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8 results on '"Hirschmann, Anna C"'

5. Supplemental Material, sj-pdf-1-ojs-10.1177_23259671211010405 - Magnetic Resonance Imaging of the Hips of Runners Before and After Their First Marathon Run: Effect of Training for and Completing a Marathon

Author

Horga, Laura M., Henckel, Johann, Fotiadou, Anastasia, Di Laura, Anna, Hirschmann, Anna C., and Hart, Alister J.

Subjects
FOS: Clinical medicine, 110604 Sports Medicine, FOS: Health sciences, 110314 Orthopaedics
Abstract

Supplemental Material, sj-pdf-1-ojs-10.1177_23259671211010405 for Magnetic Resonance Imaging of the Hips of Runners Before and After Their First Marathon Run: Effect of Training for and Completing a Marathon by Laura M. Horga, Johann Henckel, Anastasia Fotiadou, Anna Di Laura, Anna C. Hirschmann and Alister J. Hart in Orthopaedic Journal of Sports Medicine

Published
2021
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7. Prevalence of abnormal findings in 230 knees of asymptomatic adults using 3.0 T MRI

Author

Horga, L, Hirschmann, A, Henckel, J, Fotiadou, A, Di Laura, A, Torlasco, C, D'Silva, A, Sharma, S, Moon, J, Hart, A, Horga, Laura M, Hirschmann, Anna C, Henckel, Johann, Fotiadou, Anastasia, Di Laura, Anna, Torlasco, Camilla, D'Silva, Andrew, Sharma, Sanjay, Moon, James C, Hart, Alister J, Horga, L, Hirschmann, A, Henckel, J, Fotiadou, A, Di Laura, A, Torlasco, C, D'Silva, A, Sharma, S, Moon, J, Hart, A, Horga, Laura M, Hirschmann, Anna C, Henckel, Johann, Fotiadou, Anastasia, Di Laura, Anna, Torlasco, Camilla, D'Silva, Andrew, Sharma, Sanjay, Moon, James C, and Hart, Alister J

Abstract

Objective: To identify abnormalities in asymptomatic sedentary individuals using 3.0 Tesla high-resolution MRI. Materials and methods: The cohort comprised of 230 knees of 115 uninjured sedentary adults (51 males, 64 females; median age: 44 years). All participants had bilateral knee 3.0 T MRIs. Two senior musculoskeletal radiologists graded all intraarticular knee structures using validated scoring systems. Participants completed Knee Injury and Osteoarthritis Outcome Score questionnaires at the time of the MRI scan. Results: MRI showed abnormalities in the majority (97%) of knees. Thirty percent knees had meniscal tears: horizontal (23%), complex (3%), vertical (2%), radial (2%) and bucket handle (1%). Cartilage and bone marrow abnormalities were prevalent at the patellofemoral joint (57% knees and 48% knees, respectively). Moderate and severe cartilage lesions were common, in 19% and 31% knees, respectively, while moderate and severe bone marrow oedema in 19% and 31% knees, respectively. Moderate-intensity lesion in tendons was found in 21% knees and high-grade tendonitis in 6% knees-the patellar (11% and 2%, respectively) and quadriceps (7% and 2%, respectively) tendons being most affected. Three percent partial ligamentous ruptures were found, especially of the anterior cruciate ligament (2%). Conclusion: Nearly all knees of asymptomatic adults showed abnormalities in at least one knee structure on MRI. Meniscal tears, cartilage and bone marrow lesions of the patellofemoral joint were the most common pathological findings. Bucket handle and complex meniscal tears were reported for the first time in asymptomatic knees.

Published
2020

8. What happens to the lower lumbar spine after marathon running: a 3.0 T MRI study of 21 first-time marathoners.

Author

Horga, Laura M., Henckel, Johann, Fotiadou, Anastasia, Di Laura, Anna, Hirschmann, Anna C., Lee, Robert, and Hart, Alister J.

Subjects
LUMBAR vertebrae, MARATHON running, LONG-distance running, INTERVERTEBRAL disk, SACROILIAC joint
Abstract

Objective: To better understand the impact of long-distance running on runners' lumbar spines by assessing changes before and after their first marathon run. Materials and methods: The lumbar spines of 28 asymptomatic adults (14 males, 14 females, mean age: 30 years old), who registered for their first marathon, the 2019 London Richmond Marathon, were examined 16 weeks before (time point 1) and 2 weeks after (time point 2) the marathon. Participants undertook a pre-race 16-week training programme. Magnetic resonance imaging (MRI) of high-resolution 3.0 Tesla was used at each time point. Senior musculoskeletal radiologists assessed the lower lumbar spine condition. Results: Out of 28 participants, 21 completed both the training and the race and 7 neither completed the training nor started the marathon but not due to spine-related issues. At time point 1, disc degeneration was detected in 17/28 (61%), most predominantly at spinal segments L4–L5 and L5–S1. No back pain/other symptoms were reported. When compared to time point 2, there was no progression in the extent of disc degeneration, including intervertebral disc (IVD) height (p = 0.234), width (p = 0.359), and intervertebral distance (p = 0.641). There was a regression in 2 out of 8 (25%) participants who had pre-marathon sacroiliac joint bone marrow oedema, and a small increase in the size of a pre-marathon subchondral cyst in one participant, all asymptomatic. Conclusion: Running 500 miles over 4 months plus a marathon for the first time had no adverse effects on the lumbar spine, even when early degenerative changes were present. Additionally, there was evidence of regression of sacroiliac joint abnormalities. [ABSTRACT FROM AUTHOR]

Published
2019
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