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Long-standing groin pain in contact sports: a prospective case–control and MRI study

OBJECTIVES: We aimed to prospectively evaluate the prevalence of long-standing groin pain and related MRI findings in contact sports. METHODS: This case–control study followed three male elite-level soccer, ice-hockey and bandy teams (102 players) for 2 years. All athletes with long-standing groin p...

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Autores principales: Paajanen, Hannu, Hermunen, Heikki, Ristolainen, Leena, Branci, Sonia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6539155/
https://www.ncbi.nlm.nih.gov/pubmed/31191965
http://dx.doi.org/10.1136/bmjsem-2018-000507
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author Paajanen, Hannu
Hermunen, Heikki
Ristolainen, Leena
Branci, Sonia
author_facet Paajanen, Hannu
Hermunen, Heikki
Ristolainen, Leena
Branci, Sonia
author_sort Paajanen, Hannu
collection PubMed
description OBJECTIVES: We aimed to prospectively evaluate the prevalence of long-standing groin pain and related MRI findings in contact sports. METHODS: This case–control study followed three male elite-level soccer, ice-hockey and bandy teams (102 players) for 2 years. All athletes with long-standing groin pain lasting >30 days and age-matched controls (1:3) from the same teams were examined clinically, using pelvic MRI and Hip and Groin Outcome Scores (HAGOS). Primary outcome measures were annual prevalence of groin pain and underlying MRI findings. RESULTS: The annual prevalence of chronic groin pain was 7.5%. Training characteristics and pain scores of athletes were similar in all teams. On MRI, there was no significant difference in the percentage of pubic bone marrow oedema (p = 0.80) between symptomatic players (8/15; 53%) versus controls (20/43; 47%), but adductor tendinopathy and degenerative changes at the pubic symphysis were twice more common among players with pain. Rectus muscle or iliopsoas pathology were seldom observed. Lower HAGOS subscales (p < 0.01) were recorded in players who experienced groin pain compared with the controls. CONCLUSION: Long-standing groin pain was observed annually in 1 of 14 athletes in contact sports. Abnormalities in the pubic symphysis were common MRI findings in both symptomatic and asymptomatic players. TRIAL REGISTRATION NUMBER: NCT02560480
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spelling pubmed-65391552019-06-12 Long-standing groin pain in contact sports: a prospective case–control and MRI study Paajanen, Hannu Hermunen, Heikki Ristolainen, Leena Branci, Sonia BMJ Open Sport Exerc Med Original Article OBJECTIVES: We aimed to prospectively evaluate the prevalence of long-standing groin pain and related MRI findings in contact sports. METHODS: This case–control study followed three male elite-level soccer, ice-hockey and bandy teams (102 players) for 2 years. All athletes with long-standing groin pain lasting >30 days and age-matched controls (1:3) from the same teams were examined clinically, using pelvic MRI and Hip and Groin Outcome Scores (HAGOS). Primary outcome measures were annual prevalence of groin pain and underlying MRI findings. RESULTS: The annual prevalence of chronic groin pain was 7.5%. Training characteristics and pain scores of athletes were similar in all teams. On MRI, there was no significant difference in the percentage of pubic bone marrow oedema (p = 0.80) between symptomatic players (8/15; 53%) versus controls (20/43; 47%), but adductor tendinopathy and degenerative changes at the pubic symphysis were twice more common among players with pain. Rectus muscle or iliopsoas pathology were seldom observed. Lower HAGOS subscales (p < 0.01) were recorded in players who experienced groin pain compared with the controls. CONCLUSION: Long-standing groin pain was observed annually in 1 of 14 athletes in contact sports. Abnormalities in the pubic symphysis were common MRI findings in both symptomatic and asymptomatic players. TRIAL REGISTRATION NUMBER: NCT02560480 BMJ Publishing Group 2019-03-19 /pmc/articles/PMC6539155/ /pubmed/31191965 http://dx.doi.org/10.1136/bmjsem-2018-000507 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Original Article
Paajanen, Hannu
Hermunen, Heikki
Ristolainen, Leena
Branci, Sonia
Long-standing groin pain in contact sports: a prospective case–control and MRI study
title Long-standing groin pain in contact sports: a prospective case–control and MRI study
title_full Long-standing groin pain in contact sports: a prospective case–control and MRI study
title_fullStr Long-standing groin pain in contact sports: a prospective case–control and MRI study
title_full_unstemmed Long-standing groin pain in contact sports: a prospective case–control and MRI study
title_short Long-standing groin pain in contact sports: a prospective case–control and MRI study
title_sort long-standing groin pain in contact sports: a prospective case–control and mri study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6539155/
https://www.ncbi.nlm.nih.gov/pubmed/31191965
http://dx.doi.org/10.1136/bmjsem-2018-000507
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