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https://www.readbyqxmd.com/read/27706276/understanding-athletic-pubalgia-a-review
#1
Brian Cohen, Dominic Kleinhenz, Jonathan Schiller, Ramin Tabaddor
Athletic Pubalgia, more commonly known as sports hernia, is defined as chronic lower abdominal and groin pain without the presence of a true hernia. It is increasingly recognized in athletes as a source of groin pain and is often associated with other pathology. A comprehensive approach to the physical exam and a strong understanding of hip and pelvic anatomy are critical in making the appropriate diagnosis. Various management options are available. We review the basic anatomy, patholophysiology, diagnostic approach and treatment of athletic pubalgia as well as discuss associated conditions such as femoroacetabular impingement...
October 4, 2016: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/27579227/predictive-factors-in-the-outcome-of-surgical-repair-of-abdominal-rectus-diastasis
#2
Karin Strigård, Leonard Clay, Birgit Stark, Ulf Gunnarsson
BACKGROUND: The aim of this study was to define the indicators predicting improved abdominal wall function after surgical repair of abdominal rectus diastasis (ARD). Preoperative subjective assessment quantified by the validated Ventral Hernia Pain Questionnaire (VHPQ) was related to relative postoperative functional improvement in abdominal muscle strength. METHODS: Fifty-seven patients undergoing surgery for ARD completed the VHPQ before surgery. Preoperative pain assessment results were compared with the relative improvement in muscle strength measured with the BioDex system 4...
May 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27543403/return-to-play-after-sports-hernia-surgery
#3
REVIEW
Ho-Rim Choi, Osama Elattar, Vickie D Dills, Brian Busconi
Sports hernia is a condition that causes acute/chronic pain of low abdominal, groin, or adductor area in athletes. It is considered a weakness in the rectus abdominis insertion or posterior inguinal wall of lower abdomen caused by acute or repetitive injury of the structure. It is most commonly seen in soccer, ice hockey, and martial arts players who require acute cutting, pivoting, or kicking. A variety of surgical options have been reported with successful outcome and with high rates of return to the sports in a majority of cases...
October 2016: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/27497946/sports-hernia-repair-with-adductor-tenotomy
#4
J N Harr, F Brody
PURPOSE: Sports hernias, or athletic pubalgia, is common in athletes, and primarily involves injury to the fascia, muscles, and tendons of the inguinal region near their insertion onto the pubic bone. However, management varies widely, and rectus and adductor tenotomies have not been adequately described. The purpose of this manuscript is to demonstrate a suture repair and a rectus and adductor longus tenotomy technique for sports hernias. METHODS: After magnetic-resonance-imaging confirmation of sports hernias with rectus and adductor tendonitis, 22 patients underwent a suture herniorrhaphy with adductor tenotomy...
August 6, 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/27490356/groin-pain-and-muscular-imbalance-of-quadriceps-and-hamstrings-in-an-elite-soccer-player-a-case-study
#5
O Ludwig, J Kelm
Soccer and football players are exposed to a high risk of groin pain. In some cases, the pubic symphysis is the origin of the problems.This article presents a case report of a young elite soccer player who, over a period of two years, suffered from pain in the groin and symphysis area. The right leg was the kicking leg. Imaging techniques did not reveal pathological findings. Sports hernia, osteomyelitis, enthesopathy, adductor tendonitis, and muscle sprains, as well as rheumatic or urogenital disorders were excluded...
August 2016: Sportverletzung Sportschaden: Organ der Gesellschaft Für Orthopädisch-Traumatologische Sportmedizin
https://www.readbyqxmd.com/read/27436937/sportsman-hernia-the-review-of-current-diagnosis-and-treatment-modalities
#6
REVIEW
Melih Paksoy, Ümit Sekmen
Groin pain is an important clinical entity that may affect a sportsman's active sports life. Sportsman's hernia is a chronic low abdominal and groin pain syndrome. Open and laparoscopic surgical treatment may be chosen in case of conservative treatment failure. Studies on sportsman's hernia, which is a challenging situation in both diagnosis and treatment, are ongoing in many centers. We reviewed the treatment results of 37 patients diagnosed and treated as sportsman's hernia at our hospital between 2011-2014, in light of current literature...
2016: Ulusal Cerrahi Dergisi
https://www.readbyqxmd.com/read/27336744/-monster-hernia-programme-in-hernia-centre-liberec
#7
J Škach, R Harcubová, V Petráková, L Brzulová, M Krejbichová, K Kocmanová
INTRODUCTION: The authors introduce a unique programme in the Czech Republic focused on extreme herniology. Patients with giant complex ventral hernias (monster hernias) have been concentrated in a high-volume hernia center with the most advanced perioperative intensive care since 2012. The authors present their single centre experience with the support of literature. RESULTS: Between 20122015 we operated on 36 patients with a giant complex hernia. Minimal inclusion criteria for enrolment in the very heterogeneous group included: a defect over 15 cm wide, loss of domain of 20% and higher, and the mean surface area of at least 225 cm²...
2016: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://www.readbyqxmd.com/read/27311414/the-nfl-orthopaedic-surgery-outcomes-database-no-sod-the-effect-of-common-orthopaedic-procedures-on-football-careers
#8
Harry T Mai, Andrew P Alvarez, Ryan D Freshman, Danielle S Chun, Shobhit V Minhas, Alpesh A Patel, Gordon W Nuber, Wellington K Hsu
BACKGROUND: Injuries are inherent to the sport of American football and often require operative management. Outcomes have been reported for certain surgical procedures in professional athletes in the National Football League (NFL), but there is little information comparing the career effect of these procedures. PURPOSE: To catalog the postoperative outcomes of orthopaedic procedures in NFL athletes and to compare respective prognoses and effects on careers. STUDY DESIGN: Case series; Level of evidence, 4...
September 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27302153/groin-injuries-athletic-pubalgia-and-return-to-play
#9
Osama Elattar, Ho-Rim Choi, Vickie D Dills, Brian Busconi
CONTEXT: Groin pain is a common entity in athletes involved in sports that require acute cutting, pivoting, or kicking such as soccer and ice hockey. Athletic pubalgia is increasingly recognized as a common cause of chronic groin and adductor pain in athletes. It is considered an overuse injury predisposing to disruption of the rectus tendon insertion to the pubis and weakness of the posterior inguinal wall without a clinically detectable hernia. These patients often require surgical therapy after failure of nonoperative measures...
July 2016: Sports Health
https://www.readbyqxmd.com/read/26963015/the-use-of-musculoskeletal-ultrasound-for-the-diagnosis-of-groin-and-hip-pain-in-athletes
#10
Ethan Ostrom, Anthony Joseph
Athletes are particularly predisposed to injuries in the groin and pelvic region. Men in particular are predisposed to injuries like hernias in the inguinal region. The increased demands and training load on today's athletes combined with individual factors may create the environment for these injuries. Five areas categorize the pain present from different pathological entities in this region: adductor-related, iliopsoas-related, inguinal-related, pubic-related, and hip-related groin pain. It has been extremely difficult in the past to accurately diagnose what has been previously labeled sports hernia, sportsman's groin, or inguinal disruption...
March 2016: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/26861161/sonographic-evaluation-of-athletic-pubalgia
#11
REVIEW
Nicholas Morley, Thomas Grant, Kevin Blount, Imran Omar
Athletic pubalgia, or "sports hernia", represents a constellation of pathologic conditions occurring at and around the pubic symphysis. These injuries are primarily seen in athletes or those involved in athletic activity. In this article, we review the sonographic appearance of the relevant complex anatomy, scanning technique for ultrasound evaluation of athletic pubalgia, and the sonographic appearances of associated pathologic conditions.
May 2016: Skeletal Radiology
https://www.readbyqxmd.com/read/26798621/diagnosis-of-groin-pain-associated-with-sports-hernia-using-dynamic-ultrasound-and-physical-examination-a-case-report
#12
Dong Chan Yang, Ki Yeun Nam, Bum Sun Kwon, Jin Woo Park, Ki Hyung Ryu, Ho Jun Lee, Gyu Jeong Sim
Groin pain in athletes is a complex diagnostic and therapeutic challenge. Sports hernia is one of the common causes of groin pain. We report a case of sports hernia, initially presented as groin pain and aggravated by sports activity. A 19-year-old soccer player visited the outpatient department of general surgery and was referred to the rehabilitation center due to no abnormalities detected in the abdomen and pelvis by computed tomography. An incipient direct bulge of the posterior inguinal wall was detected with dynamic ultrasound when abdominal tension was induced by raising both legs during a full inhalation...
December 2015: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/26739740/endoscopic-totally-extraperitoneal-tep-hernia-repair-for-inguinal-disruption-sportsman-s-hernia-rationale-and-design-of-a-prospective-observational-cohort-study-tep-id-study
#13
C E H Voorbrood, E Goedhart, E J M M Verleisdonk, F Sanders, D Naafs, J P J Burgmans
INTRODUCTION: Chronic inguinal pain is a frequently occurring problem in athletes. A diagnosis of inguinal disruption is performed by exclusion of other conditions causing groin pain. Up to now, conservative medical management is considered to be the primary treatment for this condition. Relevant large and prospective clinical studies regarding the treatment of inguinal disruption are limited; however, recent studies have shown the benefits of the totally extraperitoneal patch (TEP) technique...
2016: BMJ Open
https://www.readbyqxmd.com/read/26626272/athletic-groin-pain-part-1-a-prospective-anatomical-diagnosis-of-382-patients-clinical-findings-mri-findings-and-patient-reported-outcome-measures-at-baseline
#14
É C Falvey, E King, S Kinsella, A Franklyn-Miller
BACKGROUND: Athletic groin pain remains a common field-based team sports time-loss injury. There are few reports of non-surgically managed cohorts with athletic groin pain. AIM: To describe clinical presentation/examination, MRI findings and patient-reported outcome (PRO) scores for an athletic groin pain cohort. METHODS: All patients had a history including demographics, injury duration, sport played and standardised clinical examination...
April 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/26606024/ultrasound-guided-injection-of-the-adductor-longus-and-pectineus-in-a-cadaver-model
#15
Dong-wook Rha, Sang-Hee Lee, Hyung-Jin Lee, You-Jin Choi, Hee-Jin Kim, Sang Chul Lee
BACKGROUND: The close anatomic and functional relationship between the proximal parts of the adductor longus and pectineus muscles produce considerable overlap in symptoms and signs in the inguinal region. To our knowledge, there have been no publications of ultrasound (US)-guided injection techniques into the 2 muscles. OBJECTIVE: This study sought to describe US-guided injection techniques in the proximal part of the adductor longus and pectineus muscles and to validate whether these techniques deliver injections appropriately to their target muscles in unembalmed cadavers...
November 2015: Pain Physician
https://www.readbyqxmd.com/read/26524557/core-muscle-injury-sports-hernia-athletic-pubalgia-and-femoroacetabular-impingement
#16
REVIEW
James R Ross, Rebecca M Stone, Christopher M Larson
Core muscle injury/sports hernia/athletic pubalgia is an increasingly recognized source of pain, disability, and time lost from athletics. Groin pain among athletes, however, may be secondary to various etiologies. A thorough history and comprehensive physical examination, coupled with appropriate diagnostic imaging, may improve the diagnostic accuracy for patients who present with core muscular injuries. Outcomes of nonoperative management have not been well delineated, and multiple operative procedures have been discussed with varying return-to-athletic activity rates...
December 2015: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/26380829/sports-hernia-and-femoroacetabular-impingement-in-athletes-a-systematic-review
#17
Daniele Munegato, Marco Bigoni, Giulia Gridavilla, Stefano Olmi, Giovanni Cesana, Giovanni Zatti
AIM: To investigate the association between sports hernias and femoroacetabular impingement (FAI) in athletes. METHODS: PubMed, MEDLINE, CINAHL, Embase, Cochrane Controlled Trials Register, and Google Scholar databases were electronically searched for articles relating to sports hernia, athletic pubalgia, groin pain, long-standing adductor-related groin pain, Gilmore groin, adductor pain syndrome, and FAI. The initial search identified 196 studies, of which only articles reporting on the association of sports hernia and FAI or laparoscopic treatment of sports hernia were selected for systematic review...
September 16, 2015: World Journal of Clinical Cases
https://www.readbyqxmd.com/read/26229700/chronic-exertional-compartment-syndrome-in-a-high-school-soccer-player
#18
James J Bresnahan, William L Hennrikus
Chronic exertional compartment syndrome (CECS) is a relatively rare condition that affects young adult athletes and often causes them to present to the emergency department. If left untreated, those who continue to compete at high levels may experience debilitating leg pain. Physicians may have difficulty differentiating CECS from other syndromes of the lower leg such as medial tibial stress syndrome, stress fractures, and popliteal artery entrapment. The gold standard for diagnosing CECS is intramuscular compartment pressure monitoring before and/or after 10 minutes of exercise...
2015: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/26031647/systematic-review-laparoscopic-treatment-of-long-standing-groin-pain-in-athletes
#19
REVIEW
Hannu Paajanen, Agneta Montgomery, Thomas Simon, Aali J Sheen
OBJECTIVES: No single aetiological factor has been proven to cause long-standing groin pain in athletes and no sole operative technique (either open or laparoscopic) has been shown to be the preferred method of repair. The aim of this systematic review was to determine whether there are any differences in the return to full sporting activity following laparoscopic repair of groin pain in athletes. DATA SOURCES: The minimal access approaches include laparoscopic transabdominal pre-peritoneal (TAPP) or endoscopic total extraperitoneal (TEP) techniques...
June 2015: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/25924647/the-place-of-d-dimer-and-l-lactate-levels-in-the-early-diagnosis-of-acute-mesenteric-ischemia
#20
B Aydin, M Ozban, M Serinken, B Kaptanoglu, N C Demirkan, C Aydin
INTRODUCTION: Acute mesenteric ischemia (AMI) is an abdominal-vascular emergency which is rare and has high mortality rates (60-80 %) due to late diagnosis (1-3). Although it is known that extravascular reasons like intestinal intussusception, volvulus, strangulated hernias and obstructions can cause intestinal gangrene, these are rarely the cause of AMI (1). MATERIALS AND METHODS: In this study, we used male Wistar-Albino rats weighing 250-300 grams obtained from Pamukkale University Experimental Research Laboratory...
2015: Bratislavské Lekárske Listy
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