Marrow stimulation in football (soccer) players: a narrative review
Introduction: The prevalence of focal cartilage defects in elite athletes is estimated to be as high as 36%, and treatment in professional football players poses a complex clinical challenge. Marrow stimulation is a common treatment option for athletes with symptomatic, contained, full-thickness cho...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-06-01
|
| Series: | Journal of Cartilage & Joint Preservation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667254522000257 |
| _version_ | 1811245178120306688 |
|---|---|
| author | Zachary D. Meeker Nolan S. Horner Kyle R. Wagner Joshua T. Kaiser Armaan F. Mazra Brian J. Cole |
| author_facet | Zachary D. Meeker Nolan S. Horner Kyle R. Wagner Joshua T. Kaiser Armaan F. Mazra Brian J. Cole |
| author_sort | Zachary D. Meeker |
| collection | DOAJ |
| description | Introduction: The prevalence of focal cartilage defects in elite athletes is estimated to be as high as 36%, and treatment in professional football players poses a complex clinical challenge. Marrow stimulation is a common treatment option for athletes with symptomatic, contained, full-thickness chondral injuries. Objectives: To report the current indications for and efficacy of marrow stimulation in football players. Methods: PubMed, Scopus, and Embase were searched. All levels of evidence (I-IV) pertaining to marrow stimulation in football players were analyzed and presented in a narrative review. Results: Reported return to sport rates following microfracture range from 52% to 95%, with up to 67% of athletes returning to preinjury level of performance. Clinical outcomes improve shortly after microfracture but may decline by 2 years postoperatively. Augmented marrow stimulation techniques have since been developed in an effort to improve repair quality and clinical outcomes, though supporting data is limited. Conclusion: In professional football players, marrow stimulation is a viable treatment for the repair of small (<2 cm2), isolated cartilage injuries, though deterioration of mid- to long-term outcomes may hamper its widespread use. Multiple augmentation techniques have demonstrated the potential to generate a mechanically and biologically superior repair; however, more robust, high-level studies are needed to adequately assess efficacy. |
| first_indexed | 2024-04-12T14:36:17Z |
| format | Article |
| id | doaj.art-8b45d85801a2475bb63264a97623af1f |
| institution | Directory Open Access Journal |
| issn | 2667-2545 |
| language | English |
| last_indexed | 2024-04-12T14:36:17Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Cartilage & Joint Preservation |
| spelling | doaj.art-8b45d85801a2475bb63264a97623af1f2022-12-22T03:29:04ZengElsevierJournal of Cartilage & Joint Preservation2667-25452022-06-0122100063Marrow stimulation in football (soccer) players: a narrative reviewZachary D. Meeker0Nolan S. Horner1Kyle R. Wagner2Joshua T. Kaiser3Armaan F. Mazra4Brian J. Cole5Midwest Orthopaedics at Rush University Medical Center, Chicago, IL, USAMidwest Orthopaedics at Rush University Medical Center, Chicago, IL, USAMidwest Orthopaedics at Rush University Medical Center, Chicago, IL, USAMidwest Orthopaedics at Rush University Medical Center, Chicago, IL, USAMidwest Orthopaedics at Rush University Medical Center, Chicago, IL, USAMidwest Orthopaedics at Rush University Medical Center, Chicago, IL, USA; Brian J. Cole, Department of Orthopedics, Rush University Medical Center, 1611 W Harrison, Chicago, IL 60612.Introduction: The prevalence of focal cartilage defects in elite athletes is estimated to be as high as 36%, and treatment in professional football players poses a complex clinical challenge. Marrow stimulation is a common treatment option for athletes with symptomatic, contained, full-thickness chondral injuries. Objectives: To report the current indications for and efficacy of marrow stimulation in football players. Methods: PubMed, Scopus, and Embase were searched. All levels of evidence (I-IV) pertaining to marrow stimulation in football players were analyzed and presented in a narrative review. Results: Reported return to sport rates following microfracture range from 52% to 95%, with up to 67% of athletes returning to preinjury level of performance. Clinical outcomes improve shortly after microfracture but may decline by 2 years postoperatively. Augmented marrow stimulation techniques have since been developed in an effort to improve repair quality and clinical outcomes, though supporting data is limited. Conclusion: In professional football players, marrow stimulation is a viable treatment for the repair of small (<2 cm2), isolated cartilage injuries, though deterioration of mid- to long-term outcomes may hamper its widespread use. Multiple augmentation techniques have demonstrated the potential to generate a mechanically and biologically superior repair; however, more robust, high-level studies are needed to adequately assess efficacy.http://www.sciencedirect.com/science/article/pii/S2667254522000257MicrofractureFootballReturn-to-sportCartilageBiologicsRestoration |
| spellingShingle | Zachary D. Meeker Nolan S. Horner Kyle R. Wagner Joshua T. Kaiser Armaan F. Mazra Brian J. Cole Marrow stimulation in football (soccer) players: a narrative review Journal of Cartilage & Joint Preservation Microfracture Football Return-to-sport Cartilage Biologics Restoration |
| title | Marrow stimulation in football (soccer) players: a narrative review |
| title_full | Marrow stimulation in football (soccer) players: a narrative review |
| title_fullStr | Marrow stimulation in football (soccer) players: a narrative review |
| title_full_unstemmed | Marrow stimulation in football (soccer) players: a narrative review |
| title_short | Marrow stimulation in football (soccer) players: a narrative review |
| title_sort | marrow stimulation in football soccer players a narrative review |
| topic | Microfracture Football Return-to-sport Cartilage Biologics Restoration |
| url | http://www.sciencedirect.com/science/article/pii/S2667254522000257 |
| work_keys_str_mv | AT zacharydmeeker marrowstimulationinfootballsoccerplayersanarrativereview AT nolanshorner marrowstimulationinfootballsoccerplayersanarrativereview AT kylerwagner marrowstimulationinfootballsoccerplayersanarrativereview AT joshuatkaiser marrowstimulationinfootballsoccerplayersanarrativereview AT armaanfmazra marrowstimulationinfootballsoccerplayersanarrativereview AT brianjcole marrowstimulationinfootballsoccerplayersanarrativereview |