A 19-year-old college football wide receiver (height: 193 cm, mass: 94 kg) reported sudden onset medial pain in his right knee during practice. Diagnostic imaging revealed medial femoral condyle osteochondral defects with loose bodies and a grade I medial collateral sprain (MCL). The medical and therapeutic intervention included arthroscopic microfracture, chondroplasty, loose body removal, and a 6-month rehabilitation program that included the use of blood flow restriction therapy. Current evidence estimates a 7–11-month recovery following microfracture surgery for the management of articular cartilage lesions, with a return-to-sport rate of only 50–60%.
Athl etic pubalgia is a poorly understood and commonly misdiagnosed injury that damages the connective tissue of the abdominal and groin muscle attachments to the pelvis. 1 Numerous diagnoses are considered synonymous with "athletic pubalgia," such as sports hernia, sportsman's hernia, or Gilmore groin. Some authors describe the condition as a prehernia complex injury, conjoint tendon tear, external oblique tear, or inguinal wall deficiency, which complicates the accuracy of injury identification. 2-4 Restrictions in lubmopelvic-hip complex mobility, (combined with muscular imbalances), can lead to altered biomechanics and gait abnormalities, which may predispose athletes to groin pain and recurrent injury. 1 If unilateral malalignment exists between the innominate bones of the pelvis and sacrum, increased tension from the pelvic floor muscles acting on the pubic symphysis may increase the risk of injury. 1,5 Common complaints associated with athletic pubalgia include (a) insidious onset groin pain, which encompasses the abdomen and intensifies
A 19-year-old Division I female collegiate gymnast presented with left hip/adductor pain. Radiographic imaging confirmed a diagnosis of bilateral hip dysplasia. The patient completed conservative rehabilitation before undergoing a Bernese hip periacetabular osteotomy (PAO). Postsurgical management lasted 12 months and involved interdisciplinary care (athletic trainer, massage therapist, chiropractor, and acupuncturist). Although more common among female athletes whose sport requires extreme flexibility (67–89%), presentation of this congenital anomaly usually occurs during adolescence, reducing participation in elite competitive sports. Dysplasia diagnosis and surgical PAO require a multifaceted approach to recovery, with less than 60% of surgical cases returning to sport.
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