The Copenhagen Standardised MRI protocol to assess the pubic symphysis and adductor regions of athletes: outline and intratester and intertester reliability

Abstract

The Copenhagen Standardised MRI protocol demonstrated moderate-to-substantial reliability in rating bone marrow oedema, and varied from fair-to-substantial agreement for the majority of MRI features, but showed only slight agreement in rating adductor longus tendinopathy. This rigorous investigation also confirms that while MRI evaluation seems to provide reasonable reliability in rating pubic bone marrow oedema, the evaluation of adductor tendinopathy in a clinical and research setting needs further resolution by continued development and testing of MRI acquisition protocols.

Potential MRI findings associated with inguinal hernia and inguinal canal posterior wall weakness in athletes

“…Observational cross sectional study on 120 patients clinically and radiologically diagnosed of GPS, caused by IH and/or ICPWW (diagnosed by clinical assessment and US examination). All of them underwent to an MRI protocol 30 for the assessment of the pelvis and the pubic area. Ethical approval and written consent by each participant were obtained.…”

“…Following these exclusions criteria, 120 patients were enrolled in the study. Subsequently all the subjects underwent an MRI protocol 30 for the assessment of the pubic area.…”

“…The MRI protocol was in conformity with the protocol suggested by Branci et al 30 and provided the use of a 1.5 Tesla MRI (SIEMENS MAGNETOM Espree 1.5 T open bore). During the examination, patients were in supine position and the surface coil was centred at the pubic symphysis covering the total pelvic area.…”

“…However, GPS may be caused by several clinical conditions 2,3,18 often each other associated 3,4,19,20 . Many of these clinical frameworks can be observed by MRI 11,18,[21][22][23][24][25][26][27][28][29][30][31] . The aim of this cross sectional study was to verify, with a MRI protocol previously validated for GPS assessment 30 , the potential radiological findings associated with IH and ICPWW.…”

Clinical Examination, Diagnostic Imaging, and Testing of Athletes With Groin Pain: An Evidence-Based Approach to Effective Management

“…9,36,58,83,86,92,98 Clinical Examination, Diagnostic Imaging, and Testing of Athletes With Groin Pain: An Evidence-Based Approach to Effective Management difficult to understand, diagnose, and manage. 33 A lack of detailed scientific understanding concerning the underlying pathology of pain originating from the pubic symphysis, adjacent bone, and many surrounding musculotendinous attachments has caused controversies and disagreements concerning diagnoses and terminology.…”