Epidemiological profile of patients diagnosed with athletic pubalgia

Abstract

ObjectiveTo evaluate the clinical and epidemiological characteristics of pubalgia in patients from a Sports Medicine Center.MethodsData analysis from medical records of patients with athletic pubalgia attended to from January 2007 to January 2015. The diagnosis was made by an experienced hip surgeon, complemented with pelvic X-ray, abdominal wall ultrasound, and magnetic resonance imaging of the pelvis.ResultsAmong 43 patients, 42 were men, with mean age of 33 years. As for sports, 25 (58.1%) athletes were soccer players and 13 (30.2%) were runners; 37.2% were professional athletes. Inguinal hernia was diagnosed in 20.9% of patients, showing the importance of its routine search in these patients. Treatment duration ranged from 1 to 12 months and 95.2% of the patients returned to sport.ConclusionThis study presented the epidemiological characteristics of patients diagnosed with athletic pubalgia attended to in a reference medical center and demonstrated the prevalence of this lesion in male patients, soccer players and runners. It also disclosed a high success rate of the nonoperative treatment, and high rate of return to sport after treatment.

The Prevalence of Inguinal Hernia Among Athletes in Saudi Arabia: A Cross-Sectional Study

“…However, in the Arar region, among patients with an abdominal hernia (11.7%), the prevalence of inguinal hernia cases was 27.3%, and other detected cases were para-umbilical hernia (33.9%) and umbilical hernia (20.8%) [ 10 ]. In Brazil, the presence of an inguinal hernia was detected in 20.9% of patients [ 11 ], which was higher than our report. More investigation is required to ascertain the prevalence range of inguinal hernia among individuals who are engaged in strenuous activities.…”

“…Approximately 47.5% of patients underwent surgical procedures while others preferred conservative treatment instead (47%). In Brazil, patients' treatment duration ranged from one month to 12 months; however, the rates of patients who came back to play sports were relatively higher at 95.2% [ 11 ]. These numbers concurred with the study done in Italy [ 19 ].…”

Sports Hernias: A Comprehensive Review for Clinicians

“…These activities place significant stress on the muscles, tendons, and ligaments in the groin and lower abdomen, increasing the likelihood of injury [ 14 ]. Sports with the highest risk of sports hernias include soccer, hockey, football, rugby, and track and field events such as sprinting and hurdling [ 15 ]. Athletes in these sports are particularly susceptible to sports hernias due to the frequent and intense demands on their lower abdominal and groin regions.…”

Manejo de pubalgia con proloterapia en el servicio de Medicina Física y Rehabilitación del Hospital Militar Central

“…Los orígenes de Pectineus, adductor longus y adductor brevis se colocan de anterior a posterior en la superficie inferior del pubis, solo lateral a la sínfisis púbica. 2 En el aspecto más posterior de la sínfisis púbica, los tendones gracilis se originan solo lateralmente a la articulación. En el aspecto más cefálico de la sínfisis, el oblicuo externo se inserta algo lateral a la articulación, pero estos dos apéndices tendinosos probablemente contribuyen a la estabilidad de la sínfisis.…”

“…El dolor también puede irradiar proximalmente a la musculatura abdominal o distalmente al muslo, la ingle o los genitales. 2,10 Los hallazgos de la exploración física incluyen sensibilidad localizada o justo por encima del pubis del lado afectado, que se puede obtener durante una abducción resistida. Adicionalmente puede existir sensibilidad del canal inguinal, anillo inguinal superficial dilatado, sensibilidad del tubérculo púbico y del origen del aductor de la cadera.…”