Abstract
Groin pain is common in athletes, and inflammation of the proximal adductor longus insertion on the pubic bone is a frequent cause. Adductor enthesopathy is usually caused by repetitive strain injury, and a proximal involvement causes inner thigh pain that radiates inferiorly and worsens with stretching against resistance or sports. Another frequent condition is hamstring enthesopathy, and patients typically experience pain in the lower buttock. Ultrasound and MRI are the preferred imaging modalities to diagnose enthesopathies, but bone SPECT/CT can be used as an adjunct imaging modality, as multiple conditions may coexist. This chapter presents multiple cases where bone SPECT/CT was performed because of groin or buttock pain and revealed enthesopathies.
References
Bisciotti GN, Chamari K, Cena E, Garcia GR, Vuckovic Z, Bisciotti A, et al. The conservative treatment of longstanding adductor-related groin pain syndrome: a critical and systematic review. Biol Sport. 2021;38(1):45–63.
Davies AG, Clarke AW, Gilmore J, Wotherspoon M, Connell DA. Review: imaging of groin pain in the athlete. Skelet Radiol. 2010;39(7):629–44.
de Paulis F, Damiani A, Cacchio A, Michelini O, Bonanni G, De Amicis R. Imaging of overuse tendon injuries. Operative Techniques in Sports Medicine. 1997;5(3):118–32.
Groshar D, Rozenbaum M, Rosner I. Enthesopathies, inflammatory spondyloarthropathies and bone scintigraphy. J Nucl Med. 1997;38(12):2003–5.
Hegazi TM, Belair JA, McCarthy EJ, Roedl JB, Morrison WB. Sports Injuries about the hip: what the radiologist should know. Radiographics. 2016;36(6):1717–45.
Pesquer L, Reboul G, Silvestre A, Poussange N, Meyer P, Dallaudiere B. Imaging of adductor-related groin pain. Diagn Interv Imaging. 2015;96(9):861–9.
Saunders J, Cusi M, Van der Wall H. What’s old is new again: the sacroiliac joint as a cause of lateralizing low back pain. Tomography. 2018;4(2):72–7.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Section Editor information
Rights and permissions
Copyright information
© 2023 Springer Nature Switzerland AG
About this entry
Cite this entry
Agrawal, K., Singhal, T., Van den Wyngaert, T. (2023). Enthesopathies. In: Van den Wyngaert, T., Gnanasegaran, G., Strobel, K. (eds) Clinical Atlas of Bone SPECT/CT. Springer, Cham. https://doi.org/10.1007/978-3-031-26449-8_203
Download citation
DOI: https://doi.org/10.1007/978-3-031-26449-8_203
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-26448-1
Online ISBN: 978-3-031-26449-8
eBook Packages: MedicineReference Module Medicine