Male National Basketball Association G-League and Collegiate Basketball Athletes Have a High Prevalence of Radiographic Ankle Abnormalities

PurposeThe purposes of this study were to characterize radiographic foot/ankle bony abnormalities in elite-level, asymptomatic male basketball athletes, and to investigate the association between anthropometric (age, height, weight) or sport-specific characteristics (total exposures, player position, pregame ankle taping) and the prevalence of abnormal radiographic findings in asymptomatic basketball athletesMethodsElite-level basketball players who underwent routine, pre-season static radiographic imaging, including antero-posterior, lateral, and mortise views of the ankle were included. Radiographs were collected from asymptomatic athletes participating in pre-season history and physical with negative anterior drawer/talar tilt test. Radiographs were evaluated by a musculoskeletal radiologist and board-certified orthopedic surgeon; kappa statistics were used to evaluate agreement.ResultsFifty-four basketball players (34 collegiate, 20 professional; mean age 21.5 years) were included, totaling 5,148 player exposures from 2017-2019. 106 ankles presented with radiographic findings (98.15%). The most prevalent radiographic finding was pes planus (47.22%), followed by degenerative joint disease (DJD) (33.33%), talonavicular sclerosis (28.70%), prominent stieda process (25.93%), os trigonum (20.93%), os subfibulare (11.11%), pes cavus (5.56%), subtalar coalition (2.78%), and cavovarus (0.93%). Height ≥ 80" was significantly associated with talonavicular sclerosis and Kellgren-Lawrence 1 changes.ConclusionsThis study demonstrated a strong association between height and talonavicular sclerosis and DJD, as well as a relatively high prevalence of pes planus and DJD in asymptomatic collegiate and professional basketball players.