Imaging Findings Associated With Osteoarthritis Are Common in Dancers, and Are Rarely Symptomatic: A Systematic Review With Meta-Analysis

Article


Fuller, Melanie, Hanel, Joshua, Mayes, Susan, Bruce, Tracy and Rio, Ebonie. 2025. "Imaging Findings Associated With Osteoarthritis Are Common in Dancers, and Are Rarely Symptomatic: A Systematic Review With Meta-Analysis." Journal of Orthopaedic and Sports Physical Therapy. 55 (4), pp. 1-10. https://doi.org/10.2519/jospt.2025.12918
Article Title

Imaging Findings Associated With Osteoarthritis Are Common in Dancers, and Are Rarely Symptomatic: A Systematic Review With Meta-Analysis

ERA Journal ID9772
Article CategoryArticle
AuthorsFuller, Melanie, Hanel, Joshua, Mayes, Susan, Bruce, Tracy and Rio, Ebonie
Journal TitleJournal of Orthopaedic and Sports Physical Therapy
Journal Citation55 (4), pp. 1-10
Number of Pages10
Year2025
Place of PublicationUnited States
ISSN0190-6011
1938-1344
Digital Object Identifier (DOI)https://doi.org/10.2519/jospt.2025.12918
Web Address (URL)https://www.jospt.org/doi/pdf/10.2519/jospt.2025.12918
Abstract

OBJECTIVE: To estimate the prevalence of imaging findings that may be associated with osteoarthritis (OA), and their relationship with symptoms in dancers.

DESIGN: Etiology systematic review with meta-analysis.

LITERATURE SEARCH: Four electronic databases were searched (PubMed, Scopus, CINAHL, SPORTDiscus) from inception to September 2023.

STUDY SELECTION CRITERIA: Included studies reported joint imaging findings in dancers. We considered all study designs that investigated populations with regular participation in any form of dance, at any stage of career.

DATA SYNTHESIS: Data were pooled for meta-analysis if at least 3 studies reported on the same intra-articular imaging findings, at the same joint, in a similar dance genre.

RESULTS: Thirty-two studies were included. Meta-analysis was performed for the prevalence of hip, ankle, and first metatarsophalangeal joint OA, and ankle effusion. The first metatarsophalangeal joint had the highest prevalence of radiographic OA (59%). The prevalence of symptomatic OA was low (3%). The ankle (radiographic OA 41%) and then the hip (radiographic OA 19%) joint were the next most common regions to report imaging findings, with a lower prevalence of symptomatic OA seen at the ankle (2%) to pool 2 studies and hip (8%) to pool 4 studies.

CONCLUSION: There was very low certainty evidence of the first metatarsophalangeal joint having the highest prevalence of imaging findings in dancers, followed by the ankle and hip joints. A lower prevalence of symptomatic OA was seen at all 3 joints.

Keywordsjoint diseases; ballet; radiological finding; osteoarthritis; musculoskeletal diseases; dancing
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020320299. Clinical sciences not elsewhere classified
320206. Diagnostic radiography
320216. Orthopaedics
320222. Radiology and organ imaging
320225. Sports medicine
320223. Rheumatology and arthritis
420106. Physiotherapy
420199. Allied health and rehabilitation science not elsewhere classified
420109. Rehabilitation
420799. Sports science and exercise not elsewhere classified
Public Notes

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Byline AffiliationsSchool of Health and Medical Sciences
La Trobe University
Library Services
Australian Ballet, Australia
Victorian Institute of Sport, Australia
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