Diagnosis of acute groin injuries in athletes

Serner, Andreas

doi:10.1136/bjsports-2017-098211

Cited by 41 publications

(86 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…New studies examining the accuracy of the clinical examination of pain-provocation tests using palpation, stretch, and resistance testing in athletes with acute groin injuries have been published since the Doha agreement meeting. 84,86 These studies demonstrate that clinical examination is accurate in locating acute injuries to the adductors, generally with an accuracy greater than 90% for the various adductor tests. 86 For acute hip flexor injuries, it can sometimes be hard to distinguish between iliopsoas or proximal rectus femoris involvement based on clinical findings.…”

Section: Physical Examinationmentioning

confidence: 77%

“…34 Acute adductor muscle injuries usually occur during kicking and change of direction. 84 In comparison, acute rectus femoris injuries primarily occur during kicking and sprinting, whereas acute iliacus and psoas major injuries mainly occur with movement requiring change of direction. 88 Runners and dancers can also present with groin pain, often due to overuse.…”

Section: Types Of Sports and Injuriesmentioning

confidence: 99%

“…79,107 Therefore, if an avulsion is suspected, ultrasonography or MRI can be used for confirmation. 84,86 In athletes with long-standing adductor-related groin pain, ultrasonography is often the imaging modality of choice.…”

Section: Imaging For Pubic-and Adductor-related Groin Painmentioning

confidence: 99%

See 2 more Smart Citations

Clinical Examination, Diagnostic Imaging, and Testing of Athletes With Groin Pain: An Evidence-Based Approach to Effective Management

Thorborg¹,

Reiman²,

Weir³

et al. 2018

Journal of Orthopaedic & Sports Physical Therapy

Self Cite

View full text Add to dashboard Cite

[ clinical commentary ] U U SYNOPSIS: Groin pain is common in athletes who participate in multidirectional sports and has traditionally been considered a difficult problem to understand, diagnose, and manage. This may be due to sparse historical focus on this complex region in sports medicine. Until recently, there has been little agreement regarding terminology, definitions, and classification of groin pain in athletes. This has made clear communication between clinicians difficult, and the results of research difficult to interpret and implement into practice. However, during the past decade, the field has evolved rapidly, and an evidence-based understanding is now emerging. This clinical commentary discusses the clinical examination (subjective history, screening, physical examination); imaging; testing of impairments, function, and performance; and management of athletes with groin pain in an evidence-based framework.

show abstract

Section: Physical Examinationmentioning

confidence: 77%

Section: Types Of Sports and Injuriesmentioning

confidence: 99%

See 1 more Smart Citation

Clinical Examination, Diagnostic Imaging, and Testing of Athletes With Groin Pain: An Evidence-Based Approach to Effective Management

Thorborg¹,

Reiman²,

Weir³

et al. 2018

Journal of Orthopaedic & Sports Physical Therapy

Self Cite

View full text Add to dashboard Cite

show abstract

“…These injuries are suspected when the patients refer the acute onset of pain in the pubic or inguinal area, particularly during sporting activities that involve motor tasks such as kicking or twisting movements [3][4] . Hypertrophic scarring (fibrosis) and calcifications are the most common complications of the healing process 2 , as well as a possible cause of long-standing groin pain 1,5,6 .…”

Section: Introductionmentioning

confidence: 99%

“…Adductor Longus (AL) muscle injuries, caused by indirect trauma, predominantly involve the proximal myotendinous junction and enthesis [1][2][3] . These injuries are suspected when the patients refer the acute onset of pain in the pubic or inguinal area, particularly during sporting activities that involve motor tasks such as kicking or twisting movements [3][4] .…”

Section: Introductionmentioning

confidence: 99%

Perivascular Adductor Longus muscle injury: Ultrasound and Magnetic Resonance Imaging findings

Moreno¹

2017

MLTJ

View full text Add to dashboard Cite

SummaryBackground: Muscle injuries affecting the Adductor Longus are not all localised at the level of the proximal myotendinous junction and enthesis. Thus, the main purpose of this article was to raise awareness of the imaging features of the Perivascular Adductor Longus muscle injury, which currently remains widely under-recognised. Methods: The ultrasound (US) and Magnetic Resonance imaging (MRI) images of five professional football players were retrospectively reassessed to identify distinctive imaging details of the Perivascular Adductor Longus muscle injury. Complementary information regarding the traumatic mechanics is presented as well. Results: All the players presented similar US images in the first seventy-two hours: loss of ecostructural integrity of the lateral epimysium, in proximity to the femoral vessels, and perilesional oedema were the main pathological findings. The injury lead to the formation of a hypoechoic, intramuscular haematoma in three of the subjects. Anyway, this was detectable only after five days, or later. Moreover, MRI sequences showed long-standing haematoma-related signal alterations which were also observable at three months after trauma. Typically, kicking was the traumatic motor task. Conclusions:The main practical value of this technical note is to compensate for the lack of studies concerning the Perivascular Adductor Longus muscle injury. Promptly identifying its typical imaging features is crucial in order to establish the correct diagnosis and to implement a highly specific rehabilitative program. Level of evidence: V.

show abstract

Adductor longus: An anatomical study to better understand groin pain

et al. 2022

View full text Add to dashboard Cite

We investigated the shear modulus-passive force relationship in the hip adductor longus (AL) muscles of human cadavers and explored the effect of muscle architecture on the elastic properties of the AL muscle using shear wave elastography (SWE).Nine AL muscles were harvested from a soft, embalmed cadaver. The AL muscles were affixed to a custom-built device comprising two clamps, a pulley, and a cable to provide passive loads, which were increased from 0 to 600 g in 60-g increments. The shear modulus of the AL muscle was measured in the proximal (Pro), middle (Mid), and distal (Dis) regions. The masses and anatomical cross-sectional areas (ACSAs) of the AL muscles were measured. The shear modulus-passive load relationship of each tested muscle region was analyzed by fitting a least-squares regression line. Moreover, the rate of increase in the shear modulus per unit load (s) was calculated. The shear modulus and passive force were linearly correlated for all AL muscles in each region (p < 0.01). The mean coefficients of determination (R 2 ) for Pro, Mid, and Dis were 0.989, 0.986, and 0.982, respectively. The rate of increase in the shear modulus per unit load significantly correlated with the reciprocal of the muscle mass (r = 0.77, p = 0.02) and ACSA (r = 0.43, p = 0.03). Shear wave elastography can be used as an indirect measure of passive force in any region of the AL muscle. Additionally, the rate of increase in the shear modulus per unit load could be associated with muscle architectural parameters.

show abstract

Diagnosis of acute groin injuries in athletes

Cited by 41 publications

References 5 publications

Clinical Examination, Diagnostic Imaging, and Testing of Athletes With Groin Pain: An Evidence-Based Approach to Effective Management

Clinical Examination, Diagnostic Imaging, and Testing of Athletes With Groin Pain: An Evidence-Based Approach to Effective Management

Perivascular Adductor Longus muscle injury: Ultrasound and Magnetic Resonance Imaging findings

Adductor longus: An anatomical study to better understand groin pain

Contact Info

Product

Resources

About