Hip and Groin Pain in the Child Athlete

Broadley, Penny; Offiah, A.C.

doi:10.1055/s-0034-1389265

Cited by 14 publications

(10 citation statements)

References 57 publications

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“…Pain or swelling 6 in the inguinal canal are not so alarming. In this kind of patient we should differentiate between incarcerated hernia, appendicitis, lymphadenitis, renal colic or groin injury (20). As shown in our study, patients suffer from nonspecific complaints like fever, vomiting or abdominal pain.…”

Section: Discussionmentioning

confidence: 62%

Is testicular torsion a real problem in pediatric patients with cryptorchidism?

Komarowska

Pawelczyk

Matuszczak

et al. 2020

Preprint

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PurposeTo present management and outcomes of patients with cryptorchidism suffering from testicular torsion.MethodsThis is a retrospective review of pediatric patients with torsion of undescended testes, who were treated between 2009 and 2019. On the medical charts, we recorded: the age, symptoms, duration of torsion, physical examination, surgery findings, and additional treatment.ResultsWe identified 9 boys with torsion of the undescended gonad, which represented 4.7% of all 192 boys with testicular torsion. The mean age of boys with torsion of undescended testis was 8.7 years. The mean duration of symptoms in our study group was long and it was up to 28.5 hours. All patients had inguinal canal exploration. In 8 cases, testicular necrosis and primary orchidectomy was performed.ConclusionAccording to clinical experience and available studies, torsion of male undescended gonads is a comparatively rare condition. Nevertheless, diagnosis is still delayed and connected with inevitable orchidectomy.Plain English summaryAuthors present 9 cases of boys with torsion of undescended testes. They represented 4.7% of all boys with testicular torsion treated during 10 years in Pediatric Surgery Department. The mean age of boys with torsion of undescended testis was 8.7 years. The mean duration of symptoms was long and it was up to 28.5 hours. All patients were operated on, in 8 cases necrotic testicle was removed. Even though torsion of undescended testicle is quite rare, diagnosis is delayed and because of that, boys are subjected to removal of the testicle.

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Section: Discussionmentioning

confidence: 62%

Is testicular torsion a real problem in pediatric patients with cryptorchidism?

Komarowska

Pawelczyk

Matuszczak

et al. 2020

Preprint

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“…111 Considering that an increasing number of children take up sporting activities at more competitive levels, sports hernias recently have been seen more frequently in childhood. 112 For the clinician, sports hernia should be a diagnosis of exclusion. Most patients have symptoms for several months, and practitioners may become frustrated as a result of the vague physical and diagnostic findings.…”

Section: Other Differential Diagnoses Of Groin Painmentioning

confidence: 99%

Femoral, Direct, and Rare Inguinal Hernias in Children—An Update

Gödeke

Muensterer

2017

Eur J Pediatr Surg

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Pediatric surgeons deal with inguinal hernias on a regular basis. While most of these are straightforward in terms of diagnosis and therapy, occasionally what initially sounds like a routine case turns out to be a perplexing conundrum. This review discusses rare and unusual findings in the groin area that may mimic an indirect inguinal hernia, but are not. To provide good and effective care, pediatric surgeons should be readily familiar with the possible differential diagnosis of these entities, along with their specific management. In general, laparoscopy is one of the most useful interventions to discern unusual groin pathology from standard indirect inguinal hernias and in many cases provides an effective treatment option at the same time.

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“…An α angle > 55 degrees identifies a cam-type FAI. [14][15][16] A pincer-type FAI is characterized by the overcoverage of the acetabulum. On radiographs it appears as a figure eight crossing over the anterior and posterior walls of the acetabulum.…”

Section: Pelvismentioning

confidence: 99%

Lower Limbs Trauma in Pediatrics

Piccolo

Galluzzo

Trinci

et al. 2017

Semin Musculoskelet Radiol

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This article reviews acute and chronic lower extremity injuries in children, focusing mainly on those traumas typical of the pediatric population. The child is not just a small version of an adult, so physicians need a very detailed knowledge of the anatomy and physiologic changes occurring during growth to understand and evaluate the mechanism of trauma, and choose the most adequate management. In adolescents the most common lesion encountered affects the physes, which are still open. They predispose to injury as the weakest point in the kinetic chain, so those mechanisms responsible for ligamentous traumas in adults can cause physeal injuries in a skeletally immature patient. In association with them, apophyseal lesions are also very common, leading to avulsion injuries at the site of tendon origin or insertion, also called locus minoris resistentiae. Understanding these types of injuries is essential, specifically for the radiologist, because a missed diagnosis can lead to later complications such as growth arrest and osteoarthritis.

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Hip and Groin Pain in the Child Athlete

Cited by 14 publications

References 57 publications

Is testicular torsion a real problem in pediatric patients with cryptorchidism?

Is testicular torsion a real problem in pediatric patients with cryptorchidism?

Femoral, Direct, and Rare Inguinal Hernias in Children—An Update

Lower Limbs Trauma in Pediatrics

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