Ultrasound-guided Interventions for Core and Hip Injuries in Athletes

The Gaelic sports of hurling and football, native to Ireland, are increasing in popularity worldwide. The injury profile of these sports requires multidisciplinary management by sports physicians, orthopaedic surgeons, and musculoskeletal (MSK) radiologists, among others. Advances in imaging modalities and interventional techniques have aided the diagnosis and treatment of sport injuries. In this article, we review the literature and our own institutional experience to describe common injury patterns identified in Gaelic games athletes, their main imaging features and relevant therapeutic interventions. We discuss the increasing prevalence of imaging services at sporting events and the central role of MSK radiologists in sports injury management.

Section: Groin and Hip Interventionmentioning

confidence: 99%

Gaelic Sport Injuries

Sullivan

Kavanagh

Eustace

2020

“…The most frequent iliopsoas-related diseases are iliopsoas tendinosis, iliopsoas bursitis and extra-articular internal snapping hip. 33 Due to the close proximity of the iliopsoas tendon and bursa to the hip joint, it may be subject to mechanical stress caused by acute trauma, chronic microtrauma and impingement after total hip arthroplasty or a minimally invasive hip replacement, secondary to the prominent anterior rim of the acetabular implant or the collar of the femoral prosthesis. 2 The hip joint communicates with the iliopsoas bursa in 15% of the healthy population.…”

Section: Iliopsoas Tendonmentioning

confidence: 99%

Ultrasound-guided Musculoskeletal Interventions for the Most Common Hip and Pelvis Conditions: A Step-by-Step Approach

Allen

Obradov

Chianca

et al. 2019

Pain around the hip and pelvis is a very common condition. Pain may be generated within the joint space (i.e. the hip joint itself, the sacroiliac joints or the pubic symphysis) or from surrounding myotendinous, bursal, or nerve structures. Over the years, percutaneous musculoskeletal procedures have become increasingly popular to diagnose and treat painful conditions around the hip and the pelvis. Most intra- and extra-articular procedures are performed under ultrasound guidance. This article reviews the most common diagnostic and therapeutic procedures that can be performed around the hip and the pelvis under ultrasound guidance.

“…However, to date, there is no link between efficacy and specific imaging or clinical features. 13,25,[53][54][55][56][57] A Cochrane review of PRP interventions showed limited long-term outcome value, and some have stressed reluctance to inject PRP at the apophyseal plate because of the possible predisposition to heterotopic ossification in these injuries. 55…”

Section: Injection Treatmentmentioning

confidence: 99%

Top-Ten Tips for Imaging Groin Injury in Athletes

Madani

Robinson

2019

Athletic groin injury remains a challenging prospect for sports clinicians and radiologists because of the closely related anatomical structures and overlapping clinical presentations. Recent consensus work designated four causative clinical entities, with the adductor/rectus aponeurosis and pubic symphysis capsule emphasized as key areas. This article highlights these key aspects of athletic groin injury with tips on anatomy, potential abnormalities, acronyms, and imaging appearances in this complex but common and potentially incapacitating entity. Many clinical and radiologic terms are in use such as cleft, enthesitis, plate injury, or defect that can cause confusion, and thus anatomical descriptions are preferable.Detailed clinical assessment is necessary but remains challenging because of the nonspecific presentations. Imaging, and in particular magnetic resonance imaging, plays an essential role in the evaluation process. But only when the two are used in combination can an accurate diagnosis be reached because several studies in asymptomatic athletes show that reactive changes are common.