Fast Bowler’s knee – anteromedial articular impingement

Reid, Michael J., Alva, Avinash, Thompson, Simon M., Dhawan, Ranju T., Jones, Mary H., and Williams, Andy M. (2020) Fast Bowler’s knee – anteromedial articular impingement. Journal of Experimental Orthopaedics, 7 (1). 20.

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Abstract

Purpose: To describe a series of impingement lesions found on the anterior aspect of the medial femoral condyle in international cricketers. Methods: Seven international level fast bowlers presented to our clinic with knee pain in the lead leg between 2005 and 2013. The mean age of the patients was 26.7 years (20–29 years). In all patients a careful history and examination was undertaken followed by appropriate investigations. Conservative management and arthroscopic surgery were performed on these cases. We aimed for a pain free quiet knee with resolved oedema on MRI and return to sport. Results: MRI images showed oedema in the medial femoral condyle in all patients and 4 patients also had associated cartilage loss. These 4 patients underwent arthroscopic surgery whereas the other 3 were less symptomatic and were managed conservatively. All patients returned to international cricket at an average of 6 months in the non-operative group and 8 months in the operative group. Conclusion: Anterior impingement of the anteromedial femoral condyle can be a potentially serious lesion in the fast bowler. A strong index of suspicion regarding this lesion has to be exercised when a fast bowler attends with knee pain and effusion.

Item ID: 66625
Item Type: Article (Research - C1)
ISSN: 2197-1153
Keywords: Articular impingement, Cricket, Fast bowling
Copyright Information: © The Author(s) 2020. Open Access: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.
Date Deposited: 27 Apr 2021 03:44
FoR Codes: 42 HEALTH SCIENCES > 4207 Sports science and exercise > 420701 Biomechanics @ 40%
32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320216 Orthopaedics @ 60%
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