Diagnosis of Acute Groin Injuries

Serner, Andreas; Tol, Johannes L.; Jomaah, N.; Weir, Adam; Whiteley, Rodney; Thorborg, Kristian; Robinson, Matthew; Hölmich, Per

doi:10.1177/0363546515585123

Cited by 122 publications

(47 citation statements)

References 72 publications

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“…8 Understanding the physical requirements of each sport can help one appreciate the importance of maintaining a high adductor to abductor strength ratio. In a recent prospective study involving 110 athletes in various sports, Serner et al 9 found that kicking was the most common mechanism for acute groin injuries in soccer. The adductor longus was the most frequently injured muscle, and 81% of injuries involved the kicking leg.…”

Section: Implications For Practice Education and Future Researchmentioning

confidence: 99%

Measuring the Hip Adductor to Abductor Strength Ratio in Ice Hockey and Soccer Players: A Critically Appraised Topic

Rodriguez¹

2020

Journal of Sport Rehabilitation

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Clinical Scenario: Ice hockey and soccer are both dynamic sports that involve continuous, unpredictable play. These athletes consistently demonstrate higher rates of groin strains compared with other contact sports. Measuring the hip adductor/abductor ratio has the potential to expose at-risk players, reduce injury rates, and preserve groin health in players with chronic strains. Focused Clinical Question: What is the clinical utility of measuring the hip adductor/abductor ratio for preseason and in-season ice hockey and soccer players? Summary of Key Findings: Three studies, all of which were prospective cohort designs, were included. One study involved assessing preseason strength and flexibility as a risk factor for adductor strains in professional ice hockey players. Another study performed with the same professional hockey team used preseason hip adductor/abductor strength ratios to screen for those players who would benefit from a strengthening intervention aimed at reducing the incidence of adductor strains. The final study, which was performed in elite U17 soccer players, assessed the effectiveness of monthly in-season strength monitoring as a guide to trigger in-season interventions to decrease injury incidence. Clinical Bottom Line: Measuring the hip adductor/abductor strength ratio in hockey and soccer players can be a beneficial preseason and in-season tool to predict future groin strain risk and screen for athletes who might benefit from a strengthening intervention. Strength of Recommendation: Level 3 evidence exists to support monitoring the hip adductor/abductor strength ratio to assess and reduce the risk of adductor strains in ice hockey and soccer players.

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Section: Implications For Practice Education and Future Researchmentioning

confidence: 99%

Measuring the Hip Adductor to Abductor Strength Ratio in Ice Hockey and Soccer Players: A Critically Appraised Topic

Rodriguez¹

2020

Journal of Sport Rehabilitation

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“…The adductor tendons are frequently involved in core injuries. 27 Adductor longus tendinosis is a result of chronic repetitive overuse and occurs immediately distal to the rectus abdominis–adductor longus aponeurosis. MRI findings include thickening with or without hyperintense signal, particularly on the fluid-sensitive sequence, distal to the rectus abdominis–adductor longus aponeurosis and with or without hypointense foci of calcification ( Figure 4 ).…”

Section: Magnetic Resonance Imagingmentioning

confidence: 99%

Imaging of Groin Pain: Magnetic Resonance and Ultrasound Imaging Features

Lee

Endo

Potter

2017

Sports Health: A Multidisciplinary Approach

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Context:Evaluation of groin pain in athletes may be challenging as pain is typically poorly localized and the pubic symphyseal region comprises closely approximated tendons and muscles. As such, magnetic resonance imaging (MRI) and ultrasound (US) may help determine the etiology of groin pain.Evidence Acquisition:A PubMed search was performed using the following search terms: ultrasound, magnetic resonance imaging, sports hernia, athletic pubalgia, and groin pain. Date restrictions were not placed on the literature search.Study Design:Clinical review.Level of Evidence:Level 4.Results:MRI is sensitive in diagnosing pathology in groin pain. Not only can MRI be used to image rectus abdominis/adductor longus aponeurosis and pubic bone pathology, but it can also evaluate other pathology within the hip and pelvis. MRI is especially helpful when groin pain is poorly localized. Real-time capability makes ultrasound useful in evaluating the pubic symphyseal region, as it can be used for evaluation and treatment.Conclusion:MRI and US are valuable in diagnosing pathology in athletes with groin pain, with the added utility of treatment using US-guided intervention.Strength-of Recommendation Taxonomy:C

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“…Im Fußball hängen 40 % aller akuten Leistenverletzungen mit dem Ballschuss zusammen [9]. Bei einem sauber ausgeführten Schuss findet normalerweise ein effizienter Energiefluss zwischen den verschiedenen Segmenten statt, durch den eine Überlastung der Muskeln verhindert wird [39].…”

Section: Verletzungsmechanismusunclassified

“…Vor allem sollte die körperliche Untersuchung gut strukturiert und durchdacht sein, da Leistenschmerzen eine schwerwiegende Pathologie zugrunde liegen kann und zahlreiche muskuloskeletale Strukturen beteiligt sein können. Auf den ersten Blick scheint dies im Widerspruch zu der Tatsache zu stehen, dass es nicht möglich zu sein scheint, eine zuverlässige und fundierte anatomische Diagnose zu erstellen [9,10]. Daher wurde vorgeschlagen, einen umfassenden Ansatz zu verfolgen, um zwischen klinischen Entitäten zu differenzieren [11,12,13].…”

Section: Introductionunclassified

Leistenprobleme

Langhout¹,

Tak²,

Glasgow³

2016

Sportphysio

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Zusammenfassung Ein umfassender Ansatz aus sportphysiotherapeutischer Sicht Leistenschmerzen geh?ren zu den Top 3-Verletzungen bei Sportlern und treten vor allem bei Sportarten auf, die mit h?ufigem Beschleunigen/Abbremsen, pl?tzlichen Richtungswechseln und Treten/Schie?en verbunden sind. Rob Langhout, Igor Tak und Phil Glasgow schauen sich die Biomechanik des Schie?ens ganz genau an und erkl?ren anhand von Bildern und Videos, wie eine sinnvolle Behandlung von Sportlern mit Leistenschmerz aussehen kann.

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Diagnosis of Acute Groin Injuries

Cited by 122 publications

References 72 publications

Measuring the Hip Adductor to Abductor Strength Ratio in Ice Hockey and Soccer Players: A Critically Appraised Topic

Measuring the Hip Adductor to Abductor Strength Ratio in Ice Hockey and Soccer Players: A Critically Appraised Topic

Imaging of Groin Pain: Magnetic Resonance and Ultrasound Imaging Features

Leistenprobleme

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