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 - Funding Information:
Research reported in this publication was supported by the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) of the National Institutes of Health (NIH) under Award Number R01 AR066378 (primary investigator: Dr McAlindon). Dr Lo is supported by K23 AR062127, an NIH/ NIAMS funded mentored award. This work was also supported in part with resources at the Veterans Administration Health Services Research & Development Center for Innovations in Quality, Effectiveness and Safety (#CIN 13-413), at the Michael E. DeBakey VA Medical Center, Houston, Texas. This research was supported in part by generous donations to the Tupper Research Fund at Tufts Medical Center (recipient: Dr Driban). The Osteoarthritis Initiative is a public-private partnership comprising 5 contracts (N01-AR-2-2258; N01-AR-2-2259; N01-AR-2-2260; N01-AR-2-2261; N01-AR-2-2262) funded by the NIH, a branch of the Department of Health and Human Services, and conducted by the Osteoarthritis Initiative Study Investigators. Private funding partners include Merck Research Laboratories; Novartis Pharmaceuticals Corporation, GlaxoSmithKline; and Pfizer, Inc. Private sector funding for the Osteoarthritis Initiative is managed by the Foundation for the NIH. The content is solely the responsibility of the authors and does not necessarily represent the official views of NIAMS, the NIH, or the Department of Veterans Affairs. The authors have no other conflicts of interest relevant to the manuscript.
Funding Information:
Research reported in this publication was supported by the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) of the National Institutes of Health (NIH) under Award Number R01 AR066378 (primary investigator: Dr McAlindon). Dr Lo is supported by K23 AR062127, an NIH/ NIAMS funded mentored award. This work was also supported in part with resources at the Veterans Administration Health Services Research & Development Center for Innovations in Quality, Effectiveness and Safety (#CIN 13-413), at the Michael E. DeBakey VA Medical Center, Houston, Texas. This research was supported in part by generous donations to the Tupper Research Fund at Tufts Medical Center (recipient: Dr Driban). The Osteoarthritis Initiative is a public-private partnership comprising 5 contracts (N01-AR-2-2258; N01-AR-2-2259; N01-AR-2-2260; N01-AR-2-2261; N01-AR-2-2262) funded by the
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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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 -