Diagnosis of Acute Groin Injuries: A Prospective Study of 110 Athletes
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Diagnosis of Acute Groin Injuries : A Prospective Study of 110 Athletes. / Serner, Andreas; Tol, Johannes L; Jomaah, Nabil; Weir, Adam; Whiteley, Rodney; Thorborg, Kristian; Robinson, Matthew; Hölmich, Per.
I: American Journal of Sports Medicine, Bind 43, Nr. 8, 08.2015, s. 1857-64.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Diagnosis of Acute Groin Injuries
T2 - A Prospective Study of 110 Athletes
AU - Serner, Andreas
AU - Tol, Johannes L
AU - Jomaah, Nabil
AU - Weir, Adam
AU - Whiteley, Rodney
AU - Thorborg, Kristian
AU - Robinson, Matthew
AU - Hölmich, Per
N1 - © 2015 The Author(s).
PY - 2015/8
Y1 - 2015/8
N2 - BACKGROUND: Acute groin injuries are common in high-intensity sports, but there are insufficient data on injury characteristics such as injury mechanisms and clinical and radiological findings.PURPOSE: To describe these characteristics in a cohort of athletes.STUDY DESIGN: Cross-sectional study; Level of evidence, 3.METHODS: A total of 110 male athletes (mean age, 25.6 ± 4.7 years) with sports-related acute groin pain were prospectively included within 7 days of injury from August 2012 to April 2014. Standardized history taking, a clinical examination, magnetic resonance imaging (MRI), and/or ultrasound (US) were performed.RESULTS: The most frequent injury mechanism in soccer was kicking (40%), and change of direction was most frequent in other sports (31%). Clinically, adductor injuries accounted for 66% of all injuries and primarily involved the adductor longus on imaging (91% US, 93% MRI). The iliopsoas and proximal rectus femoris were also frequently injured according to all examination modalities (15%-25%). Acute injury findings were negative in 22% of the MRI and 25% of the US examinations. Of the clinically diagnosed adductor injuries, 3% (US) and 6% (MRI) showed a radiological injury in a different location compared with 35% to 46% for clinically diagnosed iliopsoas and proximal rectus femoris injuries.CONCLUSION: Adductor injuries account for the majority of acute groin injuries. Iliopsoas and proximal rectus femoris injuries are also common. More than 1 in 5 injuries showed no imaging signs of an acute injury. Clinically diagnosed adductor injuries were often confirmed on imaging, whereas iliopsoas and rectus femoris injuries showed a different radiological injury location in more than one-third of the cases. The discrepancy between clinical and radiological findings should be considered when diagnosing acute groin injuries.
AB - BACKGROUND: Acute groin injuries are common in high-intensity sports, but there are insufficient data on injury characteristics such as injury mechanisms and clinical and radiological findings.PURPOSE: To describe these characteristics in a cohort of athletes.STUDY DESIGN: Cross-sectional study; Level of evidence, 3.METHODS: A total of 110 male athletes (mean age, 25.6 ± 4.7 years) with sports-related acute groin pain were prospectively included within 7 days of injury from August 2012 to April 2014. Standardized history taking, a clinical examination, magnetic resonance imaging (MRI), and/or ultrasound (US) were performed.RESULTS: The most frequent injury mechanism in soccer was kicking (40%), and change of direction was most frequent in other sports (31%). Clinically, adductor injuries accounted for 66% of all injuries and primarily involved the adductor longus on imaging (91% US, 93% MRI). The iliopsoas and proximal rectus femoris were also frequently injured according to all examination modalities (15%-25%). Acute injury findings were negative in 22% of the MRI and 25% of the US examinations. Of the clinically diagnosed adductor injuries, 3% (US) and 6% (MRI) showed a radiological injury in a different location compared with 35% to 46% for clinically diagnosed iliopsoas and proximal rectus femoris injuries.CONCLUSION: Adductor injuries account for the majority of acute groin injuries. Iliopsoas and proximal rectus femoris injuries are also common. More than 1 in 5 injuries showed no imaging signs of an acute injury. Clinically diagnosed adductor injuries were often confirmed on imaging, whereas iliopsoas and rectus femoris injuries showed a different radiological injury location in more than one-third of the cases. The discrepancy between clinical and radiological findings should be considered when diagnosing acute groin injuries.
KW - Abdominal Injuries
KW - Adolescent
KW - Adult
KW - Athletes
KW - Athletic Injuries
KW - Cross-Sectional Studies
KW - Groin
KW - Humans
KW - Leg Injuries
KW - Magnetic Resonance Imaging
KW - Male
KW - Muscle, Skeletal
KW - Physical Examination
KW - Prospective Studies
KW - Soccer
KW - Sports
KW - Thigh
KW - Young Adult
U2 - 10.1177/0363546515585123
DO - 10.1177/0363546515585123
M3 - Journal article
C2 - 25977522
VL - 43
SP - 1857
EP - 1864
JO - American Journal of Sports Medicine
JF - American Journal of Sports Medicine
SN - 0363-5465
IS - 8
ER -
ID: 162497871