Return to sport after conservative versus surgical treatment for pubalgia in athletes: a systematic review

Serafim, Thiago Teixeira; Oliveira, Eliton Stanley de; Migliorini, Filippo; Maffulli, Nicola; Okubo, Rodrigo

doi:10.1186/s13018-022-03376-y

Cited by 6 publications

(4 citation statements)

References 37 publications

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“…For these reasons, we recommend that future research explores the impact of the execution speed of shoulder exercises on scapular neuromuscular control. In addition, it would be valuable to investigate the potential effects of resistance exercises in preventing fatigue and reducing the risk of injury 33 …”

Section: Discussionmentioning

confidence: 99%

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A comparative electromyographic study of scapular stabilizing muscles during five main rehabilitation exercises

Mendez-Rebolledo,

Araya-Quintanilla,

Guzmán-Muñoz

et al. 2024

Am J Phys Med Rehabil

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Objective To compare the surface electromyographic (sEMG) amplitude, activation ratio, and onset latency of the main scapular stabilizing muscles between five typical rehabilitative exercises. Design Twenty-seven healthy participants performed five scapular exercises [wall-slide (WS), wall push-up plus, prone horizontal abduction with external rotation (PHABER), external rotation in side-lying (ERSL), and low row] while simultaneously recording sEMG of serratus anterior (SA), middle trapezius (MT), lower trapezius (LT), and upper trapezius (UT). sEMG amplitudes, onset latencies, and activation ratios were calculated. Results PHABER showed an excellent UT/MT (0.43) and UT/LT (0.30) muscle balance with high (> 50% MVIC) MT and LT amplitudes, a low (< 20% MVIC) UT amplitude, and an early activation of the scapular stabilizing muscles (-474.7 to 89.9 ms) relative to UT. ERSL showed excellent UT/SA (0.26), UT/MT (0.32), and UT/LT (0.21) activation ratios; and along with LR and WS, showed early activation of the scapular stabilizing muscles (-378.1 to -26.6 ms). Conclusions PHABER presented optimal scapular neuromuscular control. Although ERSL, low row, and WS did not meet all the criteria associated with optimal scapular neuromuscular control, these exercises could be used in early stages of shoulder rehabilitation because they favor early activation of the scapular stabilizing muscles.

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Section: Discussionmentioning

confidence: 99%

“…In addition, it would be valuable to investigate the potential effects of resistance exercises in preventing fatigue and reducing the risk of injury. 33…”

Section: Limitationsmentioning

confidence: 99%

A comparative electromyographic study of scapular stabilizing muscles during five main rehabilitation exercises

Mendez-Rebolledo,

Araya-Quintanilla,

Guzmán-Muñoz

et al. 2024

Am J Phys Med Rehabil

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“…Expanding the scope, Serafim et al, through a comprehensive review, inferred that athletes opting for surgery often rejoin their sport sooner than those adopting conservative treatments. Yet, they underscore the primacy of weighing conservative strategies before leaping to surgical decisions [ 39 ].…”

Section: Reviewmentioning

confidence: 99%

Sports Hernias: A Comprehensive Review for Clinicians

Kopscik,

Crisman,

Lomasney

et al. 2023

Cureus

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Sports hernias are a complex cause of chronic groin pain in athletes, posing diagnostic and treatment challenges for clinicians. This review article synthesizes current knowledge on sports hernias, exploring pathogenesis, diagnostic approaches, and management strategies. Despite the growing body of research, sports hernias continue to present a significant challenge, necessitating a multidisciplinary approach and further research to improve clinical outcomes. This comprehensive review aims to equip clinicians with an updated understanding of sports hernias, ensuring optimal patient care and informing future research.

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“…A previous systematic review done by Serafim et al found that athletes who underwent surgery for AP returned to sport earlier than those receiving conservative treatment alone [ 10 ]. This may explain why elite-level athletes, in comparison with their recreational counterparts, may opt for earlier surgical fixation following a diagnosis of AP.…”

Section: Introductionmentioning

confidence: 99%

Return To Play Rate and Performance Following Surgical Repair of Athletic Pubalgia in Major League Soccer Players: A Retrospective Case-Control Study

Guarneri¹,

Morrison²,

Martorana³

et al. 2023

Cureus

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IntroductionAthletic pubalgia (AP) injuries requiring surgical repair in elite-level soccer players are significant injuries with the potential of impacting a player's playing time and performance. Currently, no data exists explicitly analyzing Major League Soccer (MLS) players' return to play (RTP) rates and performance following these surgeries. MethodsA retrospective review of publicly available data of all MLS players who underwent surgery to repair an isolated AP injury from the league inception year of 1993 through 2021 was performed. Demographic data at the time of injury was collected. Athletes who successfully returned to play for at least two seasons in the MLS were matched to healthy controls in a 1:2 ratio by demographics and position. The index year was defined as the season, including pre-and post-season, that the surgery occurred. RTP date and performance metrics one and two years pre-and post-index year were collected. Statistical analysis was performed. ResultsEighty-eight players underwent surgical repair for AP from 1993 through 2021. Eighty-five athletes were able to successfully RTP (96.5%). Twenty-five players met the inclusion criteria and were included in the final analysis. The average RTP time was 1.08±4.92 months. During the combined seasons following surgery, athletes in the AP group displayed a significant reduction in minutes played compared to the two combined seasons prior to surgery (4153±912.77 vs. 3405.36±1342.35 minutes; p=0.03). There was no significant reduction in performance metrics when compared to both prior season statistics and the matched cohort (p>0.05). ConclusionThere is a high RTP rate among MLS players who undergo isolated surgical repair of AP. Although there was a significant reduction in combined minutes played in the two ensuing seasons following surgery, athletes who RTP demonstrated equivalent performance metrics comparable to their pre-injury seasons as well as to a matched cohort.

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Return to sport after conservative versus surgical treatment for pubalgia in athletes: a systematic review

Cited by 6 publications

References 37 publications

A comparative electromyographic study of scapular stabilizing muscles during five main rehabilitation exercises

A comparative electromyographic study of scapular stabilizing muscles during five main rehabilitation exercises

Sports Hernias: A Comprehensive Review for Clinicians

Return To Play Rate and Performance Following Surgical Repair of Athletic Pubalgia in Major League Soccer Players: A Retrospective Case-Control Study

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