Skip to main content
Top
Published in: Skeletal Radiology 7/2008

01-07-2008 | Scientific Article

Changes on magnetic resonance tomography in the knee joints of marathon runners: a 10-year longitudinal study

Authors: Wolfgang W. Krampla, Stephan P. Newrkla, Andreas H. Kroener, Walter F. Hruby

Published in: Skeletal Radiology | Issue 7/2008

Login to get access

Abstract

Objective

The aim of the study was to evaluate long-term damage in the internal structures of the knee joints of recreational long-distance runners.

Materials and methods

Ten years after their participation in a baseline study concerning their knee joints, seven long-distance runners and one who had given up long-distance running were invited to participate in a repeat magnetic resonance imaging (MRI) investigation. The same evaluation criteria and the same technical equipment were used, and the results of the two investigations were compared.

Result

No adverse long-term consequences were observed in six of the seven active runners, regardless of pre-existing damage at the baseline investigation. In one case the arthrotic changes were progressive in nature. The person who had given up running presented with severe deterioration of the internal structures of the knee joint.

Conclusion

Non-physiological maximal loads secondary to the marathon race do not cause any permanent damage in the internal structures of the knee joint in individuals without significant pre-existing damage. A disposition for premature arthrosis was not registered in the population investigated. A protective value of long distance running on the internal structures of the knee joint is discussed.
Literature
1.
go back to reference Schmitt H, Rohs C, Schneider S, Clarius M. Is competitive running associated with osteoarthritis of the hip or the knee? (in German) Orthopade 2006; 35: 1087–1092.CrossRef Schmitt H, Rohs C, Schneider S, Clarius M. Is competitive running associated with osteoarthritis of the hip or the knee? (in German) Orthopade 2006; 35: 1087–1092.CrossRef
2.
go back to reference Hohmann E, Wortler K, Imhoff A. Osteoarthritis from long-distance running? (in German) Sportverletz Sportschaden 2005; 19: 89–93.CrossRef Hohmann E, Wortler K, Imhoff A. Osteoarthritis from long-distance running? (in German) Sportverletz Sportschaden 2005; 19: 89–93.CrossRef
3.
go back to reference Schueller-Weidekamm C, Schueller G, Uffmann M, Bader TR. Does marathon running cause acute lesions of the knee? Evaluation with magnetic resonance imaging. Eur Radiol 2006; 16: 2179–2185.CrossRef Schueller-Weidekamm C, Schueller G, Uffmann M, Bader TR. Does marathon running cause acute lesions of the knee? Evaluation with magnetic resonance imaging. Eur Radiol 2006; 16: 2179–2185.CrossRef
4.
go back to reference Krampla W, Mayrhofer R, Malcher J, Kristen KH, Urban M, Hruby W. MR imaging of the knee in marathon runners before and after competition. Skeletal Radiol 2001; 30: 72–76.CrossRef Krampla W, Mayrhofer R, Malcher J, Kristen KH, Urban M, Hruby W. MR imaging of the knee in marathon runners before and after competition. Skeletal Radiol 2001; 30: 72–76.CrossRef
5.
go back to reference Caselli MA, Longobardi SJ. Lower extremity injuries at the New York City Marathon. J Am Podiatr Med Assoc 1997; 87: 34–37.CrossRef Caselli MA, Longobardi SJ. Lower extremity injuries at the New York City Marathon. J Am Podiatr Med Assoc 1997; 87: 34–37.CrossRef
6.
go back to reference Shellock FG, Deutsch AL, Mink JH, Kerr R. Do asymptomatic marathon runners have an increased prevalence of meniscal abnormalities? An MR study of the knee in 23 volunteers. AJR Am J Roentgenol 1991; 157: 1239–1241.CrossRef Shellock FG, Deutsch AL, Mink JH, Kerr R. Do asymptomatic marathon runners have an increased prevalence of meniscal abnormalities? An MR study of the knee in 23 volunteers. AJR Am J Roentgenol 1991; 157: 1239–1241.CrossRef
7.
go back to reference Cymet TC, Sinkov V. Does long-distance running cause osteoarthritis? (review) J Am Osteopath Assoc 2006; 106: 342–345.PubMed Cymet TC, Sinkov V. Does long-distance running cause osteoarthritis? (review) J Am Osteopath Assoc 2006; 106: 342–345.PubMed
8.
go back to reference Hohmann E, Wortler K, Imhoff AB. MR imaging of the hip and knee before and after marathon running. Am J Sports Med 2004; 32: 55–59.CrossRef Hohmann E, Wortler K, Imhoff AB. MR imaging of the hip and knee before and after marathon running. Am J Sports Med 2004; 32: 55–59.CrossRef
9.
go back to reference Satterthwaite P, Norton R, Larmer P, Robinson E. Risk factors for injuries and other health problems sustained in a marathon. Br J Sports Med 1999; 33: 22–26.CrossRef Satterthwaite P, Norton R, Larmer P, Robinson E. Risk factors for injuries and other health problems sustained in a marathon. Br J Sports Med 1999; 33: 22–26.CrossRef
10.
go back to reference Christoforakis J, Pradhan R, Sanchez-Ballester J, Hunt N, Strachan RK. Is there an association between articular cartilage changes and degenerative meniscus tears? Arthroscopy 2005; 21: 1366–1369.CrossRef Christoforakis J, Pradhan R, Sanchez-Ballester J, Hunt N, Strachan RK. Is there an association between articular cartilage changes and degenerative meniscus tears? Arthroscopy 2005; 21: 1366–1369.CrossRef
11.
go back to reference Larsen E, Jensen PK, Jensen PR. Long Term outcome of knee and ankle injuries in elite football. Scand J Med Sci Sports 1999; 9: 285–289.CrossRef Larsen E, Jensen PK, Jensen PR. Long Term outcome of knee and ankle injuries in elite football. Scand J Med Sci Sports 1999; 9: 285–289.CrossRef
Metadata
Title
Changes on magnetic resonance tomography in the knee joints of marathon runners: a 10-year longitudinal study
Authors
Wolfgang W. Krampla
Stephan P. Newrkla
Andreas H. Kroener
Walter F. Hruby
Publication date
01-07-2008
Publisher
Springer Berlin Heidelberg
Published in
Skeletal Radiology / Issue 7/2008
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-008-0485-9

Other articles of this Issue 7/2008

Skeletal Radiology 7/2008 Go to the issue

Browser's Notes

Browser’s Notes