Case Series
 
Impact of collagen hydrolysate in middle-aged athletes with knee and ankle osteochondral lesions: A case series
Fábio Krebs Gonçalves
MD, Venue Medical Manager for Tenis in Olimpic Games Rio 2016, Medical Coordinator for the Porto Alegre Headquarters during Fifa World Cup - Brazil 2014, Vice-President of the Brazilian Society of Arthroscopy and Sports Traumatology (SBRATE), Member of the Brazilian Society of Orthopedics and Traumatology (SBOT), Knee and Ankle Group of the Traumatology Institute of the Ma~e de Deus Hospital, Porto Alegre, RS, Brazil, Medical Coordinator of Canoas Voleyball

Article ID: Z01201706CS10087FG
doi:10.5348/ijcri-201708-CS-10087

Address correspondence to:
Fábio Krebs Gonçalves
Rua Leopoldo Bier, 825 – 401, Porto Alegre
Rio Grande do Sul
Brazil

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How to cite this article
Gonçalves FK. Impact of collagen hydrolysate in middle-aged athletes with knee and ankle osteochondral lesions: A case series. Int J Case Rep Images 2017;8(6):364–369.

ABSTRACT
Introduction: Osteochondral lesions (OCL) are a significant issue among professional and amateur athletes in several sports modalities. Lack of treatment or inadequate therapy may aggravate the symptoms and jeopardize the chance of a complete functional recovery. Multidisciplinary treatment is the mainstay of OCL, including physiotherapy, physical rehabilitation with aerobic and anaerobic exercises and lately, the use of nutritional supplementation with collagen hydrolysate (CH).
Case Series: We report three cases of OCL in athletes, which were diagnosed and followed with magnetic resonance imaging (MRI) scan after multidisciplinary treatment including nutritional supplementation with Fortigel® a specific collagen hydrolysate that contains bioactive collagen peptides. A literature review on the role of collagen hydrolysate and its nutritional aspect in supporting the regeneration of articular cartilage is also presented.
Conclusion: MRI images of patients assessed in this study depict the recovery of the articular surfaces after the treatment. Also, studies in athletes presenting joint pain but otherwise not diagnosed with osteoarthritis or other osteoarticular diseases have demonstrated the beneficial effects of CH intake.

Keywords: Athletes, Collagen hydrolysate, Nutritional supplementation, Osteochondral lesions



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Acknowledgements
We would like to thank Evidências, a Kantar Health company, for the editorial support in this paper.

Author Contributions
Fábio Krebs Gonçalves – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Fábio Krebs Gonçalves. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.