Intra-articular therapy in athletes: recommendations from the International Consensus promoted by the FMSI (Federazione Medico Sportiva Italiana) - 2025
Intra-articular therapy; consensus statement; Sports medicine; Delphi method; professional athletes
Abstract :
[en] Recommendations from the International Consensus promoted by the FMSI Summary. Intra-articular therapy is commonly used in athletes. The Italian Sports Medicine Federation (FMSI) called a Consensus to shed light on the indications and procedures of intra-articular therapy in athletes and subjects engaging in professional or sport at non-agonistic level. Eighteen IA therapy experts from the FMSI representing multiple disciplines made up the Consensus Board. Through two meetings and two Delphi rounds, and after a systematic literature search, the consensus pinpointed open questions and respective recommendations. Only those recommendations that achieved an agreement of more than 66% were accepted. The systematic literature search produced 12 articles. The consensus processed 31 questions and their answers. Only the 29 recommendations that reached agreement of more than 66% were included in the recommendations; the remaining four were not accepted. The intensity of the recommendation was broad (range between 7.93-9.93). A research agenda of outstanding questions was also drawn up. [it] La terapia intra-articolare è comunemente utilizzata negli atleti. La Federazione Medica Sportiva Italiana (FMSI) ha convocato un Consensus per fare luce sulle indicazioni e le procedure della terapia intraarticolare negli atleti e nei soggetti che praticano sport a livello professionistico o non agonistico. Diciotto esperti di terapia IA della FMSI in rappresentanza di più discipline hanno costituito il Consensus Board. Attraverso due riunioni e due round Delphi, e dopo una ricerca sistematica della letteratura, il Consensus ha individuato le domande aperte e le rispettive raccomandazioni. Sono state accettate solo le raccomandazioni che hanno raggiunto un accordo superiore al 66%. La ricerca sistematica della letteratura ha prodotto 12 articoli. Il Consensus ha elaborato 31 domande e le relative risposte. Sono state incluse nelle raccomandazioni solo le 29 raccomandazioni che hanno raggiunto un accordo superiore al 66%; le restanti quattro non sono state accettate. L’intensità della raccomandazione era ampia (intervallo tra 7,93- 9,93). È stato inoltre redatto un programma di ricerca delle domande in sospeso.
Disciplines :
Orthopedics, rehabilitation & sports medicine
Author, co-author :
Boni, Giovanni
Giannini, Silvana; FIFA Medical Center of Excellence, Center for Exercise Science and Sports Medicine, Villa Stuart Sport Clinic, Rome, Italy ; Foro Italico University, Rome, Italy
Magliulo, Giulio; Health Director Centro "Dimensione Azzurra", Torre del Greco, Italy
Frizziero, Antonio; Director UOC Medicina Fisica e Riabilitativa Specialistica, ASST Gaetano Pini, Milano, Italy
Alvarez, Guillermo; Medical Director at AMS Medical Exercise Center (Málaga/Marbella, Spain
Bálint, Lehel; National Sport Medicine Hospital, Budapest, Hungary
Blonskiy, Roman; Doctor of Medical Sciences, Sports Medicine Association of Ukraine, Department of Sports and Ballet Injury, Chief Researcher, National Institute of Traumatology and Orthopedics NAMS of Ukraine"
Demirhan, Diraçoğlu; Department of Physical Medicine and Rehabilitation, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Türkiye
Domżalski, Marcin; Sports Medicine Unit, University of Malaya, Kuala Lumpur
Eirale, Cristiano; Chief of Sport Medicine Aspetar hospital Doha Qatar, Espregueira-Mendes Sports Centre ; FIFA Medical Centre of Excellence, Porto, Portugal
Espregueira-Mendes, João
Goertzen, Meinolf; Zentrum für Orthopädische Chirurgie & Sporttraumatologie, Hannover, Germany
Hamdan, Paulo; Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
Shariff A Hamid, Mohamad; Department of Orthopedic, Trauma Medical University of Lodz, Poland
Hrazdira, Lubos; Vice President Czech Society for Sonography in Medicine
Iachelli, Gaetano; Federazione Medico Sportiva Italiana, Servizio Medicina dello Sport, ASP Ragusa, Italy
Janković, Saša; Knee surgery & Sports traumatology, University ; Member of Health Committee of Croatian Olympic Committee
Kaux, Jean-François ; Université de Liège - ULiège > Département des Sciences de l'activité physique et de la réadaptation > Médecine physique, réadaptation et traumatologie du sport
Petrella, Roberto
Roby, Matias; MEDS Clinic Development &Innovation CONMEBOL Medical Commission & Anti-doping Unit
Rossi, Luciano; Orthopedics and Traumatology, Hospital Italiano de Buenos Aires, Argentina
Schneider, Christian; Orthopedic Centre Theresie, Munich, Germany
Migliore, Alberto; UOS of Rheumatology, Ospedale San Pietro Fatebenefratelli, Rome, Italy
