Prise en charge chirurgicale des pubalgies du sportif

Vidalin, H.; Neouze, G.; Petit, I.; Brunet-Guedj, E.

doi:10.1016/s0762-915x(04)97399-8

Cited by 18 publications

(5 citation statements)

References 27 publications

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“…The use of the term ‘syndrome’ is justified by the frequent overlapping of different clinical entities and by the possible cause–effect interaction that characterises a well-defined GrP clinic framework. 7–9 Obviously, the term GrPS is an ‘umbrella term’ that must be complemented by the clinical framework description. You may then, for example, have a GrPS caused by adductor tendinopathy, inguinal hernia, or by a combination of pathologies.…”

Section: Consensus Conference Presentationmentioning

confidence: 99%

Groin Pain Syndrome Italian Consensus Conference on terminology, clinical evaluation and imaging assessment in groin pain in athlete

Bisciotti

Volpi

Zini³

et al. 2016

BMJ Open Sport Exerc Med

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The nomenclature and the lack of consensus of clinical evaluation and imaging assessment in groin pain generate significant confusion in this field. The Groin Pain Syndrome Italian Consensus Conference has been organised in order to prepare a consensus document regarding taxonomy, clinical evaluation and imaging assessment for groin pain. A 1-day Consensus Conference was organised on 5 February 2016, in Milan (Italy). 41 Italian experts with different backgrounds participated in the discussion. A consensus document previously drafted was discussed, eventually modified, and finally approved by all members of the Consensus Conference. Unanimous consensus was reached concerning: (1) taxonomy (2) clinical evaluation and (3) imaging assessment. The synthesis of these 3 points is included in this paper. The Groin Pain Syndrome Italian Consensus Conference reached a consensus on three main points concerning the groin pain syndrome assessment, in an attempt to clarify this challenging medical problem.

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Section: Consensus Conference Presentationmentioning

confidence: 99%

Groin Pain Syndrome Italian Consensus Conference on terminology, clinical evaluation and imaging assessment in groin pain in athlete

Bisciotti

Volpi

Zini³

et al. 2016

BMJ Open Sport Exerc Med

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“…Therefore, we can potentially to observe the onset of a complex framework dependent on numerous factors linked together by a complex cause/effect relationship. This frequent association present in many clinical cases and the varied symptom complex that contribute to the determination of the clinical framework, justify and legitimate the use of the term "groin pain syndrome" (GPS) 39,40 . It is also clear that this frequent association of different pathology in GPS often makes the definitive diagnosis, and the consequent appropriate management, difficult and multifactorial [41][42][43] .…”

Section: The Possible Association Of Different Pathology Into the Gromentioning

confidence: 99%

Groin pain syndrome: an association of different pathologies and a case presentation

Bisciotti¹,

Auci²,

Marzo

et al. 2019

Muscle Ligaments and Tendons J

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Background: groin pain affects all types of athletes, especially soccer players. Many diseases with different etiologies may cause groin pain. Purpose: offer a mini review of groin pain in soccer accompanied by the presentation of a case report highlighting the possible association of more clinical frameworks into the onset of groin pain syndrome, in order to recommend that clinical evaluations take into account possible associations between bone, muscle and tendon such as inguinal canal disease. Conclusion: the multifactorial etiology of groin pain syndrome needs to be examined with a comprehensive approach, with standardized clinical evaluation based on an imaging protocol in order to evaluate all possible diseases. Study design: Mini review-Case report (Level V).

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“…Sports hernia can be summarized as a myoaponeurotic defect of the abdominal wall [4,34] which can affect various structures. The anatomy of the abdominal wall in the pubic region may explain the possible causes of sports hernia.…”

Section: Sports Herniamentioning

confidence: 99%

“…The very term "sports hernia" or "sportsman's hernia" was relatively recently introduced, and some authors interpret it as a hernia affecting a person practising sports while others interpret it as a synonym for pubalgia [3] thus adding confusion also to simple literature searches. According to some authors [4] the term pubalgia should cover only the pathology of the wall (pubalgia Z sports hernia) while other causes should have their own denomination. This topic is still evolving both in terms of its clinical definition and regarding the etiopatological, diagnostic and therapeutic meaning [5].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

US in pubalgia

Balconi

2011

Journal of Ultrasound

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KEYWORDSPubalgia; Sports hernia; Ultrasound.Abstract There is considerable confusion over the word "pubalgia" with regard to the definition and the etiological causes of this condition. The term pubalgia should be used to indicate disabling pain affecting the pubic region in people who practise sports. Pubalgia affects 10% of those who practise sports and it is particularly prevalent in football players. According to the literature, about 40% of cases of pubalgia are caused by overuse of the symphysis pubis with progressive lesions affecting the rectus abdominal muscles, adductors (rectal-adductor syndrome) and the symphysis itself (osteitis pubis and joint injury). An initial study of the tendons is carried out by ultrasound (US) whereas magnetic resonance imaging (MRI) should be performed to study the bones and joints.Another 40% of cases of pubalgia are caused by "sports hernia" defined as anteroinferior abdominal wall insufficiency. These alterations can only be identified at dynamic US examination.About 20% of cases of pubalgia are caused by diseases of the neighboring structures or joints such as diseases of the hip, iliopsoas, hamstring, sacred iliac or nerves, or by urogenital diseases.Sommario Vi è notevole confusione circa la parola "pubalgia", sia per quanto riguarda la sua definizione sia per quanto riguarda le sue cause etiologiche. Il termine di pubalgia dovrebbe essere utilizzato per indicare una sintomatologia dolorosa, invalidante che interessa la regione pubica di chi pratica attività sportiva. Sono interessati il 10% di chi pratica attività sportiva con prevalenza per il footbal. Dalla revisione della letteratura circa il 40% delle pubalgie sono da ricondurre a sovraccarico funzionale sulla sinfisi pubica con lesioni progressive che interessano i retti addominali, gli adduttori (sindrome retto-adduttoria), e la sinfisi stessa (osteite pubica e danno alla articolazione). Lo studio dei tendini trova nella ecografia il primo approccio diagnostico riservando alla RM lo studio della componente ossea e articolare.Un altro 40% dei casi di pubalgia riconosce la causa etiologica nella "sport hernia", definibile come una insufficienza della parete addominale antero-inferiore. La diagnostica ecografica è l'unica in grado di rilevare tali alterazioni che necessitano per essere individuate un esame dinamico.Infine in circa il 20% dei casi la pubalgia è causata da patologie di strutture o apparati limitrofi: patologia dell'anca, dell'ileo-psoas, degli hamstring, della sacro iliaca o dei nervi, fino alle patologie urogenitali. ª

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Prise en charge chirurgicale des pubalgies du sportif

Cited by 18 publications

References 27 publications

Groin Pain Syndrome Italian Consensus Conference on terminology, clinical evaluation and imaging assessment in groin pain in athlete

Groin Pain Syndrome Italian Consensus Conference on terminology, clinical evaluation and imaging assessment in groin pain in athlete

Groin pain syndrome: an association of different pathologies and a case presentation

US in pubalgia

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