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Does marathon running cause acute lesions of the knee? Evaluation with magnetic resonance imaging

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Abstract

An investigation was conducted into whether running a marathon causes acute alterations in menisci, cartilage, bone marrow, ligaments, or joint effusions, which could be evaluated by magnetic resonance imaging (MRI). Twenty-two non-professional marathon runners underwent MRI of the knee before and immediately after running a marathon. Lesions of menisci and cartilage (five-point scale), bone marrow, ligaments (three-point scale), joint effusion, and additional findings were evaluated and a total score was assessed. Before the marathon, grade 1 lesions of the menisci were found in eight runners, and grade 2 lesions in five runners. After the marathon, an upgrading from a meniscal lesion grade 1 to grade 2 was observed in one runner. Before the marathon, grade 1 cartilage lesions were found in three runners, and grade 2 lesions in one runner, all of which remained unchanged after the marathon. Before and after the marathon, unchanged bone marrow edema was present in three runners and unchanged anterior cruciate ligament lesions (grade 1) were seen in two runners. Joint effusions were present in 13 runners in the pre-run scans, slightly increased in four runners after the marathon, and newly occurred in one runner after the marathon. A total score comprising all knee lesions in each runner showed an increase after the marathon in two runners, whereas no runner showed an improvement of the radiological findings (Wilcoxon signed-rank test, P>0.05). The evaluation of lesions of the knee with MRI shows that marathon running does not cause severe, acute lesions of cartilage, ligaments, or bone marrow of the knee in well-trained runners. Only subtle changes, such as joint effusions or increased intrameniscal signal alterations, were imaged after running a marathon.

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References

  1. http://www.vienna-marathon.com

  2. Hohmann E, Woertler K, Imhoff AB (2004) MR imaging of the hip and knee before and after marathon running. Am J Sports Med 32:55–59

    Article  PubMed  Google Scholar 

  3. Colbert LH, Hootman JM, Macera CA (2000) Physical activity-related injuries in walkers and runners in the aerobics center longitudinal study. Clin J Sport Med 10:259–263

    Article  PubMed  CAS  Google Scholar 

  4. Lazzarini KM, Troiano RN, Smith RC (1997) Can running cause the appearance of marrow edema on MR images of the foot and ankle? Radiology 202:540–542

    PubMed  CAS  Google Scholar 

  5. Lohman M, Kivisaari A, VehmasT, Kallio P, Malmivaara A, Kivisaari L (2001) MRI abnormalities of foot and ankle in asymptomatic, physically active individuals. Skeletal Radiol 30:61–66

    Article  PubMed  CAS  Google Scholar 

  6. Krampla W, Mayrhofer R, Malcher J, Kristen KH, Urban M, Hruby W (2001) MR imaging of the knee in marathon runners before and after competition. Skeletal Radiol 30:72–76

    Article  PubMed  CAS  Google Scholar 

  7. Helms CA (2002) The meniscus: recent advances in MR imaging of the knee. AJR Am J Roentgenol 179:1115–1122

    PubMed  Google Scholar 

  8. Imhof H, Nobauer-Huhmann IM, Krestan C, Gahleitner A, Sulzbacher I, Marlovits S, Trattnig S (2002) MRI of the cartilage. Eur Radiol 12:2781–2793

    PubMed  CAS  Google Scholar 

  9. Trattnig S, Mlynarik V, Huber M, Ba-Ssalamah A, Puig S, Imhof H (2000) Magnetic resonance imaging of articular cartilage and evaluation of cartilage disease. Invest Radiol 35:595–601

    Article  PubMed  CAS  Google Scholar 

  10. Guermazi A, Zaim S, Taouli B, Miaux Y, Peterfy CG, Genant HG (2003) MR findings in knee osteoarthritis. Eur Radiol 14:208–214

    PubMed  Google Scholar 

  11. Kocabey Y, Tetik O, Isbell WM, Atay OA, Johnson DL (2004) The value of clinical examination versus magnetic resonance imaging in the diagnosis of meniscal tears and anterior cruciate ligament rupture. Arthroscopy 20:696–700

    PubMed  Google Scholar 

  12. Stoller DW, Tirman PFJ, Bredella MA (2003) Diagnostic imaging. Orthopaedics. WB Saunders, Philadelphia, 5–7,8 and 5–76

  13. Stoller DW, Martin D, Crues JV, Kaplan L (1987) Meniscal tears: pathologic correlation with MR imaging. Radiology 163:731–735

    PubMed  CAS  Google Scholar 

  14. Mink JH, Deutsch AL (1989) Occult cartilage and bone injuries of the knee: detection, classification, and assessment with MR imaging. Radiology 170:823–829

    PubMed  CAS  Google Scholar 

  15. Potter HG, Linklater JM, Allen AA, Hannafin JA, Haas SB (1998) Magnetic resonance imaging of articular cartilage in the knee. An evaluation with use of fast-spin-echo imaging. J Bone Joint Surg Am 80:1276–1284

    PubMed  CAS  Google Scholar 

  16. Bredella MA, Tirman PF, Peterfy CG, Zarlingo M, Feller JF, Bost FW, Belzer JP, Wischer TK, Genant HK (1999) Accuracy of T2-weighted fast spin-echo MR imaging with fat saturation in detecting cartilage defects in the knee: comparison with arthroscopy in 130 patients. AJR Am J Roentgenol 172:1073–1080

    PubMed  CAS  Google Scholar 

  17. Newberg AH, Wetzner SM (1994) Bone bruises: their patterns and significance. Semin Ultrasound CT MR 15:396–409

    Article  PubMed  CAS  Google Scholar 

  18. Spitz DJ, Newberg AH (2002) Imaging of stress fractures in the athlete. Radiol Clin North Am 40:313–331

    Article  PubMed  Google Scholar 

  19. Davies M, Fleiss JL (1982) Measuring agreement for multinomial data. Biometrics 38:1047–1051

    Article  Google Scholar 

  20. Muhle C, Ahn JM, Yeh L, Bergman GA, Boutin RD, Schweitzer M, Jacobson JA, Haghighi P, Trudell DJ, Resnick D (1999) Iliotibial band friction syndrome: MR imaging findings in 16 patients and MR arthrographic study of six cadaveric knees. Radiology 212:103–110

    PubMed  CAS  Google Scholar 

  21. Shellock FG, Mink JH (1991) Knees of trained long-distance runners: MR imaging before and after competition. Radiology 179:635–637

    PubMed  CAS  Google Scholar 

  22. Kursunoglu-Brahme S, Schwaighofer B, Gundry C, Ho C, Resnick D (1990) Jogging causes acute changes in the knee joint: an MR study in normal volunteers. AJR Am J Roentgenol 154:1233–1235

    PubMed  CAS  Google Scholar 

  23. Kornick J, Trefelner E, McCarthy S, Lange R, Lynch K, Jokl P (1990) Meniscal abnormalities in the asymptomatic population at MR imaging.Radiology 177:463–465

    PubMed  CAS  Google Scholar 

  24. LaPrade RF, Burnett QM 2nd, Veenstra MA, Hodgman CG (1994) The prevalence of abnormal magnetic resonance imaging findings in asymptomatic knees. With correlation of magnetic resonance imaging to arthroscopic findings in symptomatic knees. Am J Sports Med 22:739–745

    Article  PubMed  CAS  Google Scholar 

  25. Tersegno MM (1992) Meniscal tears in marathon runners. AJR Am J Roentgenol 159:434

    PubMed  CAS  Google Scholar 

  26. Shellock FG, Deutsch AL, Mink JH, Kerr R (1991) Do asymptomatic marathon runners have an increased prevalence of meniscal abnormalities? An MR study of the knee in 23 volunteers. AJR Am J Roentgenol 157:1239–1241

    PubMed  CAS  Google Scholar 

  27. Rubin DA, Harner CD, Costello JM (2000) Treatable chondral injuries in the knee: frequency of associated focal subchondral edema. AJR Am J Roentgenol 174:1099–1106

    PubMed  CAS  Google Scholar 

  28. Hootman JM, Macera CA, Ainsworth BE, Martin M, Addy CL, Blair SN (2002) Predictors of lower extremity injury among recreationally active adults. Clin J Sport Med 12:99–106

    Article  PubMed  Google Scholar 

  29. Konradsen L, Hansen EM, Sondergaard L (1990) Long distance running and osteoarthrosis. Am J Sports Med 18:379–381

    Article  PubMed  CAS  Google Scholar 

  30. Sohn RS, Micheli LJ (1985) The effect of running on the pathogenesis of osteoarthritis of the hips and knees. Clin Orthop 198:106–109

    PubMed  Google Scholar 

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Correspondence to T. R. Bader.

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Schueller-Weidekamm, C., Schueller, G., Uffmann, M. et al. Does marathon running cause acute lesions of the knee? Evaluation with magnetic resonance imaging. Eur Radiol 16, 2179–2185 (2006). https://doi.org/10.1007/s00330-005-0132-y

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  • DOI: https://doi.org/10.1007/s00330-005-0132-y

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