA, Ferniza GJJ, Navarrete SCA, Romo RJ
Language: Spanish
References: 75
Page: 32-42
PDF size: 200.78 Kb.
ABSTRACT
Introduction: Chondral lesions are common findings in arthroscopic surgery, and can progress to early osteoarthritis in sports patients, causing functional limitation in the economically active population. The aim of this study was to carry out a systematic review and qualitative analysis of possible therapies for young patients and athletes with osteoarthritis.
Methods: A systematic review was carried out in the Medline, PubMed and Cochrane databases, with search terms divided into subgroups for osteoarthritis of the knee, shoulder, ankle, pharmacological treatment and physical rehabilitation; with a search filter to studies with the most clinical evidence published in the last 5 years.
Results: A total of 1,078 records were obtained, discarding 821 when reviewing the abstracts, with 257 full-text articles reviewed and 69 selected for qualitative analysis.
Conclusions: In sports patients who suffer joint injuries, there are several treatment options so that they can resume their sports practice or at least reduce their progression to osteoarthritis, however, some treatments still do not have clinical evidence support to recommend them.
REFERENCES
Villalobos FEJ, Izaguirre A, Almazán A, Cruz F, Pérez-Jímenez FX, Ibarra JC. Articular cartilage injuries in 1,309 knee arthroscopies, a public health problem in a developing country? Osteoarthritis and Cartilage. 2007; 15 (Suppl. 2): B102.
Aroen A, Løken S, Heir S, Alvik E, Ekeland A, Granlund OG, Engebretsen L. Articular cartilage lesions in 993 consecutive knee arthroscopies - Am J Sports Med. 2004; 32 (1): 211-215.
Hjelle K, Solheim E, Strand T, Muri R, Brittberg M. Articular cartilage defects in 1,000 knee arthroscopies. Arthroscopy. 2002; 18 (7): 730-734.
Kramer W, Hendricks KK, Wang J. Pathogenetic mechanisms of posttraumatic osteoarthritis: opportunities for early intervention. Int J Clin Exp Med. 2011; 4 (4): 285-298.
Linden B. Osteochondritis dissecans of the femoral condyles: a long-term follow-up study. JBJS. 1977; 59 (6): 769-776.
Peña AA, Fernández-López JC. Prevalence and risk factors in osteoarthritis. Reumatol Clin. 2007; 3 (Suppl 3): S6-S12.
Shekelle PG, Woolf SH, Eccles M, Grimshaw J. Clinical guidelines: developing guidelines. BMJ. 1999; 318 (7183): 593-596.
Ajuied A, Wong F, Smith C, Norris M, Earnshaw P, Back D, Davies A. Anterior cruciate ligament injury and radiologic progression of knee osteoarthritis: a systematic review and meta-analysis. Am J Sports Med. 2014; 42 (9): 2242-2252.
Van Ginckel A, Verdonk P, Witvrouw E. Cartilage adaptation after anterior cruciate ligament injury and reconstruction: implications for clinical management and research? A systematic review of longitudinal MRI studies. Osteoarthritis Cartilage. 2013; 21 (8): 1009-1024.
Tsoukas D, Fotopoulos V, Basdekis G, Makridis KG. No difference in osteoarthritis after surgical and non-surgical treatment of ACL-injured knees after 10 years. Knee Surg Sports Traumatol Arthrosc. 2016; 24 (9): 2953-2959.
Gomoll AH, Gillogly SD, Cole BJ, Farr J, Arnold R, Hussey K, et al. Autologous chondrocyte implantation in the patella: a multicenter experience. Am J Sports Med. 2014; 42 (5): 1074-1081.
Monk P, Garfjeld RP, Palmer AJ, Bayliss L, Mafi R, Beard D, et al. The urgent need for evidence in arthroscopic meniscal surgery. Am J Sports Med. 2017; 45 (4): 965-973.
Beaufils P, Becker R, Kopf S, Englund M, Verdonk R, Ollivier M, et al. Surgical management of degenerative meniscus lesions: the 2016 ESSKA meniscus consensus. Knee Surg Sports Traumatol Arthrosc. 2017; 25 (2): 335-346.
Chen HW, Liu GD, Wu LJ. Clinical and radiological outcomes following arthroscopic-assisted management of tibial plateau fractures: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2015; 23 (12): 3464-3472.
Namdari S, Skelley N, Keener JD, Galatz LM, Yamaguchi K. What is the role of arthroscopic debridement for glenohumeral arthritis? A critical examination of the literature. Arthroscopy. 2013; 29 (8): 1392-1398.
Sayegh ET, Mascarenhas R, Chalmers PN, Cole BJ, Romeo AA, Verma NN. Surgical treatment options for glenohumeral arthritis in young patients: a systematic review and meta-analysis. Arthroscopy. 2015; 31 (6): 1156-1166.e8.
Bloch B, Srinivasan S, Mangwani J. Current concepts in the management 1f ankle osteoarthritis: a systematic review. J Foot Ankle Surg. 2015; 54 (5): 932-939.
Noailles T, Lopes R, Padiolleau G, Gouin F, Brilhault J. Non-anatomical or direct anatomical repair of chronic lateral instability of the ankle: a systematic review of the literature after at least 10 years of follow-up - Foot Ankle Surg. 2018; 24 (2): 80-85.
Ross KA, Murawski CD, Smyth NA, Zwiers R, Wiegerinck JI, Van Bergen CJ, et al. Current concepts review: arthroscopic treatment of anterior ankle impingement. Foot Ankle Surg. 2017; 23 (1): 1-8.
Cadossi M, Buda RE, Ramponi L, Sambri A, Natali S, Giannini S. Bone marrow-derived cells and biophysical stimulation for talar osteochondral lesions: a randomized controlled study. Foot Ankle Int. 2014; 35 (10): 981-987.
VanTienderen RJ, Dunn JC, Kusnezov N, Orr JD. Osteochondral allograft transfer for treatment of osteochondral lesions of the talus: a systematic review. Arthroscopy. 2017; 33 (1): 217-222.
Johnson P, Lee DK. Evidence-based rationale for ankle cartilage allograft replacement: a systematic review of clinical outcomes. J Foot Ankle Surg. 2015; 54 (5): 940-943.
Thomas T, Amouroux F, Vincent P. Intra-articular hyaluronic acid in the management of knee osteoarthritis: pharmaco-economic study from the perspective of the national health insurance system. PLoS One. 2017; 12 (3): e0173683.
Sun SF, Hsu CW, Lin HS, Liou IH, Chen YH, Hung CL. Comparison of single intra-articular injection of novel hyaluronan (HYA-JOINT Plus) with Synvisc-One for knee osteoarthritis: a randomized, controlled, double-blind trial of efficacy and safety. J Bone Joint Surg Am. 2017; 99 (6): 462-471.
Kearey P, Popple AE, Warren J, Davis T, Bellamy N. LOBRAS Study Group. Improvement in condition-specific and generic quality of life outcomes in patients with knee osteoarthritis following single-injection Synvisc: results from the LOBRAS study. Curr Med Res Opin. 2017; 33 (3): 409-419.
O'Hanlon CE, Newberry SJ, Booth M, Grant S, Motala A, Maglione MA, et al. Hyaluronic acid injection therapy for osteoarthritis of the knee: concordant efficacy and conflicting serious adverse events in two systematic reviews. Syst Rev. 2016; 5 (1): 186.
Ricci M, Micheloni GM, Berti M, Perusi F, Sambugaro E, Vecchini E, et al. Clinical comparison of oral administration and viscosupplementation of hyaluronic acid (HA) in early knee osteoarthritis. Musculoskelet Surg. 2017; 101 (1): 45-49.
Maheu E, Rannou F, Reginster JY. Efficacy and safety of hyaluronic acid in the management of osteoarthritis: evidence from real-life setting trials and surveys. Semin Arthritis Rheum. 2016; 45 (4 Suppl): S28-33.
Campbell KA, Erickson BJ, Saltzman BM, Mascarenhas R, Bach BR Jr, Cole BJ, et al. Is local viscosupplementation injection clinically superior to other therapies in the treatment of osteoarthritis of the knee: a systematic review of overlapping meta-analyses. Arthroscopy. 2015; 31 (10): 2036-2045.e14.
Trojian TH, Concoff AL, Joy SM, Hatzenbuehler JR, Saulsberry WJ, Coleman CI. AMSSM scientific statement concerning viscosupplementation injections for knee osteoarthritis: importance for individual patient outcomes. Br J Sports Med. 2016; 50 (2): 84-92.
Monticone M, Frizziero A, Rovere G, Vittadini F, Uliano D, LA Bruna S, et al. Hyaluronic acid intra-articular injection and exercise therapy: effects on pain and disability in subjects affected by lower limb joints osteoarthritis. A systematic review by the Italian Society of Physical and Rehabilitation Medicine (SIMFER). Eur J Phys Rehabil Med. 2016; 52 (3): 389-399.
Filardo G, Di Matteo B, Di Martino A, Merli ML, Cenacchi A, Fornasari P, et al. Platelet-rich plasma intra-articular knee injections show no superiority versus viscosupplementation: a randomized controlled trial. Am J Sports Med. 2015; 43 (7): 1575-1582.
Giarratana LS, Marelli BM, Crapanzano C, De Martinis SE, Gala L, Ferraro M, et al. A randomized double-blind clinical trial on the treatment of knee osteoarthritis: the efficacy of polynucleotides compared to standard hyaluronian viscosupplementation.- Knee. 2014; 21 (3): 661-668.
Conrozier T, Eymard F, Afif N, Balblanc JC, Legré-Boyer V, Chevalier X. Happyvisc Study Group. Safety and efficacy of intra-articular injections of a combination of hyaluronic acid and mannitol (HAnOX-M) in patients with symptomatic knee osteoarthritis: Results of a double-blind, controlled, multicenter, randomized trial. Knee. 2016; 23 (5): 842-848.
Henrotin Y, Chevalier X, Deberg M, Balblanc JC, Richette P, Mulleman D, et al. Osteoarthritis Group of French Society of Rheumatology. Early decrease of serum biomarkers of type II collagen degradation (Coll2-1) and joint inflammation (Coll2-1 NO2 ) by hyaluronic acid intra-articular injections in patients with knee osteoarthritis: a research study part of the Biovisco study. J Orthop Res. 2013; 31 (6): 901-907.
Filardo G, Di Matteo B, Tentoni F, Cavicchioli A, Di Martino A, Lo Presti M, et al. No effects of early viscosupplementation after arthroscopic partial meniscectomy: a randomized controlled trial. Am J Sports Med. 2016; 44 (12): 3119-3125.
Di Martino A, Tentoni F, Di Matteo B, Cavicchioli A, Lo Presti M, Filardo G, et al. Early viscosupplementation after anterior cruciate ligament reconstruction: a randomized controlled trial. Am J Sports Med. 2016; 44 (10): 2572-2578.
Jevsevar D, Donnelly P, Brown GA, Cummins DS. Viscosupplementation for osteoarthritis of the knee: a systematic review of the evidence. J Bone Joint Surg Am. 2015; 97 (24): 2047-2060.
Jevsevar DS. Treatment of osteoarthritis of the knee: evidence-based guideline, 2nd edition. J Am Acad Orthop Surg. 2013; 21 (9): 571-576.
Trigkilidas D, Anand A. The effectiveness of hyaluronic acid intra-articular injections in managing osteoarthritic knee pain. Ann R Coll Surg Engl. 2013; 95 (8): 545-551.
Altman RD, Schemitsch E, Bedi A. Assessment of clinical practice guideline methodology for the treatment of knee osteoarthritis with intra-articular hyaluronic acid. Semin Arthritis Rheum. 2015; 45 (2): 132-139.
Lamo-Espinosa JM, Mora G, Blanco JF, Granero-Moltó F, Nuñez-Córdoba JM, Sánchez-Echenique C, et al. Intra-articular injection of two different doses of autologous bone marrow mesenchymal stem cells versus hyaluronic acid in the treatment of knee osteoarthritis: multicenter randomized controlled clinical trial (phase I/II). J Transl Med. 2016; 14 (1): 246.
Shapiro SA, Kazmerchak SE, Heckman MG, Zubair AC, O'Connor MI. A prospective, single-blind, placebo-controlled trial of bone marrow aspirate concentrate for knee osteoarthritis. Am J Sports Med. 2017; 45 (1): 82-90.
Xia P, Wang X, Lin Q, Li X. Efficacy of mesenchymal stem cells injection for the management of knee osteoarthritis: a systematic review and meta-analysis. Int Orthop. 2015; 39 (12): 2363-2372.
Yubo M, Yanyan L, Li L, Tao S, Bo L, Lin C. Clinical efficacy and safety of mesenchymal stem cell transplantation for osteoarthritis treatment: a meta-analysis. PLoS One. 2017; 12 (4): e0175449.
Pas HI, Winters M, Haisma HJ, Koenis MJ, Tol JL, Moen MH. Stem cell injections in knee osteoarthritis: a systematic review of the literature. Br J Sports Med. 2017; 51 (15): 1125-1133.
Meheux CJ, McCulloch PC, Lintner DM, Varner KE, Harris JD. Efficacy of intra-articular platelet-rich plasma injections in knee osteoarthritis: a systematic review. Arthroscopy. 2016; 32 (3): 495-505.
Dai WL, Zhou AG, Zhang H, Zhang J. Efficacy of platelet-rich plasma in the treatment of knee osteoarthritis: a meta-analysis of randomized controlled trials. Arthroscopy. 2017; 33 (3): 659-670.e1.
Laudy AB, Bakker EW, Rekers M, Moen MH. Efficacy of platelet-rich plasma injections in osteoarthritis of the knee: a systematic review and meta-analysis. Br J Sports Med. 2015; 49 (10): 657-672.
Smith PA. Intra-articular autologous conditioned plasma injections provide safe and efficacious treatment for knee osteoarthritis: an FDA-sanctioned, randomized, double-blind, placebo-controlled clinical trial. Am J Sports Med. 2016; 44 (4): 884-891.
Simental-Mendía M, Vílchez-Cavazos JF, Peña-Martínez VM, Said-Fernández S, Lara-Arias J, Martínez-Rodríguez HG. Leukocyte-poor platelet-rich plasma is more effective than the conventional therapy with acetaminophen for the treatment of early knee osteoarthritis. Arch Orthop Trauma Surg. 2016; 136 (12): 1723-1732.
Gormeli G, Gormeli CA, Ataoglu B, Colak C, Aslantürk O, Ertem K. Multiple PRP injections are more effective than single injections and hyaluronic acid in knees with early osteoarthritis: a randomized, double-blind, placebo-controlled trial. Knee Surg Sports Traumatol Arthrosc. 2017; 25 (3): 958-965.
Gobbi A, Lad D, Karnatzikos G. The effects of repeated intra-articular PRP injections on clinical outcomes of early osteoarthritis of the knee. Knee Surg Sports Traumatol Arthrosc. 2015; 23 (8): 2170-2177.
Cole BJ, Karas V, Hussey K, Pilz K, Fortier LA. Hyaluronic acid versus platelet-rich plasma: a prospective, double-blind randomized controlled trial comparing clinical outcomes and effects on intra-articular biology for the treatment of knee osteoarthritis. Am J Sports Med. 2017; 45 (2): 339-346.
Zeng C, Wei J, Li H, Wang YL, Xie DX, Yang T, et al. Effectiveness and safety of Glucosamine, chondroitin, the two in combination, or celecoxib in the treatment of osteoarthritis of the knee. - Sci Rep. 2015; 5: 16827.
Kanzaki N, Ono Y, Shibata H, Moritani T. Glucosamine-containing supplement improves locomotor functions in subjects with knee pain: a randomized, double-blind, placebo-controlled study. Clin Interv Aging. 2015; 10: 1743-1753.
Kongtharvonskul J, Anothaisintawee T, McEvoy M, Attia J, Woratanarat P, Thakkinstian A. Efficacy and safety of glucosamine, diacerein, and NSAIDs in osteoarthritis knee: a systematic review and network meta-analysis. Eur J Med Res. 2015; 20: 24.
Bruyere O, Cooper C, Pelletier JP, Branco J, Brandi ML, Guillemin F, et al. An algorithm recommendation for the management of knee osteoarthritis in Europe and internationally: a report from a task force of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO). Semin Arthritis Rheum. 2014; 44 (3): 253-263.
McAlindon TE, Bannuru RR, Sullivan MC, Arden NK, Berenbaum F, Bierma-Zeinstra SM, et al. OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis Cartilage. 2014; 22 (3): 363-388.
Kongtharvonskul J, Woratanarat P, McEvoy M, Attia J, Wongsak S, Kawinwonggowit V, Thakkinstian A. Efficacy of glucosamine plus diacerein versus monotherapy of glucosamine: a double-blind, parallel randomized clinical trial. Arthritis Res Ther. 2016; 18 (1): 233.
Kwoh CK, Roemer FW, Hannon MJ, Moore CE, Jakicic JM, Guermazi A, et al. Effect of oral glucosamine on joint structure in individuals with chronic knee pain: a randomized, placebo-controlled clinical trial. Arthritis Rheumatol. 2014; 66 (4): 930-939.
Liu X, Machado GC, Eyles JP, Ravi V, Hunter DJ. Dietary supplements for treating osteoarthritis: a systematic review and meta-analysis. Br J Sports Med. 2018; 52 (3): 167-175.
Jüni P, Hari R, Rutjes AW, Fischer R, Silletta MG, Reichenbach S, et al. Intra-articular corticosteroid for knee osteoarthritis. Cochrane Database Syst Rev. 2015; (10): CD005328.
Soriano-Maldonado A, Klokker L, Bartholdy C, Bandak E, Ellegaard K, Bliddal H, et al. Intra-articular corticosteroids in addition to exercise for reducing pain sensitivity in knee osteoarthritis: exploratory outcome from a randomized controlled trial. PLoS One. 2016; 11 (2): e0149168.
Popma JW, Snel FW, Haagsma CJ, Brummelhuis-Visser P, Oldenhof HG, van der Palen J, et al. Comparison of 2 dosages of intraarticular triamcinolone for the treatment of knee arthritis: results of a 12-week randomized controlled clinical trial. J Rheumatol. 2015; 42 (10): 1865-1868.
McAlindon TE, LaValley MP, Harvey WF, Price LL, Driban JB, Zhang M, et al. Effect of intra-articular triamcinolone vs saline on knee cartilage volume and pain in patients with knee osteoarthritis: a randomized clinical trial. - JAMA. 2017; 317 (19): 1967-1975.
Osteoarthritis: Care and Management in Adults. National Clinical Guideline Centre (UK) London: National Institute for Health and Care Excellence (UK); 2014? Feb. National Institute for Health and Clinical Excellence: Guidance.
Uthman OA, Van derWindt DA, Jordan JL. Exercise for lower limb osteoarthritis: systematic review incorporating trial sequential analysis and network meta-analysis. BMJ. 2013; 347: 1-13.
Hall M, Hinman RS, Van Der Esch M. Is the relationship between increased knee muscle strength and improved physical function following exercise dependent on baseline physical function status? Arthritis Res Ther. 2017; 19: 271.
Coudeyre E, Jegu AG, Giustanini M. Isokinetic muscle strengthening for knee osteoarthritis: A systematic review of randomized controlled trials with meta-analysis. Ann Phys Rehabil Med. 2016; 59: 207-215.
Fransen M, McConnell S., Exercise for osteoarthritis of the knee. Cochrane Database Syst Rev. 2015; 1: CD004376.
Zeng C, Li H, Yang T, Deng ZH. Electrical stimulation for pain relief in knee osteoarthritis: systematic review and network meta-analysis. Osteoarthritis Cartilage. 2015; 23 (2): 189-202.
Zeng C, Li H, Yang T, Deng ZH. Effectiveness of continuous and pulsed ultrasound for the management of knee osteoarthritis: a systematic review and network meta-analysis. Osteoarthritis Cartilage. 2014; 22 (8): 1090-1099.
Xu Q, Chen B, Wang Y, Wang X. The effectiveness of manual therapy for relieving pain, stiffness, and dysfunction in knee osteoarthritis: a systematic review and meta-analysis. Pain Physician. 2017; 20 (4): 229-243.
Salamh P, Cook C, Reiman MP, Sheets C, Treatment effectiveness and fidelity of manual therapy to the knee: a systematic review and meta-analysis. Musculoskeletal Care. 2017; 15 (3): 238-248.
EVIDENCE LEVEL
III.