RT Journal Article
SR Electronic
T1 Dupuytren disease is highly prevalent in male field hockey players aged over 60 years
JF British Journal of Sports Medicine
JO Br J Sports Med
FD BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine
SP 1327
OP 1331
DO 10.1136/bjsports-2016-096236
VO 52
IS 20
A1 Dieuwke C Broekstra
A1 Edwin R van den Heuvel
A1 Rosanne Lanting
A1 Tom Harder
A1 Inge Smits
A1 Paul M N Werker
YR 2018
UL http://bjsm.bmj.com/content/52/20/1327.abstract
AB Background/aim Dupuytren disease is a fibroproliferative hand condition. The role of exposure to vibration as a risk factor has been studied with contradictory results. Since field hockey is expected to be a strong source of hand-arm vibration, we hypothesised that long-term exposure to field hockey is associated with Dupuytren disease.Methods In this cross-sectional cohort study, the hands of 169 male field hockey players (IQR: 65–71 years) and 156 male controls (IQR: 59–71 years) were examined for signs of Dupuytren disease. Details about their age, lifestyle factors, medical history, employment history and leisure activities were gathered. Prior to the analyses, the groups were balanced in risk factors using propensity score matching. The association between field hockey and Dupuytren disease was determined using a subject-specific generalised linear mixed model with a binomial distribution and logit link function (matched pairs analysis).Results Dupuytren disease was observed in 51.7% of the field hockey players, and in 13.8% of the controls. After propensity score matching, field hockey playing as dichotomous variable, was associated with Dupuytren disease (OR=9.42, 95% CI 3.01 to 29.53). A linear dose-response effect of field hockey (hours/week x years) within the field hockey players could not be demonstrated (OR=1.03, 95% CI 0.68 to 1.56).Discussion We found that field hockey playing has a strong association with the presence of Dupuytren disease. Clinicians in sports medicine should be alert to this less common diagnosis in this sport.