Prepubic aponeurotic complex injuries: a structured narrative review

Bisciotti, Andrea; Bisciotti, Gian Nicola; Eirale, Cristiano; Bisciotti, Alessandro; Auci, Alessio; Bona, Stefano; Zini, Raul

doi:10.23736/s0022-4707.21.12669-6

Cited by 3 publications

(21 citation statements)

References 48 publications

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“…35 36 37 The Achilles tendon's core is largely formed by 20 years of age, and it does not generally undergo renewal thereafter, with only the peripheral fibers capable of significant adaptation to respond to mechanical stress. 38…”

Section: Achillesmentioning

confidence: 99%

“…Despite the Achilles tendon having the greatest tensile strength in the human body, it is also one of the most common tendons to rupture, often during sport activities. 5 38 39 40 41 Pathophysiology of Achilles tendon rupture is multifactorial, with increased risk associated with certain medications, such as fluoroquinolone antibiotics, corticosteroids, hormone replacement, and oral contraceptives, as well as peripheral vascular disease and inflammatory disorders. 9 36 39 In addition, internal factors such as tendinosis and external factors related to tendon workload contribute to the development of tendon rupture.…”

Section: Achillesmentioning

confidence: 99%

“…Ultimately, no consensus exists regarding optimal management for Achilles ruptures in the general population. 6 35 38 41 45 Although a randomized controlled trial comparing nonoperative treatment, open repair, and minimally invasive repair found minimal differences in the Achilles Total Rupture Score between operative and nonoperative groups, this result likely does not fully encapsulate the performance expectations and demands of the athlete. 42 Therefore, in the athlete, surgical repair is sought to minimize the risk of rerupture and provide the best approximation of preinjury tendon function.…”

Section: Achillesmentioning

confidence: 99%

“…For instance, when compared with the native tendon, the postoperative Achilles is often larger and wider, and it may show an inhomogeneous echotexture. 36 37 38 Scattered foci of hyperechoic material may also be seen in the repaired tendon, related to surgical suture material ( Fig. 4 ).…”

Section: Achillesmentioning

confidence: 99%

“…By performing the exam during dynamic plantar flexion and dorsiflexion, small tendon gaps may become more conspicuous, increasing the sensitivity for detecting pathology in the postoperative tendon promptly before there is further progression of a tear. 38…”

Section: Achillesmentioning

confidence: 99%

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Postoperative Return to Play and the Role of Imaging

Brumbaugh,

Casagranda

2024

Semin Musculoskelet Radiol

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Return to play (RTP) following surgery is a complex subject at the interface of social and internal pressures experienced by the athlete, psychological readiness, and intrinsic healing of the surgically repaired structures. Although functional testing, time from surgery, clinical examination, and scoring metrics can help clarify an athlete's readiness to return to sport, imaging can allow for a more direct assessment of the structures in question. Because imaging is often included in the diagnostic work-up of pain following surgery, the radiologist must be familiar with the expected postsurgical imaging appearance, as well as the associated complications. We briefly review such findings following anterior cruciate ligament reconstruction, Achilles tendon repair, syndesmotic fixation, and ulnar collateral ligament reconstruction in the context of the athlete, highlighting issues related to RTP.

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Section: Achillesmentioning

confidence: 99%

Section: Achillesmentioning

confidence: 99%

Section: Achillesmentioning

confidence: 99%

Section: Achillesmentioning

confidence: 99%

Section: Achillesmentioning

confidence: 99%

See 3 more Smart Citations

Postoperative Return to Play and the Role of Imaging

Brumbaugh,

Casagranda

2024

Semin Musculoskelet Radiol

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Groin Pain Syndrome Italian Consensus Conference update 2023

BISCIOTTI,

ZINI,

ALUIGI

et al. 2024

J Sports Med Phys Fitness

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The Role of MRI in Groin Pain Syndrome in Athletes

Bisciotti,

Di Pietto,

Rusconi

et al. 2024

Diagnostics

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Groin pain syndrome (GPS) is one of the most frequent injuries in competitive sports. Stresses generated in the lower limbs by quick turns and accelerations, such as in soccer, basketball or hockey, can produce localized regions of increased forces, resulting in anatomical lesions. The differential diagnoses are numerous and comprise articular, extra-articular, muscular, tendinous and visceral clinical conditions and a correct diagnosis is crucial if treatment is to be efficient. MRI is the gold standard of diagnostic techniques, especially when an alternative pathology needs to be excluded and/or other imaging techniques such as ultrasound or radiography do not lead to a diagnosis. This paper, based on the current literature, gives a comprehensive review of the anatomy of the pubic region and of the typical MRI findings in those affected by GPS. Many clinical conditions causing GPS can be investigated by MRI within appropriate protocols. However, MRI shows limits in reliability in the investigation of inguinal and femoral hernias and therefore is not the imaging technique of choice for studying these clinical conditions.

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Prepubic aponeurotic complex injuries: a structured narrative review

Cited by 3 publications

References 48 publications

Postoperative Return to Play and the Role of Imaging

Postoperative Return to Play and the Role of Imaging

Groin Pain Syndrome Italian Consensus Conference update 2023

The Role of MRI in Groin Pain Syndrome in Athletes

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