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Hip, Groin, and Abdominal Injuries in Handball

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Handball Sports Medicine

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Abstract

Hip and groin pain is prevalent in handball players constituting up to 12.5% and 11% of all overuse and acute injuries, respectively, recorded during a full handball season. Of these, adductor-related groin pain is the most common cause of hip and groin pain. The diagnosis of groin pain related to musculotendinous structures should follow the DOHA agreement on terminology and definitions in groin pain in athletes and be based on specific palpation and muscular resistance tests. Similarly, the diagnosis of intra-articular hip pain such as femoroacetabular impingement syndrome should follow the Warwick agreement and be based on a triad of symptoms, clinical findings, and radiological findings. The treatment should focus on active rehabilitation aiming to restore and build hip muscle strength and increase pelvic stability. In cases with FAIS or isolated intra-articular hip pathology, such as labral tear and/or cartilage damage, hip arthroscpy may be considered, and favorable outcomes on return to sport have been reported in high-level athletes.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Sports Orthopedic Research Center—Copenhagen (SORC-C), Arthroscopic Center, Copenhagen University Hospital, Amager-Hvidovre, Denmark

    Per Hölmich & Lasse Ishøi

  2. The Technical University of Munich, Munich, Germany

    Markus Wurm

  3. Department of Orthopaedics, University of Colorado Hospital, Boulder, CO, USA

    Omer Mei-Dan

  4. Department of Trauma and Orthopaedics, University Hospitals Coventry and Warwickshire, Coventry, UK

    Lior Laver M.D.

  5. Department of Arthroscopy, Royal Orthopaedic Hospital, Birmingham, UK

    Lior Laver M.D.

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  1. Per Hölmich
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  2. Lasse Ishøi
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  4. Omer Mei-Dan
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  5. Lior Laver M.D.
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Correspondence to Per Hölmich .

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Editors and Affiliations

  1. Department of Trauma and Orthopaedics, University Hospitals Coventry and Warwickshire, Coventry, United Kingdom

    Lior Laver

  2. Department of Surgery, Aspetar - Orthopaedic and Sports Medicine Hospital, Doha, Qatar

    Philippe Landreau

  3. Clinique d’Eich, Centre Hospitalier de Luxembourg Clinique d’Eich, Luxembourg, Luxembourg

    Romain Seil

  4. Aspetar - Orthopaedic and Sports Medicine Hospital, Weill Cornell Medical College, Doha, Qatar

    Nebojsa Popovic

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Hölmich, P., Ishøi, L., Wurm, M., Mei-Dan, O., Laver, L. (2018). Hip, Groin, and Abdominal Injuries in Handball. In: Laver, L., Landreau, P., Seil, R., Popovic, N. (eds) Handball Sports Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-55892-8_18

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