ACR Meeting Abstracts

ACR Meeting Abstracts

Abstract Number: 0539

Sports with a Bat or Racket Are Not Associated with Thumb-base Osteoarthritis: Data from the Osteoarthritis Initiative

Jeffrey Driban1, Grace Lo2, Mary Roberts3, Matthew Harkey4, Lena Schaefer5, Ida Kristin Haugen6, Stacy Smith7, Jeffrey Duryea7, Bing Lu8, Charles Eaton9, Marc Hochberg10, Rebecca Jackson11, C. Kent Kwoh12, Michael Nevitt13 and Timothy McAlindon1, 1Tufts Medical Center, Boston, MA, 2Michael E. Debakey VA Medical Center, Baylor College of Medicine, Houston, TX, 3Center for Primary Care & Prevention, Alpert Medical School of Brown University, Pawtucket, RI, 4University of Massachusetts, Worcester, MA, 5Radiology Department, Klinikum Nürnberg Süd, Nürnberg, Germany, 6Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway, 7Department of Radiology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 8Brigham and Women's Hospital and Harvard Medical School, Newton, MA, 9Brown University, Pawtucket, RI, 10University of Maryland School of Medicine, Baltimore, MD, 11Ohio State University, Columbus, OH, 12University of Arizona of Arizona Arthritis Center and Division of Rheumatology, College of Medicine, University of Arizona, Tucson, AZ, 13Department of Epidemiology and Biostatistics, University of California San Francisco, Orinda, CA

Meeting: ACR Convergence 2020

Keywords: , ,

Session Information

Date: Saturday, November 7, 2020

Title: Epidemiology & Public Health Poster II: OA, Osteoporosis, & Other Rheumatic Disease

Session Type: Poster Session B

Session Time: 9:00AM-11:00AM

Background/Purpose: Sports that require the use of a racket or bat to propel a ball (e.g., baseball, softball, tennis) expose the thumb-base to repetitive high-velocity loading. However, it remains unclear if these sports increase the risk of thumb-base osteoarthritis (OA). We aimed to determine if a history of participation in racket or bat sports is associated with prevalent thumb-base OA.

Methods: We studied men and women from the Osteoarthritis Initiative (OAI) – a multicenter cohort study recruited from the community. Eligible participants had dominant hand radiographic readings, hand symptom assessments, and historical physical activity survey data. A history of participation in racket or bat sports (i.e., baseball/softball, racquetball/squash, badminton, table tennis, tennis [doubles/singles]) was based on self-reported recall data covering 3 age ranges (teens: 12-18 years, young adult: 19-34 years, adult: 35-49 years). As a sensitivity analysis, we examined people who indicated that participation in these sports was among their top 3 commonly performed physical activities during each age range. Prevalent radiographic thumb-base OA was defined as Kellgren-Lawrence grade>2 in the first carpometacarpal joint or scaphotrapezoidal joint at the OAI baseline visit. Symptomatic thumb-base OA was defined as the presence of radiographic OA and hand symptoms. We used a series of logistic regression models to assess the association between a history of racket or bat sports within each age range with prevalent radiographic thumb-base OA (primary outcome) or symptomatic thumb-base OA (secondary outcome). These models were performed stratified by sex and completed with and without adjusting for confounders (see Tables).

Results: The 2309 participants tended to be 60 (9) years of age, female (55%), white (80%), and educated with at least some college experience (87%). Among 1049 men, 355 (34%) and 56 (5%) had radiographic or symptomatic thumb-base OA, respectively. Among 1260 women, 525 (42%) and 170 (13%) had radiographic or symptomatic thumb-base OA, respectively. After adjusting for age, race, and education level, we found no significant associations between a history of any racket or bat sport participation and thumb-base OA (radiographic or symptomatic; odds ratios range from 0.84 to 1.34; Tables 1 and 2). Sensitivity analyses among people who listed racket/bat sports among their top 3 sports in each age range supported the primary analyses (Tables 1 and 2).

Conclusion: Within a community-based cohort, a self-reported history of participation in racket or bat sports was not associated with having radiographic or symptomatic thumb-base OA in the dominant hand.

Table 1.

Table 2

Disclosure: J. Driban, Pfizer, Inc., 1, 2, Eli Lilly and Company, 1; G. Lo, Takeda Pharmaceuticals, 1, Taro Pharmaceuticals, 1, Teva Pharmaceuticals, 1, XBI Biotech Co, 1; M. Roberts, None; M. Harkey, Pfizer, Inc., 1; L. Schaefer, None; I. Haugen, None; S. Smith, None; J. Duryea, None; B. Lu, None; C. Eaton, None; M. Hochberg, Bone Therapeutics, 5, Bristol Myers Squibb, 5, Eli Lilly, 5, EMD Serono, 5, Gilead, 5, GlaxoSmithKline, 5, IBSA Institut Biochimique SA, 5, Novartis Pharma AG, 5, Noven Pharmaceuticals Inc., 5, Pfizer Inc., 5, Regenosine, 5, Samumed LLC, 5, Theralogix LLC, 5, Vizuri Health Sciences, 5, ACI Clinical, 5, Covance Inc., 5, Galapagos, 5, ICON plc, 5, IQVIA, 5, Elsevier, 7, Wolters Kluwer, 7, BriOri Biotech, 1, Theralogix LLC., 1, Rheumcon, Inc., 6; R. Jackson, None; C. Kwoh, Abbvie, 2, Merck KGaA, 2, 5, Fidia, 5, Thusane Astellas, 5, Regulus, 5, Taiwan Liposome, 5, Regeneron, 5, EMD Serono, 5, Express Scripts, 5, Kolon Tissue Gene, 5, Pfizer, 2, UCB, 2, Novartis, 2, Eli Lilly, 2, GSK, 2; M. Nevitt, None; T. McAlindon, Pfizer, 1, Sanofi Aventis US, 1, Kolon Tissuegene, 1, Samumed, 1, Seikagaku, 1, Kiniksa Pharmaceuticals, 1, Anika Therapeutics, 1.

To cite this abstract in AMA style:

Driban J, Lo G, Roberts M, Harkey M, Schaefer L, Haugen I, Smith S, Duryea J, Lu B, Eaton C, Hochberg M, Jackson R, Kwoh C, Nevitt M, McAlindon T. Sports with a Bat or Racket Are Not Associated with Thumb-base Osteoarthritis: Data from the Osteoarthritis Initiative [abstract]. Arthritis Rheumatol. 2020; 72 (suppl 10). https://acrabstracts.org/abstract/sports-with-a-bat-or-racket-are-not-associated-with-thumb-base-osteoarthritis-data-from-the-osteoarthritis-initiative/. Accessed .

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