Athletic groin pain (part 1): A prospective anatomical diagnosis of 382 patients - Clinical findings, MRI findings and patient-reported outcome measures at baseline

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dc.contributor.author Falvey, Éanna
dc.contributor.author King, E.
dc.contributor.author Kinsella, Sinéad
dc.contributor.author Franklyn-Miller, A.
dc.date.accessioned 2019-11-26T12:58:19Z
dc.date.available 2019-11-26T12:58:19Z
dc.date.issued 2016-03-16
dc.identifier.citation Falvey, É. C., King, E., Kinsella, S. and Franklyn-Miller, A. (2016) 'Athletic groin pain (part 1): a prospective anatomical diagnosis of 382 patients—clinical findings, MRI findings and patient-reported outcome measures at baseline', British Journal of Sports Medicine, 50(7), pp. 423-430. doi: 10.1136/bjsports-2015-094912 en
dc.identifier.volume 50 en
dc.identifier.issued 7 en
dc.identifier.startpage 423 en
dc.identifier.endpage 430 en
dc.identifier.issn 0306-3674
dc.identifier.uri http://hdl.handle.net/10468/9256
dc.identifier.doi 10.1136/bjsports-2015-094912 en
dc.description.abstract Background: Athletic groin pain remains a common field-based team sports time-loss injury. There are few reports of non-surgically managed cohorts with athletic groin pain. Aim: To describe clinical presentation/examination, MRI findings and patient-reported outcome (PRO) scores for an athletic groin pain cohort. Methods: All patients had a history including demographics, injury duration, sport played and standardised clinical examination. All patients underwent MRI and PRO score to assess recovery. A clinical diagnosis of the injured anatomical structure was made based on these findings. Statistical assessment of the reliability of accepted standard investigations undertaken in making an anatomical diagnosis was performed. Result: 382 consecutive athletic groin pain patients, all male, enrolled. Median time in pain at presentation was (IQR) 36 (16–75) weeks. Most (91%) played field-based ball-sports. Injury to the pubic aponeurosis (PA) 240 (62.8%) was the most common diagnosis. This was followed by injuries to the hip in 81 (21.2%) and adductors in 56 (14.7%) cases. The adductor squeeze test (90° hip flexion) was sensitive (85.4%) but not specific for the pubic aponeurosis and adductor pathology (negative likelihood ratio 1.95). Analysed in series, positive MRI findings and tenderness of the pubic aponeurosis had a 92.8% post-test probability. Conclusions: In this largest cohort of patients with athletic groin pain combining clinical and MRI diagnostics there was a 63% prevalence of PA injury. The adductor squeeze test was sensitive for athletic groin pain, but not specific individual pathologies. MRI improved diagnostic post-test probability. No hernia or incipient hernia was diagnosed. Clinical trial registration numberl: NCT02437942. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher BMJ en
dc.rights © 2016, The Author(s). This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ en
dc.rights.uri http://creativecommons.org/licenses/by-nc/4.0/ en
dc.subject Athletic groin pain en
dc.subject Anatomical diagnosis en
dc.subject MRI en
dc.title Athletic groin pain (part 1): A prospective anatomical diagnosis of 382 patients - Clinical findings, MRI findings and patient-reported outcome measures at baseline en
dc.type Article (peer-reviewed) en
dc.internal.availability Éanna Falvey, School of Medicine, University College Cork en
dc.description.version Published Version en
dc.contributor.funder Sports Surgery Clinic, Dublin en
dc.description.status Peer reviewed en
dc.identifier.journaltitle British Journal of Sports Medicine en
dc.identifier.eissn 1473-0480


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© 2016, The Author(s). This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ Except where otherwise noted, this item's license is described as © 2016, The Author(s). This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
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