Tendinopathies of the hip and pelvis in athletes: A narrative review

Abstract

Tendon disorders represent some of the most frequent musculoskeletal complaints worldwide. In the athletic population, tendinopathy could affect different anatomical districts. Tendons surrounding hip and pelvis are frequently involved due to overuse and high functional demands in the athletes. These disorders negatively impact on sport performance, since they are a long-lasting clinical condition requiring a multimodal management. Great trochanter pain syndrome, proximal hamstring tendinopathy, insertional adductor tendinopathy and ileopsoas tendinopathy are the most common clinical conditions involving tendon structures of the hip and pelvis. Due to the anatomical complexity of the region, the relationship with pelvic organs, the demographic and anthropometric characteristics of the athletes, the differential diagnosis between these musculoskeletal disorders and other diseases is often difficult to conduct and some therapeutic options are challenging. Modification of risk factors, changes in training protocols, some specific therapeutic exercise programs and rehabilitation procedures have been proposed as an efficient conservative management strategy, guarantying a complete recovery of athletic function. Surgical approaches are required in a specific subset of patients. This narrative literature review aims to summarize current understanding and areas of ongoing research about the clinical features, diagnostic keys and therapeutic options of the main clinical tendinopathies surrounding hip and pelvis.

Magnetic Resonance Imaging of Patellofemoral Morphometry Reveals Age and Gender Variations in the Knees of Children and Adolescents

“…Clinically, in particular, in athletes with ha igh risk of injury, preventive rehabilitation training should be preceded by sex and age groups with a high probability of developing patella instability. [33,34] The study has a few limitations. First, as a large number of samples were included, the male-to-female ratio and the number of samples by age group differed in all age groups, but the difference was not statistically significant.…”

Running Performance during the Holy Month of Ramadan in Elite Professional Adult Soccer Players in Russia

“…Future research should focus on the impact of Ramadan on different age group athletes, previously accepted field-based measures of physical performance [ 29 ], and the epidemiological analysis of injuries in Muslim players, such as tendinopathies [ 30 ]. Furthermore, the holistic estimation of the dynamic changes in various psycho-physiological parameters before, during, and after the Holy Month of Ramadan would also be of interest.…”

New Perspectives in the Development of the Artificial Sport Trainer

“…Sirico et al [11] proposed video observation and motor imagery for monitoring training loads, while Ardigo et al [12] preferred the SuperOp device for similar purposes. All those tools can be useful for injury prevention, such as tendinopathies [13] or muscle injuries [14].…”