Athletic Pubalgia (Sports Hernia)

Litwin, Demetrius E. M.; Sneider, Erica B.; McEnaney, Patrick M.; Busconi, Brian D.

doi:10.1016/j.csm.2010.12.010

Cited by 57 publications

(34 citation statements)

References 61 publications

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“…Even with pain, it is noted that the patient can compete despite losing performance during the competition/season. A decrease in the intensity of training can also be observed, but not necessarily absence from competitions 12 . In the present study, one-third of patients required injury leave.…”

Section: Discussionsupporting

confidence: 55%

“…It is believed that the gynecoid pelvis acts as a protective factor for the disease, probably due to the greater insertion area to the abdominal muscles, which would increase the surface for the distribution of forces 12 . Nevertheless, in a study with 8,490 patients, Meyers et al 15 observed an increase from 1% to 15% in the number of women affected in the last 20 years.…”

Section: Discussionmentioning

confidence: 99%

“…Genitourinary diseases such as epididymitis, prostatitis, and testicular tumors should be ruled out in men, as well as intrapelvic diseases in women, such as endometriosis, ovarian cysts, and inflammatory pelvic disease. Inflammatory/infectious diseases such as inflammatory bowel disease, diverticulitis, urinary tract infection, and osteomyelitis, as well as tumor lesions, should be excluded 12 . In this study, nine patients were diagnosed with inguinal hernia; ultrasounds are routinely performed in this service.…”

Section: Discussionmentioning

confidence: 99%

“…In this study, nine patients were diagnosed with inguinal hernia; ultrasounds are routinely performed in this service. Of the five patients who underwent conventional hernia repair performed by the general surgery team of the institution, two evolved with persistent symptoms of pubalgia, which demonstrates the diagnostic challenge, suggesting the coexistence of pathologies in different systems and that the inguinal hernia is not the single cause pain in the athletic pubalgia 12, 15. Meyers et al 15 observed that 4.6% of 5460 patients operated for pubalgia had previously undergone traditional hernia repair without success.…”

Section: Discussionmentioning

confidence: 99%

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Epidemiological profile of patients diagnosed with athletic pubalgia

Oliveira

Andreoli

Ejnisman

et al. 2016

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo evaluate the clinical and epidemiological characteristics of pubalgia in patients from a Sports Medicine Center.MethodsData analysis from medical records of patients with athletic pubalgia attended to from January 2007 to January 2015. The diagnosis was made by an experienced hip surgeon, complemented with pelvic X-ray, abdominal wall ultrasound, and magnetic resonance imaging of the pelvis.ResultsAmong 43 patients, 42 were men, with mean age of 33 years. As for sports, 25 (58.1%) athletes were soccer players and 13 (30.2%) were runners; 37.2% were professional athletes. Inguinal hernia was diagnosed in 20.9% of patients, showing the importance of its routine search in these patients. Treatment duration ranged from 1 to 12 months and 95.2% of the patients returned to sport.ConclusionThis study presented the epidemiological characteristics of patients diagnosed with athletic pubalgia attended to in a reference medical center and demonstrated the prevalence of this lesion in male patients, soccer players and runners. It also disclosed a high success rate of the nonoperative treatment, and high rate of return to sport after treatment.

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Section: Discussionsupporting

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Epidemiological profile of patients diagnosed with athletic pubalgia

Oliveira

Andreoli

Ejnisman

et al. 2016

Revista Brasileira de Ortopedia (English Edition)

View full text Add to dashboard Cite

show abstract

“…Therapeutic massage around adductors and surrounding tissue away from the incision site may begin 1 week after surgery and progress to scar management over the abdominal incision area 3 weeks after surgery. The patient should avoid excessive trunk extension [36] (Table 17.7, Week 1).…”

Section: The Postoperative Rehabilitation For Sports Herniamentioning

confidence: 99%