The value of MRI STIR signal intensity on return to play prognosis and reinjury risk estimation in athletes with acute hamstring injuries

R. A. van der Horst; Amsterdam University Center; J. M. den Harder; M. H. Moen; Amsterdam University Center; Amsterdam University Center

doi:10.1016/j.jsams.2021.02.008

The value of MRI STIR signal intensity on return to play prognosis and reinjury risk estimation in athletes with acute hamstring injuries

R. A. van der Horst^*, Amsterdam University Center, J. M. den Harder, M. H. Moen, Amsterdam University Center, Amsterdam University Center

^*Corresponding author for this work

Orthopedics and Sports Medicine

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Abstract

Objectives: Previous studies have shown low to moderate evidence for a variety of magnetic resonance imaging (MRI) features as prognostic factors in athletes with hamstring injuries. Short-tau inversion recovery (STIR) signal intensity has not yet been investigated for assessing the prognosis of acute muscle injuries. Our aim was to explore the relationship between MRI STIR signal intensity and time to return to play (RTP) and to investigate the association between MRI STIR and reinjury risk in athletes with acute hamstring injuries. Study design: Case-control study. Methods: We used MRI STIR to measure intramuscular signal intensity in patients with clinically diagnosed hamstring injuries at two time points: at injury and RTP. At injury, we calculated the association of MRI STIR signal intensity with the time to RTP and reinjury risk. At RTP, the association of MRI STIR signal intensity and reinjury risk and the change in MRI STIR signal intensity over time on reinjury risk was evaluated. Results: 51 patients were included. We found increased MRI STIR signal intensity: (1) at time of injury not to be associated with time to RTP, (2) at time of injury to be associated with a slightly lower risk for reinjury: odds 0.986 (0.975–0.998, p = 0.02) and (3) at RTP not to be associated with reinjury risk. (4) We found no association between the change in MRI STIR signal intensity over time and reinjury risk. Conclusion: Increased MRI STIR signal intensity at injury has no value in time to RTP prognosis, but is associated with a reduced reinjury risk.

Original language	English
Pages (from-to)	855-861
Number of pages	7
Journal	Journal of Science and Medicine in Sport
Volume	24
Issue number	9
DOIs	https://doi.org/10.1016/j.jsams.2021.02.008
Publication status	Published - Sept 2021

Bibliographical note

Funding
The Dutch randomized controlled trial was supported by the Royal Dutch Football Association and Arthrex Medizinische Instrumente GmbH. No funding was received for the current study.

Publisher Copyright:
© 2021 Sports Medicine Australia

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10.1016/j.jsams.2021.02.008

1-s2.0-S1440244021000311-mainFinal published version, 1.18 MBLicence: CC BY

Cite this

@article{6c0b66d95e5f442498f35f1982d4ac28,

title = "The value of MRI STIR signal intensity on return to play prognosis and reinjury risk estimation in athletes with acute hamstring injuries",

abstract = "Objectives: Previous studies have shown low to moderate evidence for a variety of magnetic resonance imaging (MRI) features as prognostic factors in athletes with hamstring injuries. Short-tau inversion recovery (STIR) signal intensity has not yet been investigated for assessing the prognosis of acute muscle injuries. Our aim was to explore the relationship between MRI STIR signal intensity and time to return to play (RTP) and to investigate the association between MRI STIR and reinjury risk in athletes with acute hamstring injuries. Study design: Case-control study. Methods: We used MRI STIR to measure intramuscular signal intensity in patients with clinically diagnosed hamstring injuries at two time points: at injury and RTP. At injury, we calculated the association of MRI STIR signal intensity with the time to RTP and reinjury risk. At RTP, the association of MRI STIR signal intensity and reinjury risk and the change in MRI STIR signal intensity over time on reinjury risk was evaluated. Results: 51 patients were included. We found increased MRI STIR signal intensity: (1) at time of injury not to be associated with time to RTP, (2) at time of injury to be associated with a slightly lower risk for reinjury: odds 0.986 (0.975–0.998, p = 0.02) and (3) at RTP not to be associated with reinjury risk. (4) We found no association between the change in MRI STIR signal intensity over time and reinjury risk. Conclusion: Increased MRI STIR signal intensity at injury has no value in time to RTP prognosis, but is associated with a reduced reinjury risk.",

author = "{van der Horst}, {R. A.} and Center, {Amsterdam University} and {den Harder}, {J. M.} and Moen, {M. H.} and Center, {Amsterdam University} and Center, {Amsterdam University}",

note = "Funding The Dutch randomized controlled trial was supported by the Royal Dutch Football Association and Arthrex Medizinische Instrumente GmbH. No funding was received for the current study. Publisher Copyright: {\textcopyright} 2021 Sports Medicine Australia",

year = "2021",

month = sep,

doi = "10.1016/j.jsams.2021.02.008",

language = "English",

volume = "24",

pages = "855--861",

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The value of MRI STIR signal intensity on return to play prognosis and reinjury risk estimation in athletes with acute hamstring injuries. / van der Horst, R. A.; Center, Amsterdam University; den Harder, J. M. et al.

In: Journal of Science and Medicine in Sport, Vol. 24, No. 9, 09.2021, p. 855-861.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - The value of MRI STIR signal intensity on return to play prognosis and reinjury risk estimation in athletes with acute hamstring injuries

AU - van der Horst, R. A.

AU - Center, Amsterdam University

AU - den Harder, J. M.

AU - Moen, M. H.

AU - Center, Amsterdam University

N1 - Funding The Dutch randomized controlled trial was supported by the Royal Dutch Football Association and Arthrex Medizinische Instrumente GmbH. No funding was received for the current study. Publisher Copyright: © 2021 Sports Medicine Australia

PY - 2021/9

Y1 - 2021/9

N2 - Objectives: Previous studies have shown low to moderate evidence for a variety of magnetic resonance imaging (MRI) features as prognostic factors in athletes with hamstring injuries. Short-tau inversion recovery (STIR) signal intensity has not yet been investigated for assessing the prognosis of acute muscle injuries. Our aim was to explore the relationship between MRI STIR signal intensity and time to return to play (RTP) and to investigate the association between MRI STIR and reinjury risk in athletes with acute hamstring injuries. Study design: Case-control study. Methods: We used MRI STIR to measure intramuscular signal intensity in patients with clinically diagnosed hamstring injuries at two time points: at injury and RTP. At injury, we calculated the association of MRI STIR signal intensity with the time to RTP and reinjury risk. At RTP, the association of MRI STIR signal intensity and reinjury risk and the change in MRI STIR signal intensity over time on reinjury risk was evaluated. Results: 51 patients were included. We found increased MRI STIR signal intensity: (1) at time of injury not to be associated with time to RTP, (2) at time of injury to be associated with a slightly lower risk for reinjury: odds 0.986 (0.975–0.998, p = 0.02) and (3) at RTP not to be associated with reinjury risk. (4) We found no association between the change in MRI STIR signal intensity over time and reinjury risk. Conclusion: Increased MRI STIR signal intensity at injury has no value in time to RTP prognosis, but is associated with a reduced reinjury risk.

AB - Objectives: Previous studies have shown low to moderate evidence for a variety of magnetic resonance imaging (MRI) features as prognostic factors in athletes with hamstring injuries. Short-tau inversion recovery (STIR) signal intensity has not yet been investigated for assessing the prognosis of acute muscle injuries. Our aim was to explore the relationship between MRI STIR signal intensity and time to return to play (RTP) and to investigate the association between MRI STIR and reinjury risk in athletes with acute hamstring injuries. Study design: Case-control study. Methods: We used MRI STIR to measure intramuscular signal intensity in patients with clinically diagnosed hamstring injuries at two time points: at injury and RTP. At injury, we calculated the association of MRI STIR signal intensity with the time to RTP and reinjury risk. At RTP, the association of MRI STIR signal intensity and reinjury risk and the change in MRI STIR signal intensity over time on reinjury risk was evaluated. Results: 51 patients were included. We found increased MRI STIR signal intensity: (1) at time of injury not to be associated with time to RTP, (2) at time of injury to be associated with a slightly lower risk for reinjury: odds 0.986 (0.975–0.998, p = 0.02) and (3) at RTP not to be associated with reinjury risk. (4) We found no association between the change in MRI STIR signal intensity over time and reinjury risk. Conclusion: Increased MRI STIR signal intensity at injury has no value in time to RTP prognosis, but is associated with a reduced reinjury risk.

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JO - Journal of Science and Medicine in Sport

JF - Journal of Science and Medicine in Sport

IS - 9

ER -

The value of MRI STIR signal intensity on return to play prognosis and reinjury risk estimation in athletes with acute hamstring injuries

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