Associations between clinical findings and MRI injury extent in male athletes with acute adductor injuries

Associations between clinical findings and MRI injury extent in male athletes with acute adductor injuries — A cross-sectional study

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt

Standard

Associations between clinical findings and MRI injury extent in male athletes with acute adductor injuries — A cross-sectional study. / Serner, Andreas; Hölmich, Per; Tol, Johannes L.; Thorborg, Kristian; Yamashiro, Eduardo; Weir, Adam.

I: Journal of Science and Medicine in Sport, Bind 24, Nr. 5, 05.2021, s. 454-462.

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt

Harvard

Serner, A, Hölmich, P, Tol, JL, Thorborg, K, Yamashiro, E & Weir, A 2021, 'Associations between clinical findings and MRI injury extent in male athletes with acute adductor injuries — A cross-sectional study', Journal of Science and Medicine in Sport, bind 24, nr. 5, s. 454-462. https://doi.org/10.1016/j.jsams.2020.11.003

APA

Serner, A., Hölmich, P., Tol, J. L., Thorborg, K., Yamashiro, E., & Weir, A. (2021). Associations between clinical findings and MRI injury extent in male athletes with acute adductor injuries — A cross-sectional study. Journal of Science and Medicine in Sport, 24(5), 454-462. https://doi.org/10.1016/j.jsams.2020.11.003

Vancouver

Serner A, Hölmich P, Tol JL, Thorborg K, Yamashiro E, Weir A. Associations between clinical findings and MRI injury extent in male athletes with acute adductor injuries — A cross-sectional study. Journal of Science and Medicine in Sport. 2021 maj;24(5):454-462. https://doi.org/10.1016/j.jsams.2020.11.003

Author

Serner, Andreas ; Hölmich, Per ; Tol, Johannes L. ; Thorborg, Kristian ; Yamashiro, Eduardo ; Weir, Adam. / Associations between clinical findings and MRI injury extent in male athletes with acute adductor injuries — A cross-sectional study. I: Journal of Science and Medicine in Sport. 2021 ; Bind 24, Nr. 5. s. 454-462.

Bibtex

@article{7631d52193224a658188332339a3378e,

title = "Associations between clinical findings and MRI injury extent in male athletes with acute adductor injuries — A cross-sectional study",

abstract = "Objectives: To investigate the association between clinical assessment and MRI measures of oedema and MRI grading in male athletes with acute adductor injuries. Design: Cross-sectional study. Methods: We included 81 consecutive athletes with acute adductor injuries. All athletes received a standardized clinical assessment and magnetic resonance imaging (MRI), blinded to clinical information. We analysed correlations between extent of palpation pain and extent of MRI oedema for the adductor longus. We compared the clinical assessment to MRI adductor injury grading (0−3) using ordinal regression. We analysed positive and negative predictive values (PPV/NPV) of a complete adductor longus avulsion. Results: Proximal-distal length of adductor longus palpation pain had fair correlation with MRI proximal-distal oedema length oedema (r = 0.309, p = 0.022). Cross-sectional surface area of palpation pain had poor correlation with corresponding cross-sectional MRI oedema area (r = 0.173, p = 0.208). The symptoms subscale of the Copenhagen Hip And Groin Outcome Score (HAGOS) for the period since injury (log odds ratio = 0.97, p = 0.021) and passive adductor stretch pain (log odds ratio = 0.35, p = 0.046) were associated with MRI injury grading. If there was a palpable defect, MRI always showed a complete avulsion (PPV = 100%). Several tests had high negative predictive values: passive adductor stretch (100%), palpation pain at the adductor longus insertion (98%), and the FABER test (98%). Conclusions: The extent of palpation pain does not indicate the extent of MRI oedema in acute adductor longus injuries. A worse modified HAGOS symptoms subscale score and passive adductor stretch pain indicate a higher MRI adductor injury grade. Clinical examination tests have high ability to detect or rule out a complete adductor longus avulsion on MRI.",

keywords = "Diagnosis, Groin, Imaging, Physical examination, Soft tissue injuries",

author = "Andreas Serner and Per H{\"o}lmich and Tol, {Johannes L.} and Kristian Thorborg and Eduardo Yamashiro and Adam Weir",

note = "Publisher Copyright: {\textcopyright} 2020 Sports Medicine Australia",

year = "2021",

month = may,

doi = "10.1016/j.jsams.2020.11.003",

language = "English",

volume = "24",

pages = "454--462",

journal = "Journal of Science and Medicine in Sport",

issn = "1440-2440",

publisher = "Elsevier Australia",

number = "5",

}

RIS

TY - JOUR

T1 - Associations between clinical findings and MRI injury extent in male athletes with acute adductor injuries — A cross-sectional study

AU - Serner, Andreas

AU - Hölmich, Per

AU - Tol, Johannes L.

AU - Thorborg, Kristian

AU - Yamashiro, Eduardo

AU - Weir, Adam

PY - 2021/5

Y1 - 2021/5

N2 - Objectives: To investigate the association between clinical assessment and MRI measures of oedema and MRI grading in male athletes with acute adductor injuries. Design: Cross-sectional study. Methods: We included 81 consecutive athletes with acute adductor injuries. All athletes received a standardized clinical assessment and magnetic resonance imaging (MRI), blinded to clinical information. We analysed correlations between extent of palpation pain and extent of MRI oedema for the adductor longus. We compared the clinical assessment to MRI adductor injury grading (0−3) using ordinal regression. We analysed positive and negative predictive values (PPV/NPV) of a complete adductor longus avulsion. Results: Proximal-distal length of adductor longus palpation pain had fair correlation with MRI proximal-distal oedema length oedema (r = 0.309, p = 0.022). Cross-sectional surface area of palpation pain had poor correlation with corresponding cross-sectional MRI oedema area (r = 0.173, p = 0.208). The symptoms subscale of the Copenhagen Hip And Groin Outcome Score (HAGOS) for the period since injury (log odds ratio = 0.97, p = 0.021) and passive adductor stretch pain (log odds ratio = 0.35, p = 0.046) were associated with MRI injury grading. If there was a palpable defect, MRI always showed a complete avulsion (PPV = 100%). Several tests had high negative predictive values: passive adductor stretch (100%), palpation pain at the adductor longus insertion (98%), and the FABER test (98%). Conclusions: The extent of palpation pain does not indicate the extent of MRI oedema in acute adductor longus injuries. A worse modified HAGOS symptoms subscale score and passive adductor stretch pain indicate a higher MRI adductor injury grade. Clinical examination tests have high ability to detect or rule out a complete adductor longus avulsion on MRI.

AB - Objectives: To investigate the association between clinical assessment and MRI measures of oedema and MRI grading in male athletes with acute adductor injuries. Design: Cross-sectional study. Methods: We included 81 consecutive athletes with acute adductor injuries. All athletes received a standardized clinical assessment and magnetic resonance imaging (MRI), blinded to clinical information. We analysed correlations between extent of palpation pain and extent of MRI oedema for the adductor longus. We compared the clinical assessment to MRI adductor injury grading (0−3) using ordinal regression. We analysed positive and negative predictive values (PPV/NPV) of a complete adductor longus avulsion. Results: Proximal-distal length of adductor longus palpation pain had fair correlation with MRI proximal-distal oedema length oedema (r = 0.309, p = 0.022). Cross-sectional surface area of palpation pain had poor correlation with corresponding cross-sectional MRI oedema area (r = 0.173, p = 0.208). The symptoms subscale of the Copenhagen Hip And Groin Outcome Score (HAGOS) for the period since injury (log odds ratio = 0.97, p = 0.021) and passive adductor stretch pain (log odds ratio = 0.35, p = 0.046) were associated with MRI injury grading. If there was a palpable defect, MRI always showed a complete avulsion (PPV = 100%). Several tests had high negative predictive values: passive adductor stretch (100%), palpation pain at the adductor longus insertion (98%), and the FABER test (98%). Conclusions: The extent of palpation pain does not indicate the extent of MRI oedema in acute adductor longus injuries. A worse modified HAGOS symptoms subscale score and passive adductor stretch pain indicate a higher MRI adductor injury grade. Clinical examination tests have high ability to detect or rule out a complete adductor longus avulsion on MRI.

KW - Diagnosis

KW - Groin

KW - Imaging

KW - Physical examination

KW - Soft tissue injuries

U2 - 10.1016/j.jsams.2020.11.003

DO - 10.1016/j.jsams.2020.11.003

M3 - Journal article

C2 - 33334688

AN - SCOPUS:85097759350

VL - 24

SP - 454

EP - 462

JO - Journal of Science and Medicine in Sport

JF - Journal of Science and Medicine in Sport

SN - 1440-2440

IS - 5

ER -

ID: 285803566