Abstract
Over the past half century, people have used a number of terms to describe the musculoskeletal injuries that affect the abdomen, pelvis and thighs of athletes. The terms reflect the various specialty disciplines of those who use them and obscure cohesive insight into the nature of these problems. In this chapter, my radiologist partner and I advise new eyes and propose nomenclature to represent new insight into the various problems. We base our request on our own clinical findings extracted from a large personal experience, coupled with some anatomical studies as well as observations of others. With respect to these injuries, we strive for the reader to embrace the above-cited Marcel Proust observation.
The real magic of discovery lies not in seeking new landscapes, but in having new eyes. Marcel Proust [1].
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References
From La Prisonnière, Vol V of remembrance of things past a.k.a. In search of lost time.
Paraphrased from “Chairman’s conferences” at Duke University Medical Center during the surgeon co-author’s training. In an interview, Frank R. Lewis, executive director of the American Board of Surgery recollects, “Sabiston’s and others’ feelings about ‘sports hernia’ characterized the surgical dogma at the time.”
Swan KG, Wolcott M. The athletic hernia: a systematic review. Clin Orthop Relat Res. 2006;455:78–87.
Zoga A. Invited lecture. Radiological Society of North America (RSNA 2007), McCormick Place, Chicago; 2007.
Taylor DC, Meyers WC, Moylan JA, et al. Abdominal musculature abnormalities as a cause of groin pain in athletes. Am J Sports Med. 1991;19:239–42.
Meyers WC, McKechnie A, Philippon MJ, et al. Experience with “sports hernia” spanning two decades. Ann Surg. 2008;248:656–65.
Abbe R. Rupture of the tendon of the adductor longus. Ann Surg. 1895;2:517–19.
Todd TW. Age changes in the pubic symphysis. The anthropoid strain in human pubic symphyses of the third decade. J Anat. 1923;57:274–94.
Todd TW. Age changes in the pubic bone. Am J Phys Anthropol. 1930;14:255–71.
Beer E. Periostitis of symphysis and descending rami of pubic following suprapubic operations. Interv J Med Surg. 1924;37:224–5.
Nesovic B. El Dolor en la Ingle de los Futbolistas. In: Il Curso de la Escuela Catalana de Traumatologia del Deporte; 1981. p. 246–51.
Nesovic B. Abstract from presentation at 1988 Olympic sports medicine meeting. Details lost.
Polyglase AL, Frydman GM, Farmer KC. Inguinal surgery for debilitating chronic groin pain in athletes. Med J Aust. 1991;155:674–7.
Gilmore OJA. Gilmore’s groin: ten years’ experience of groin disruption – a previously unsolved problem in sportsmen. Sports Med Soft Tissue Trauma. 1991;3:12–4.
Bisciotti GN. Athlete’s pubalgia: a systematic review. http://www.kinemovecenter.it/ita/285/voce/66/athletes-pubalgia-a-systematic-review.htm
Nam A, Brody F. Management and therapy for sports hernia. J Am Coll Surg. 2008;206:154–64.
Caudill P, Nyland J, Smith C, et al. Sports hernia: a systematic literature review. Br J Sports Med. 2008;42:954–64.
Minnich J, Hanks J, Muschaweck U, et al. Sports hernia: diagnosis and treatment highlighting a minimal repair technique. Am J Sports Med. 2011;39:1341–9.
Mushawek U, Berger L. Minimal repair technique of sportsmen’s groin: an innovative open-suture repair to treat chronic inguinal pain. Hernia. 2009;14:27–33.
Unpublished data, 1988–1993: Southern Surgeons Club clinical trials group (21) in conjunction with the Duke/United States Surgical Endosurgery Center, conducted a prospective analysis of open versus laparoscopic hernia repair. Performed in a similar fashion to Ref 21, data was collected on over 2000 patients and included approximately 200 patients with sports related groin pain and no demonstrable hernia.
Meyers WC, Southern Surgeons Club. A prospective analysis of 1518 laparoscopic cholecystectomies. N Engl J Med. 1991;324:1073–8.
Holmich P, Uhrskou P, Ulnits L, et al. Effectiveness of active physical training as treatment for longstanding adductor-related groin pain in athletes: randomized trial. Lancet. 1999;353:439–43.
Paajanen H, Brinck T, Hermunen H, et al. Laparoscopic surgery for chronic groin pain in athletes is more effective than nonoperative treatment: a randomized clinical trial with magnetic resonance imaging of 60 patients with sportsman’s hernia (athletic pubalgia). Surgery. 2011;150:99–107.
Machotka Z, Kumar S, Perraton L. A systematic review of the literature on the effectiveness of exercise therapy for groin pain in athletes. Sports Med Arthrosc Rehabil Ther Technol. 2009;1:5–11.
Meyers WC, Foley DP, Garrett WE, et al. Management of severe lower abdominal or inguinal pain in high-performance athletes. Am J Sports Med. 2000;28:2–8.
Ekstrand J, Ringborg S. Surgery versus conservative treatment in soccer players with chronic groin pain: a prospective randomized study in soccer players. Eur J Sports Traumatol Rel Res. 2001;23:141–5.
Meyers WC, Kahan DM, Joseph T, et al. Current analysis of women athletes with pelvic pain. Med Sci Sports Exerc. 2011;43:1387–93.
Meyers WC, Yoo E, Devon ON, et al. Understanding “sports hernia” (athletic pubalgia): the anatomic and pathophysiologic basis for abdominal and groin pain in athletes. Oper Tech Sports Med. 2007;15:165–77.
Schwartzmann RJ, Erwin KL, Alexander GM. The natural history of complex regional pain syndrome. Clin J Pain. 2009;25:273–80.
Albers SL, Spritzer CE, Garrett WE, et al. MR findings in athletes with pubalgia. Skeletal Radiol. 2001;30:270–7.
Zoga AC, Kavanaugh EC, Omar IM, et al. Athletic pubalgia and the “sports hernia”: MR imaging findings. Radiology. 2008;247:797–807.
Omar IM, Zoga AC, Kavanaugh EC, et al. Athletic pubalgia and “sports hernia”: optimal MR imaging technique and findings. Radiographics. 2008;28:1415–38.
Gray H. The anatomic basis of clinical practice. 40th ed. New York: Churchill-Livingstone, Elsevier; 2008.
Agur A, Dalley A. Grant’s atlas of anatomy. 12th ed. Philadelphia: Lippincott, Williams & Wilkins; 2009.
Canale ST, Beaty JH. Campbell’s operative orthopedics. 11th ed. New York: Mosby, Elsevier; 2008.
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Meyers, W.C., Zoga, A. (2014). Core Muscle Injuries. In: Haddad, F. (eds) The Young Adult Hip in Sport. Springer, London. https://doi.org/10.1007/978-1-4471-5412-9_10
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DOI: https://doi.org/10.1007/978-1-4471-5412-9_10
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