بررسی شیوع استئوکندرال ریدج در مچ پا در قهرمانان ورزشی ایران

دکتر مهرداد درویش،متخصص وجراح استخوان ومفاصل، فلو مچ، آکادمی ملی المپیک وپارالمپیک
دکتر علی رضا حساس رودسری، پزشک عمومی و ورزشی، آکادمی ملی المپیک و پارالمپیک

Prevalence of Osteochondral Ridge in Iranian elite athletes

Abstract

Introduction: The aim of this research is to study the prevalence of Osteochondral Ridge in Iranian elite athletes participating in Beijing Olympic games 2008.

Method: 25 athletes who were contributing in Beijing Olympic games 2008, has been checked up in the medical centre of Iran National Olympic & Paralympics. They have been randomly selected and been visited since 2 months before the starting of the games from all sport field. Their main symptoms were not necessarily ankle pain, they were between 19 to 48 year-old, and had 3 to 33 years experience in their field. AP and lateral view Radiography of both ankles were performed for all and in case of any doubt MRI of the suspected ankle was achieved.

Results: َAll except one had Osteochondral Ridge. The worst involvements were in football players, however, Judo players constituted the most in our research. Despite our first impression there was not a meaningful relation between the severity of the involvement and the duration of participation in sport.
 Swelling and pain with sever activity was present in ten athletes. Even in Archery where the pressure on ankles is not too much, some degrees of Osteochondral Ridges were detected. 5 Athletes had ankle pain and their ankle gave away whom the severity was higher.
The rate of additional lesions in higher joints was high in all athletes. In some cases even ACL repair or meniscus surgery had been performed. Eight athletes without clinical symptoms but with radiological signs had Genovarum in either one or both sides and four athletes had Halus Valgus.

Discussion: Considered that only one athlete among all did not have Osteochondral Ridge, we can assume that its causes are: Proper models of training in order to avoid injuries are not respected, traditional methods of training by tradition-oriented instructors are implicated, approaches developed by athletes for their sport practice are not on adjusted principles, utilizing defective instruments in training including sport wears and shoes, appropriate medical treatments for injuries and accurate rehabilitation period are not valued, and insisting in participation of injured athletes in various competitions.
 
Key terms: Osteochondral Ridge, Ankle, Athlete.