Do knees survive the Comrades Marathon?
Department of Radiology, Nelson R Mandela School of Medicine, University of KwaZulu-Natal. OBJECTIVE: To detect by magnetic resonance imaging (MRI) the presence and type of knee injuries in non-professional runners after running an ultra-marathon, and to determine whether ultra-marathon running exacerbates pre-existing knee injuries or results in new permanent injuries. DESIGN: A prospective MRI study of one knee of 10 randomly selected participants who completed the Comrades Marathon between 1997 and 2002. Their knees were scanned 48 hours before the race, and 48 hours and 1 month after the race. SETTING: All scans were performed at the Radiology Department, Wentworth Hospital, Durban, and the University of KwaZulu-Natal. MAIN OUTCOME MEASURES: Scores of all knee injuries detected on MRI scans immediately before the race, compared with the scores after the race. RESULTS: All scanned knees demonstrated an abnormal amount of joint fluid before the race; this increased immediately after