TY - JOUR
T1 - Racket or Bat Sports
T2 - No Association With Thumb-Base Osteoarthritis
AU - Driban, Jeffrey B.
AU - Lo, Grace H.
AU - Roberts, Mary B.
AU - Harkey, Matthew S.
AU - Schaefer, Lena F.
AU - Haugen, Ida K.
AU - Smith, Stacy E.
AU - Duryea, Jeffrey
AU - Lu, Bing
AU - Eaton, Charles B.
AU - Hochberg, Marc C.
AU - Jackson, Rebecca D.
AU - Kwoh, C. Kent
AU - Nevitt, Michael C.
AU - McAlindon, Timothy E.
N1 - Publisher Copyright:
Ó by the National Athletic Trainers’ Association, Inc
PY - 2022/4
Y1 - 2022/4
N2 - Context: Repetitive joint use is a risk factor for osteoarthritis, which is a leading cause of disability. Sports requiring a racket or bat to perform repetitive high-velocity impacts may increase the risk of thumb-base osteoarthritis. However, this hypothesis remains untested. Objective: To determine if a history of participation in racket or bat sports was associated with the prevalence of thumb-base osteoarthritis. Design: Descriptive epidemiologic study. Setting: Four US clinical sites associated with the Osteoarthritis Initiative. Patients or Other Participants: We recruited 2309 men and women from the community. Eligible participants had dominant-hand radiographic readings, hand symptom assessments, and historical physical activity survey data. Main Outcome Measure(s): A history of exposure to racket or bat sports (badminton, baseball or softball, racketball or squash, table tennis [or ping pong], tennis [doubles], or tennis [singles]) was based on self-reported recall data covering 3 age ranges (12–18, 19–34, and 35–49 years). Prevalent radiographic thumb-base osteoarthritis was defined as Kellgren-Lawrence grade .2 in the first carpometacarpal joint or scaphotrapezoidal joint at the Osteoarthritis Initiative baseline visit. Symptomatic thumb-base osteoarthritis was defined as radiographic osteoarthritis and hand or finger symptoms. Results: Radiographic or symptomatic thumb-base osteoarthritis was present in 355 (34%) and 56 (5%), respectively, of men (total ¼ 1049) and 535 (42%) and 170 (13%), respectively, of women (total ¼ 1260). After adjusting for age, race, and education level, we found no significant associations between a history of any racket or bat sport participation and thumb-base osteoarthritis (radiographic or symptomatic; odds ratios ranged from 0.82 to 1.34). Conclusions: In a community-based cohort, a self-reported history of participation in racket or bat sports was not associated with increased odds of having radiographic or symptomatic thumb-base osteoarthritis in the dominant hand.
AB - Context: Repetitive joint use is a risk factor for osteoarthritis, which is a leading cause of disability. Sports requiring a racket or bat to perform repetitive high-velocity impacts may increase the risk of thumb-base osteoarthritis. However, this hypothesis remains untested. Objective: To determine if a history of participation in racket or bat sports was associated with the prevalence of thumb-base osteoarthritis. Design: Descriptive epidemiologic study. Setting: Four US clinical sites associated with the Osteoarthritis Initiative. Patients or Other Participants: We recruited 2309 men and women from the community. Eligible participants had dominant-hand radiographic readings, hand symptom assessments, and historical physical activity survey data. Main Outcome Measure(s): A history of exposure to racket or bat sports (badminton, baseball or softball, racketball or squash, table tennis [or ping pong], tennis [doubles], or tennis [singles]) was based on self-reported recall data covering 3 age ranges (12–18, 19–34, and 35–49 years). Prevalent radiographic thumb-base osteoarthritis was defined as Kellgren-Lawrence grade .2 in the first carpometacarpal joint or scaphotrapezoidal joint at the Osteoarthritis Initiative baseline visit. Symptomatic thumb-base osteoarthritis was defined as radiographic osteoarthritis and hand or finger symptoms. Results: Radiographic or symptomatic thumb-base osteoarthritis was present in 355 (34%) and 56 (5%), respectively, of men (total ¼ 1049) and 535 (42%) and 170 (13%), respectively, of women (total ¼ 1260). After adjusting for age, race, and education level, we found no significant associations between a history of any racket or bat sport participation and thumb-base osteoarthritis (radiographic or symptomatic; odds ratios ranged from 0.82 to 1.34). Conclusions: In a community-based cohort, a self-reported history of participation in racket or bat sports was not associated with increased odds of having radiographic or symptomatic thumb-base osteoarthritis in the dominant hand.
KW - baseball
KW - first carpometacarpal joint
KW - scaphotrapezoidal joint
KW - softball
KW - tennis
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UR - http://www.scopus.com/inward/citedby.url?scp=85128542256&partnerID=8YFLogxK
U2 - 10.4085/1062-6050-0208.21
DO - 10.4085/1062-6050-0208.21
M3 - Article
C2 - 35439314
AN - SCOPUS:85128542256
SN - 1062-6050
VL - 57
SP - 341
EP - 351
JO - Journal of Athletic Training
JF - Journal of Athletic Training
IS - 4
ER -