MRI of foot pain in amateur marathoners and analysis of related factors
10.3760/cma.j.issn.1005-1201.2019.10.008
- VernacularTitle: 业余马拉松运动员足部疼痛的MRI表现及相关因素分析
- Author:
Zhanhua QIAN
1
;
Rongjie BAI
;
Yaxiong LI
;
Haizhu ZHAO
;
Huili ZHAN
;
Heng ZHANG
Author Information
1. Department of Radiology, Beijing Jishuitan Hospital, Beijing 100035, China
- Publication Type:Journal Article
- Keywords:
Athletic injuries;
Foot;
Magnetic resonance imaging;
Marathon
- From:
Chinese Journal of Radiology
2019;53(10):834-838
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the MRI manifestations of foot injuries in amateur marathoners and the diagnostic value of MRI for foot injuries.
Methods:Forty-eight amateur marathoners were prospectively recruited from October 2018 to March 2019. Participants were grouped according to the FASS criteria. All participants underwent bilateral foot MRI examinations. The MRI features of foot in amateur marathoners with and without foot pain were analyzed.The association with gender, age, time to participate in marathon, amount of running per week, number of times to complete the whole marathon and the symptoms of foot pain was studied.
Results:There were 28 sides in FASS in grade 0, including 8 males and 20 females, 8 hydrocele of the first metatarsophalangeal joint, 6 edema of bone marrow, 4 edema of soft tissue, 4 hydrocele of tendon sheath, and 6 without abnormal manifestations of MRI. There were 68 sides in FASS grade 1, including 42 males and 26 females, 38 Achilles tendinitis, 14 plantar fasciitis, 12 Achilles tendon bursitis and 4 posterior ankle impingement syndrome. The incidence of foot pain in amateur marathoners was related to gender (OR=1.060, P=0.043), unrelated to age (OR=0.248, P=0.078), number of marathons completed (OR=1.006, P=0.956), time to participate in marathon (OR=1.008, P=0.944), amount of running per week (OR=0.971, P=0.407).
Conclusion:Among amateur marathon runners, the foot pain is mainly caused by Achilles tendon and plantar fascia, while those without foot pain are mainly characterized by joint effusion, tendon sheath effusion and bone marrow edema. Gender is the only factor affecting the incidence of foot pain in amateur marathoners. MRI examination is an effective method to determine foot injury and has important clinical application value in the diagnosis and treatment of foot injury.
