Operative management of “hockey groin syndrome”: 12 years of experience in National Hockey League players

Irshad, Kashif; Feldman, Liane S.; Lavoie, Caroline; Lacroix, Vincent; Mulder, David S.; Brown, Ralph S.

doi:10.1067/msy.2001.118093

Cited by 123 publications

(100 citation statements)

References 6 publications

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“…The observations of a German surgeon [59] who tried to return players within 2-3 days of her procedure, rather than the 2-3 week protocol now commonly employed for simple tears, challenges us to return players to full activity even sooner than we have doing as well as to consider the roles of nerves in the causation of pain. The notion of such early return challenges us that sensory denervation may play a role in treatment [60]. The problem here, of course, is that many patients who had denervation approaches alone actually persisted with symptoms, had early recurrences, and in some instances developed more serious injuries, presumptively because the primary injury was never fixed.…”

Section: A Historicalmentioning

confidence: 90%

Understanding “Sports Hernia” (Athletic Pubalgia): The Anatomic and Pathophysiologic Basis for Abdominal and Groin Pain in Athletes

Meyers

Yoo

Devon

et al. 2007

Operative Techniques in Sports Medicine

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Section: A Historicalmentioning

confidence: 90%

Understanding “Sports Hernia” (Athletic Pubalgia): The Anatomic and Pathophysiologic Basis for Abdominal and Groin Pain in Athletes

Meyers

Yoo

Devon

et al. 2007

Operative Techniques in Sports Medicine

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“…Other tension-free mesh approaches have also been used including bilayer polypropylene mesh [ 8 ] and PTFE materials [ 9 ]. Biologic mesh has also been used but via a laparoscopic approach [ 10 ] and is considerably more expensive and lacking in reported outcomes.…”

Section: Operative Techniquementioning

confidence: 99%

Surgical Treatment of Sports Hernia: Open Mesh Approach

Brunt

2014

Sports Hernia and Athletic Pubalgia

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“…However, there are also lesions of the anterior wall of the inguinal canal [1] that may occasionally involve pathologies of the nerve branches of the ilioinguinal and iliohypogastric nerves [1,26,28e32]. This second group includes also lesions of the oblique external aponeurosis, conjoint tendon, inguinal ligament and transverse bundle [11,28,33].…”

Section: Sports Herniamentioning

confidence: 99%

“…Since Spinelli first diagnosed pubalgia in 1932, this term has never ceased to arouse doubts and misunderstandings [1]. Some authors consider pubalgia as a pain localized in the pubic symphysis, others as a pain that affects the pubic area in a wider sense involving other anatomical structures including the non-musculoskeletal structures.…”

Section: Introductionmentioning

confidence: 99%

US in pubalgia

Balconi

2011

Journal of Ultrasound

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KEYWORDSPubalgia; Sports hernia; Ultrasound.Abstract There is considerable confusion over the word "pubalgia" with regard to the definition and the etiological causes of this condition. The term pubalgia should be used to indicate disabling pain affecting the pubic region in people who practise sports. Pubalgia affects 10% of those who practise sports and it is particularly prevalent in football players. According to the literature, about 40% of cases of pubalgia are caused by overuse of the symphysis pubis with progressive lesions affecting the rectus abdominal muscles, adductors (rectal-adductor syndrome) and the symphysis itself (osteitis pubis and joint injury). An initial study of the tendons is carried out by ultrasound (US) whereas magnetic resonance imaging (MRI) should be performed to study the bones and joints.Another 40% of cases of pubalgia are caused by "sports hernia" defined as anteroinferior abdominal wall insufficiency. These alterations can only be identified at dynamic US examination.About 20% of cases of pubalgia are caused by diseases of the neighboring structures or joints such as diseases of the hip, iliopsoas, hamstring, sacred iliac or nerves, or by urogenital diseases.Sommario Vi è notevole confusione circa la parola "pubalgia", sia per quanto riguarda la sua definizione sia per quanto riguarda le sue cause etiologiche. Il termine di pubalgia dovrebbe essere utilizzato per indicare una sintomatologia dolorosa, invalidante che interessa la regione pubica di chi pratica attività sportiva. Sono interessati il 10% di chi pratica attività sportiva con prevalenza per il footbal. Dalla revisione della letteratura circa il 40% delle pubalgie sono da ricondurre a sovraccarico funzionale sulla sinfisi pubica con lesioni progressive che interessano i retti addominali, gli adduttori (sindrome retto-adduttoria), e la sinfisi stessa (osteite pubica e danno alla articolazione). Lo studio dei tendini trova nella ecografia il primo approccio diagnostico riservando alla RM lo studio della componente ossea e articolare.Un altro 40% dei casi di pubalgia riconosce la causa etiologica nella "sport hernia", definibile come una insufficienza della parete addominale antero-inferiore. La diagnostica ecografica è l'unica in grado di rilevare tali alterazioni che necessitano per essere individuate un esame dinamico.Infine in circa il 20% dei casi la pubalgia è causata da patologie di strutture o apparati limitrofi: patologia dell'anca, dell'ileo-psoas, degli hamstring, della sacro iliaca o dei nervi, fino alle patologie urogenitali. ª

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Operative management of “hockey groin syndrome”: 12 years of experience in National Hockey League players

Cited by 123 publications

References 6 publications

Understanding “Sports Hernia” (Athletic Pubalgia): The Anatomic and Pathophysiologic Basis for Abdominal and Groin Pain in Athletes

Understanding “Sports Hernia” (Athletic Pubalgia): The Anatomic and Pathophysiologic Basis for Abdominal and Groin Pain in Athletes

Surgical Treatment of Sports Hernia: Open Mesh Approach

US in pubalgia

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