Sports-Related Groin Pain Secondary to Symphysis Pubis Disorders: Correlation Between MRI Findings and Outcome After Fluoroscopy-Guided Injection of Steroid and Local Anesthetic

Byrne, Caoimhe; Bowden, Dermot; Alkhayat, Abdullah; Kavanagh, Eoin C.; Eustace, Stephen

doi:10.2214/ajr.16.17578

Cited by 31 publications

(27 citation statements)

References 23 publications

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“…The medial head inserts at the pubic crest and fuses with the articular capsule; its lateral head is close to the external inguinal foramen and attaches more laterally and fuses with the adductor longus. 5,[32][33][34][35][36] The prepubic plate represents the central axis connecting the anterior abdominal wall and the lower extremities and is a dynamic stabilizer. It has two layers that are formed by the aponeurosis of the external oblique muscle and by fibers of the adductors.…”

Section: Deep Subgluteal Syndromementioning

confidence: 99%

“…Recent studies demonstrated strong connections with the anterior pubic ligament, introducing the concept of the pyramidal-pubic anterior ligament-adductor longus complex. [32][33][34][35][36] A dedicated athletic pubalgia protocol is recommended for this specific subset of injury. The patient is imaged supine.…”

Section: Deep Subgluteal Syndromementioning

confidence: 99%

“…The study should be centered over the pubic symphysis and cover the pelvis. [32][33][34][35][36] Initially, three large FOV sequences are acquired using the body coil that is integrated in the MR table. Axial T2-weighted FSE fat-suppressed images are performed to assess symmetry of muscles, tendons, bursae, and osseous structures.…”

Section: Deep Subgluteal Syndromementioning

confidence: 99%

“…11). [32][33][34][35][36] The advantage of the pubic-specific protocol is that it provides specific evaluation for common musculoskeletal causes of groin pain. Furthermore, it allows evaluation for inguinal hernias and non-musculoskeletal groin pain.…”

Section: Deep Subgluteal Syndromementioning

confidence: 99%

“…However, imaging findings using a protocol specific for athletic pubalgia can lead to misdiagnoses because more common sources of pelvic pain such as endometriosis and acetabular labrum tears can be easily missed. [32][33][34][35][36]…”

Section: Deep Subgluteal Syndromementioning

confidence: 99%

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Conventional and Arthrographic Magnetic Resonance Techniques for Hip Evaluation: What the Radiologist Should Know

Schmaranzer

Cerezal

Llopis

2019

Semin Musculoskelet Radiol

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Over the last 2 decades, the definition of pathomechanical concepts that link osseous deformities to chondrolabral damage and expose young and active patients to the risk of early osteoarthritis has led to a tremendous increase in the number of joint-preserving surgeries performed. The rise in arthroscopic procedures has led to an increasing demand for comprehensive preoperative magnetic resonance imaging (MRI) assessment of the hip joint. This includes conventional MRI for the assessment of extra-articular and periarticular pathologies such as greater trochanteric pain, deep gluteal pain syndrome, and sports injuries. Magnetic resonance arthrography with or without traction is reserved for the accurate evaluation of deformities associated with impingement and hip instability and for detecting the resulting intra-articular lesions. This article summarizes the current standard imaging techniques that the radiologist should know. It also explores the potential of computer-assisted analysis of three-dimensional MRI for virtual impingement simulation and volumetric analysis of cartilage composition and geometry.

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Section: Deep Subgluteal Syndromementioning

confidence: 99%

Section: Deep Subgluteal Syndromementioning

confidence: 99%

Section: Deep Subgluteal Syndromementioning

confidence: 99%

Section: Deep Subgluteal Syndromementioning

confidence: 99%

Section: Deep Subgluteal Syndromementioning

confidence: 99%

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Conventional and Arthrographic Magnetic Resonance Techniques for Hip Evaluation: What the Radiologist Should Know

Schmaranzer

Cerezal

Llopis

2019

Semin Musculoskelet Radiol

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The interpubic cavity: A scoping review

et al. 2023

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The interpubic cavity (cleft) is a narrow, slit‐like, oval‐shaped cavity which has frequently been described within the fibrocartilaginous interpubic disc. The aim of this article is to thoroughly analyze what is known about the interpubic cavity. The following three scientific databases (PubMed, Web of Science and Google Scholar) were systematically searched. Combinations of the search terms “interpubic cleft”, “interpubic cavity”, “symphysis pubis cleft”, “symphysis pubis cavity” and “symphysis cleft sign” were used. All databases were searched from inception until August of 2022. Searching of the three databases resulted in 711 hits, of which 280 remained after checking for duplicates. In the first step, 152 studies were excluded due to irrelevant content. Thus, 128 proceeded to the second step, of which 23 were finally selected for meeting the objectives of this review. Until now the reason for the cavity forming remains unclear. The interpubic cavity is present in the anterior portion of the interpubic disc, within 2 mm from its anterior margin. There is no predilection in the craniocaudal dimension. The secondary cavity is usually called a “cleft sign”. The results of our scoping review summarize information about the interpubic cavity. Its composition and morphology are still not well understood.

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