Evidence map›Paper›PMID 36280886›Full record

ArticleBMC sports science, medicine & rehabilitation2022

Lumbar spine MRI findings in asymptomatic elite male academy footballers: a case series.

Sean Carmody, Gajan Rajeswaran, Adam Mitchell, Katrine Okholm Kryger, Imtiaz Ahmad, Munraj Gill, Alison Rushton

Open access · goldAbstract read
In one paragraph

Article in BMC sports science, medicine & rehabilitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Answer to the Letter to the Editor of V. Kumar et al. concerning "The influence of spinal position on imaging findings: an observational study of thoracolumbar spine upright MRI in elite gymnasts" by Fawcett L, et al. (Eur Spine J [2022]; 31(2):225-232).European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Sean CarmodySchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK. seanocearmaide@gmail.com.
Gajan RajeswaranOneWelbeck, London, UK.
Adam MitchellOneWelbeck, London, UK.
Katrine Okholm KrygerFaculty of Sport, Allied Health and Performance Science, St Mary's University, Twickenham, London, UK.
Imtiaz AhmadMedical Department, Queens Park Rangers Football and Athletic Club, London, UK.
Munraj GillCroydon University Hospital, Croydon, UK.
Alison RushtonSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
University of Birmingham · GBCroydon University Hospital · GBSt Mary's University Twickenham London · GBThe Football Association · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnderstanding common MRI findings may allow clinicians to appreciate the sport-specific effects on the lumbar spine, and to discern clinically significant pathology. Prevalence data regarding radiological abnormalities seen during the surveillance of asymptomatic elite footballers is, therefore, important to help understand injury mechanisms and to prevent associated injuries. The purpose of this study was to evaluate the magnetic resonance imaging (MRI) findings in the lumbar spines of asymptomatic elite male adolescent footballers.

methodsA prospective case-series study was carried out. MRI was performed using a 3T Siemens Prisma scanner including a 3D VIBE sequence in 18 asymptomatic male elite adolescent footballers recruited from a professional academy in England (mean age 17.8, range 16.9-18.6 years). The images were independently reported by two consultant musculoskeletal radiologists to achieve consensus opinion. Standardised classification criteria were used to assess and report abnormalities descriptively.

resultsFifteen players (15/18, 83%) showed ≥1 abnormalities, included facet degeneration, synovial cysts, disc degeneration, disc herniation, and pars injury. One player (1/18, 6%) had mild (Grade 1) facet joint arthropathy at L4/L5 and 3/18 (16.7%) showing evidence of bilateral facet joint effusions. Three synovial cysts were identified in 2/18 players (11%), 4/18 players (22%) presented asymptomatic pars injuries, with 4 showing a grade 2 subtotal stress fracture and 1 player a grade 4 chronic stress fracture seen on 3D VIBE sequencing. Disc degeneration at one or more levels was demonstrated in 7/18 players (38%). Disc herniation was present in 5/18 players (27%).

conclusionA range of unsuspected findings on MRI of the lumbar spine are common in elite adolescent footballers.

Indexed as

FootballImagingInjurySoccerYouth

Identifiers

PMID36280886
PMCPMC9590204
OpenAlexW4307279684

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.