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https://www.readbyqxmd.com/read/27632829/the-effectiveness-of-non-operative-rehabilitation-programs-for-athletes-diagnosed-with-osteitis-pubis
#1
Scott Cheatham, Morey J Kolber, Kathryn Kumagai Shimamura
: Clinical Scenario: The differential diagnosis of groin pain can be very challenging due to the many causative pathologies. Osteitis pubis is one pathology that is becoming more recognized in athletes who participate in sports such as soccer, ice hockey, rugby, and football.(1) Conservative non-operative treatment is often prescribed first prior to surgical intervention. Of particular interest, are the outcomes of non-operative rehabilitation programs and their effectiveness to return athletes to pre-injury levels of participation...
August 24, 2016: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/27493147/mri-in-patients-with-chronic-pubalgia-is-precise-useful-information-provided-to-the-surgeon-a-case-control-study
#2
A Larbi, L Pesquer, G Reboul, P Omoumi, A Perozziello, P Abadie, P Loriaut, P Copin, E Ducouret, B Dallaudière
BACKGROUND: Recent studies described that MRI is a good examination to assess damage in chronic athletic pubalgia (AP). However, to our knowledge, no studies focus on systematic correlation of precise tendon or parietal lesion in MRI with surgery and histological assessment. Therefore, we performed a case-control study to determine if MRI can precisely assess Adductor longus (AL) tendinopathy and parietal lesion, compared with surgery and histology. HYPOTHESIS: MRI can determine if AP comes from pubis symphysis, musculotendinous or inguinal orifice structures...
October 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27374014/rehabilitation-and-return-to-sport-following-surgical-repair-of-the-rectus-abdominis-and-adductor-longus-in-a-professional-basketball-player-a-case-report
#3
Steven M Short, Philip A Anloague, Donald S Strack
Study Design Case report. Background Acute traumatic avulsion of the rectus abdominis and adductor longus is rare. Chronic groin injuries, often falling under the athletic pubalgia spectrum, have been reported to be more common. There is limited evidence detailing the comprehensive rehabilitation and return to sport of an athlete following surgical or conservative treatment of avulsion injuries of the pubis or other sports-related groin pathologies. Case Description A 29-year-old National Basketball Association player sustained a contact injury during a professional basketball game...
August 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27302153/groin-injuries-athletic-pubalgia-and-return-to-play
#4
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/26530650/successful-return-to-high-level-sports-following-early-surgical-repair-of-combined-adductor-complex-and-rectus-abdominis-avulsion
#5
R J Tansey, H Benjamin-Laing, S Jassim, K Liekens, A Shankar, F S Haddad
Hip and groin injuries are common in athletes who take part in high level sports. Adductor muscle tendon injuries represent a small but important number of these injuries. Avulsion of the tendons attached to the symphysis pubis has previously been described: these can be managed both operatively and non-operatively. We describe an uncommon variant of this injury, namely complete avulsion of the adductor sleeve complex: this includes adductor longus, pectineus and rectus abdominis. We go on to describe a surgical technique which promotes a full return to the pre-injury level of sporting activity...
November 2015: Bone & Joint Journal
https://www.readbyqxmd.com/read/26517161/sports-hernia-and-extra-articular-causes-of-groin-pain-in-the-athlete
#6
REVIEW
Randy M Cohn, Frantz Lerebours, Eric J Strauss
Groin pain is a common complaint in athletes that use the musculature of the lower abdomen and proximal thigh. The complex anatomy of the groin region and broad differential diagnosis presents the sports medicine specialist with unique diagnostic and treatment challenges. Sports hernia, osteitis pubis, and adductor dysfunction are common extra-articular musculoskeletal causes of groin pain in athletes. The current paper reviews the pathogenesis, history and physical examination, imaging, non-operative treatment, surgical techniques, and outcomes for these conditions...
June 2015: Bulletin of the Hospital for Joint Diseases
https://www.readbyqxmd.com/read/26495244/osteitis-pubis-in-elite-athletes-diagnostic-and-therapeutic-approach
#7
Antonios G Angoules
Osteitis pubis (OP) is a debilitating overuse syndrome characterizing by pelvic pain and local tenderness over the pubic symphysis commonly encountered in athletes often involved in kicking, twisting and cutting activities in sports such as soccer and rugby and to a lesser degree distance running. It is a common source of groin pain in elite athletes attributable to pubis sympysis instability as the result of microtrauma caused by repetitive muscle strains on pubic bones. Diagnosis is based mainly on detailed sports history and a meticulous clinical examination, although occasionally is difficult to distinguish this nosological entity from other pathologies affecting the involved area which may occur concomitantly in the same patient...
October 18, 2015: World Journal of Orthopedics
https://www.readbyqxmd.com/read/26258039/endoscopic-pubic-symphysectomy-for-athletic-osteitis%C3%A2-pubis
#8
Dean K Matsuda, Bantoo Sehgal, Nicole A Matsuda
Osteitis pubis is a common form of athletic pubalgia associated with femoroacetabular impingement. Endoscopic pubic symphysectomy was developed as a less invasive option than open surgical curettage for recalcitrant osteitis pubis. This technical note demonstrates the use of the anterior and suprapubic portals in the supine lithotomy position for endoscopic burr resection of pubic symphyseal fibrocartilage and hyaline endplates. Key steps include use of the suprapubic portal for burr resection of the posteroinferior symphysis and preservation of the posterior and arcuate ligaments...
June 2015: Arthroscopy Techniques
https://www.readbyqxmd.com/read/26244616/the-role-of-magnetic-resonance-imaging-in-athletic-pubalgia-and-core-muscle-injury
#9
REVIEW
Dana J Coker, Adam C Zoga
Magnetic resonance imaging (MRI) has become the standard of care imaging modality for a difficult, often misunderstood spectrum of musculoskeletal injury termed athletic pubalgia or core muscle injury. Armed with a dedicated noncontrast athletic pubalgia protocol and a late model phased array receiver coil, the musculoskeletal imager can play a great role in effective diagnosis and treatment planning for lesions, including osteitis pubis, midline pubic plate lesions, and rectus abdominis/adductor aponeurosis injury...
August 2015: Topics in Magnetic Resonance Imaging: TMRI
https://www.readbyqxmd.com/read/26062171/the-effectiveness-of-non-operative-rehabilitation-programs-for-athletes-diagnosed-with-osteitis-pubis
#10
Scott Cheatham, Morey J Kolber, Kathryn Kumagai Shimamura
: Clinical Scenario: The differential diagnosis of groin pain can be very challenging due to the many causative pathologies. Osteitis pubis is one pathology that is becoming more recognized in athletes who participate in sports such as soccer, ice hockey, rugby, and football.1 Conservative non-operative treatment is often prescribed first prior to surgical intervention. Of particular interest, are the outcomes of non-operative rehabilitation programs and their effectiveness to return athletes to pre-injury levels of participation...
June 10, 2015: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/26055020/groin-pain-in-athletes-a-review-of-diagnosis-and-management
#11
REVIEW
Matthew Crockett, Emily Aherne, Michael O'Reilly, Gavin Sugrue, James Cashman, Eoin Kavanagh
INTRODUCTION: Groin pain is a common symptom in athletes, particularly in sports requiring sudden changes in speed and direction and those involving kicking. Despite a high prevalence of groin pain in this patient cohort, the diagnosis and management of the underlying pathological processes remains a challenge for surgeons and radiologists alike. AIM: The aim of this paper is to review the imaging findings and management of the common pathological processes which produce groin pain in athletes...
May 2015: Surgical Technology International
https://www.readbyqxmd.com/read/26031648/pubic-apophysitis-a-previously-undescribed-clinical-entity-of-groin-pain-in-athletes
#12
Matthieu Sailly, Rod Whiteley, John W Read, Bruno Giuffre, Amanda Johnson, Per Hölmich
BACKGROUND: Sport-related pubalgia is often a diagnostic challenge in elite athletes. While scientific attention has focused on adults, there is little data on adolescents. Cadaveric and imaging studies identify a secondary ossification centre located along the anteromedial corner of pubis beneath the insertions of symphysial joint capsule and adductor longus tendon. Little is known about this apophysis and its response to chronic stress. AIM: We report pubic apophysitis as a clinically relevant entity in adolescent athletes...
June 2015: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/25878984/loss-of-range-of-motion-of-the-hip-joint-a-hypothesis-for-etiology-of-sports-hernia
#13
Rohit Rambani, Roger Hackney
BACKGROUND: sports hernia is a well-recognized cause of groin pain in athletes involved in sports, especially football and rugby. Loss of range of motion of the hip joint is a possible contributory factor to stress across the symphysis pubis leading to the instability. METHODS: twenty-five athletes presenting with sports hernia were matched to age, sex, physical/sports activity and co-morbidities with twenty-five athletes without sports hernia. The range of movement of both the hips was compared in athletes of both the groups...
January 2015: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/25828168/multicenter-outcomes-of-endoscopic-pubic-symphysectomy-for-osteitis-pubis-associated-with-femoroacetabular-impingement
#14
MULTICENTER STUDY
Dean K Matsuda, Manel Ribas, Nicole A Matsuda, Benjamin G Domb
PURPOSE: To investigate outcomes of athletic patients treated with concurrent femoroacetabular impingement (FAI) and osteitis pubis (OP) surgery including endoscopic pubic symphysectomy. METHODS: We performed a multicenter retrospective case series of 7 consecutive adult patients (4 men) with a mean age of 33 years with symptomatic FAI and OP who underwent arthroscopic surgery for the former and endoscopic pubic symphysectomy for the latter with a mean follow-up period of 2...
July 2015: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/25823982/imaging-of-adductor-related-groin-pain
#15
L Pesquer, G Reboul, A Silvestre, N Poussange, P Meyer, B Dallaudière
Groin pain is a common condition in athletes and results from various causes. Osteitis pubis, adductor dysfunction, inguinal hernia, or a combination of all three entities, generally explains the onset of symptoms. Adductor longus tendinopathy is the main cause of adductor-related groin pain. It leads to a significant reduction of sports participation and can require surgical management. Diagnosis is based on ultrasonography and magnetic resonance imaging. Asymptomatic findings (tendinosis, calcifications, cortical erosions) are common in athletes and care should be taken when assessing groin pain...
September 2015: Diagnostic and Interventional Imaging
https://www.readbyqxmd.com/read/25631785/new-body-contouring-technique-in-male-the-muscular-sculpture
#16
C Monarca, M I Rizzo
UNLABELLED: Optimal male body contouring considers the entire body and drapes tight skin over the muscles. Males have pride in the appearance of their muscular development. There should be a deliberate effort to achieve an athletic body contour that reveals superficial musculature and selectively highlights adherences. We describe a new technique of male body contouring to achieve tight skin that very well reveals muscular bulk and accentuates adherences; minimal observable scars; a male muscular and athletic body, even for patients who are not, nor have been in the past, bodybuilders...
April 2015: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/25493141/osteomyelitis-pubis-a-rare-and-elusive-diagnosis
#17
Justin Yax, David Cheng
Osteomyelitis pubis is an infectious inflammation of the symphysis pubis and accounts for 2% of hematogenous osteomyelitis. This differs from osteitis pubis, a non-infectious inflammation of the pubic symphysis, generally caused by shear forces in young athletes. Both conditions present with similar symptoms and are usually differentiated on the basis of biopsy and/or culture. A case of osteomyelitis pubis is presented with a discussion of symphisis pubis anatomy, clinical and laboratory presentation, etiology and risk factors, and optimal imaging studies...
November 2014: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/25419287/septic-arthritis-of-the-pubic-symphysis-a-case-report
#18
Imane El Mezouar, Fatema Zahra Abourazzak, Samia Mansouri, Taoufik Harzy
Septic arthritis of the pubic symphysis, so called osteomyelitis pubis is the infection which involves pubic symphysis and its joint. It is a rare condition, representing less than one percent of all cases of osteomyelitis. It affects most frequently young athletes and women undergoing gynecologic or urologic surgery. It presents itself with fever and pubic pain which irradiates to the genitals and increases when hip is mobilized, and this fact produces gait claudication. Diagnosis is based on clinic supported by microbiologic culture results, image methods, and proteins augment during acute phase...
2014: Pan African Medical Journal
https://www.readbyqxmd.com/read/25383246/athletic-pubalgia-and-associated-rehabilitation
#19
Abigail A Ellsworth, Mark P Zoland, Timothy F Tyler
BACKGROUND: Evaluation and treatment of groin pain in athletes is challenging. The anatomy is complex, and multiple pathologies often coexist. Different pathologies may cause similar symptoms, and many systems can refer pain to the groin. Many athletes with groin pain have tried prolonged rest and various treatment regimens, and received differing opinions as to the cause of their pain. The rehabilitation specialist is often given a non-specific referral of "groin pain" or "sports hernia...
November 2014: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/25147768/osteitis-pubis-can-early-return-to-elite-competition-be-contemplated
#20
Jaume Jardí, Gil Rodas, Carles Pedret, Lluis Til, Manuel Cusí, Nikolaos Malliaropoulos, Angelo Del Buono, Nicola Maffulli
BACKGROUND AND PURPOSE: In elite athletes, osteitis pubis is a common painful degenerative process of the pubic symphysis and surrounding soft tissues and tendons. We report the diagnostic pathway and the rehabilitation protocol of six elite athletes with osteitis pubis in three different sports, and compare protocol stages and time to return to competition. METHODS: 6 athletes (2 soccer, 2 basketball, 2 rugby players) were diagnosed with osteitis pubis stage III and IV according to Rodriguez classification using standard clinical and imaging criteria...
September 2014: Translational Medicine @ UniSa
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