Research Roundup-  Week of May 2, 2016:

What CLE Sports PT is reading to give athletes #BETTER care

• Prevalence of Musculoskeletal Pain in Marathon Runners Who Compete at the Elite Level.  75% of 199 elite marathoners had running-related pain, most often in the lower leg.  Age, experience, and training volume had no effect on the presence of pain in these runners.

• Precollegiate Knee Surgery Predicts Subsequent Injury Requiring Surgery in NCAA Athletes. Division I athletes that had knee surgery before college had a higher risk of another surgery in the same leg.

• Age-Related Risk Factors for Revision Anterior Cruciate Ligament Reconstruction. A Cohort Study of 21,304 Patients From the Kaiser Permanente Anterior Cruciate Ligament Registry.
  • Age at time of ACL surgery was a strong risk factor for revision:
    • Patients who had surgery at or before turning 21 had the highest chance for revision within 5 years.
    • Patients who had surgery when they were 40 or older had the lowest.
  • Other notable findings:
    • Females under 21 had less of a chance of revision than men.
    • BMI and race also associated with revision risk in younger patients.
    • ACL grafts from a cadaver (an allograft) associated with higher risk of revision than a graft taken from the athlete’s own body (an autograft) in patients under 40.
    • Patients under 21 with hamstring grafts had 1.61 times higher risk of revision than bone-patellar-bone.