Knee Effusion-Synovitis Is Not Associated With Self-Reported Knee Pain in Division I Female Athletes.

IF 2.7 2区医学 Q1 SPORT SCIENCES

Sports Health-A Multidisciplinary Approach Pub Date : 2025-03-27 DOI:10.1177/19417381251323902

Corey D Grozier, Francesca Genoese, Katherine Collins, Arjun Parmar, Jessica Tolzman, Christopher Kuenze, Matthew S Harkey

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Abstract

Background: Recent research indicates a potential link between effusion-synovitis and knee pain in athletes. This study investigates the association of knee effusion-synovitis with self-reported knee pain in elite female athletes, leveraging ultrasound imaging for effusion-synovitis assessment.

Hypothesis: Presence of knee effusion-synovitis is associated with increased self-reported knee pain in Division I female athletes.

Study design: Cross-sectional study.

Level of evidence: Level 3.

Methods: A total of 53 NCAA Division I female athletes underwent bilateral knee ultrasound to identify effusion-synovitis. The Knee Injury and Osteoarthritis Outcome Survey (KOOS) Pain subscale assessed knee pain. A 1-way analysis of variance compared KOOS pain, symptoms, activities during daily living (ADL), and quality of life (QoL) scores across groups with no, unilateral, and bilateral effusion-synovitis.

Results: Among the athletes, 49.1% showed no effusion-synovitis, 26.4% had unilateral, and 24.5% had bilateral effusion-synovitis. There were no differences in self-reported pain scores (F = 0.027; P = 0.97), ADL (F = 0.256; P = 0.78), or QoL (F = 0.120; P = 0.88) between any groups. In addition, the frequency of effusion-synovitis was as follows: for the right limb, Grade 0 = 35 (66%), Grade 1 = 15 (28%), Grade 2 = 1 (2%), and Grade 3 = 2 (4%); for the left limb, Grade 0 = 31 (58%), Grade 1 = 19 (36%), Grade 2 = 3 (6%), and Grade 3 = 0 (0%).

Conclusion: The presence of effusion-synovitis, irrespective of being unilateral or bilateral, was not associated with self-reported knee pain in elite female athletes. This suggests that lower grades of effusion-synovitis may not significantly impact knee pain.

Clinical relevance: The findings of this study challenge existing assumptions about the impact of effusion-synovitis on knee pain in athletes, contributing to the nuanced understanding of knee joint health in sports medicine.

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在一级女运动员中，膝关节积液-滑膜炎与自我报告的膝关节疼痛无关。

背景：最近的研究表明运动员的积液-滑膜炎和膝关节疼痛之间存在潜在的联系。本研究调查了优秀女运动员膝关节积液-滑膜炎与自我报告的膝关节疼痛的关系，利用超声成像进行积液-滑膜炎评估。假设：在一级女运动员中，膝关节积液-滑膜炎的存在与自我报告的膝关节疼痛增加有关。研究设计：横断面研究。证据等级：三级。方法：对53名NCAA一级女运动员进行双侧膝关节超声检查，以确定积液性滑膜炎。膝关节损伤和骨关节炎结局调查（oos）疼痛亚量表评估膝关节疼痛。单向方差分析比较无、单侧和双侧滑膜积液炎组的kos疼痛、症状、日常生活活动（ADL）和生活质量（QoL）评分。结果：运动员中无滑膜积液者占49.1%，单侧积液者占26.4%，双侧积液者占24.5%。两组自述疼痛评分无差异(F = 0.027；P = 0.97), adl (f = 0.256；P = 0.78)或生活质量(F = 0.120；P = 0.88)。此外，积液-滑膜炎的发生率如下：右侧肢体0级= 35(66%)，1级= 15(28%)，2级= 1(2%)，3级= 2 (4%)；对于左肢体，0级= 31(58%)，1级= 19(36%)，2级= 3(6%)，3级= 0（0%）。结论：滑膜积液炎的存在，无论是单侧还是双侧，与优秀女运动员自我报告的膝关节疼痛无关。这表明较低程度的积液-滑膜炎可能不会显著影响膝关节疼痛。临床意义：本研究的发现挑战了关于积液-滑膜炎对运动员膝关节疼痛影响的现有假设，有助于对运动医学中膝关节健康的细致理解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sports Health-A Multidisciplinary Approach Medicine-Orthopedics and Sports Medicine

CiteScore

6.90

自引率

9.10%

发文量

101

期刊介绍： Sports Health: A Multidisciplinary Approach is an indispensable resource for all medical professionals involved in the training and care of the competitive or recreational athlete, including primary care physicians, orthopaedic surgeons, physical therapists, athletic trainers and other medical and health care professionals. Published bimonthly, Sports Health is a collaborative publication from the American Orthopaedic Society for Sports Medicine (AOSSM), the American Medical Society for Sports Medicine (AMSSM), the National Athletic Trainers’ Association (NATA), and the Sports Physical Therapy Section (SPTS). The journal publishes review articles, original research articles, case studies, images, short updates, legal briefs, editorials, and letters to the editor. Topics include: -Sports Injury and Treatment -Care of the Athlete -Athlete Rehabilitation -Medical Issues in the Athlete -Surgical Techniques in Sports Medicine -Case Studies in Sports Medicine -Images in Sports Medicine -Legal Issues -Pediatric Athletes -General Sports Trauma -Sports Psychology