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.authorFalvey, Éanna
dc.contributor.authorKing, E.
dc.contributor.authorKinsella, Sinéad
dc.contributor.authorFranklyn-Miller, A.
dc.contributor.funderSports Surgery Clinic, Dublinen
dc.date.accessioned2019-11-26T12:58:19Z
dc.date.available2019-11-26T12:58:19Z
dc.date.issued2016-03-16
dc.description.abstractBackground: 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.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationFalvey, 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-2015-094912en
dc.identifier.doi10.1136/bjsports-2015-094912en
dc.identifier.eissn1473-0480
dc.identifier.endpage430en
dc.identifier.issn0306-3674
dc.identifier.issued7en
dc.identifier.journaltitleBritish Journal of Sports Medicineen
dc.identifier.startpage423en
dc.identifier.urihttps://hdl.handle.net/10468/9256
dc.identifier.volume50en
dc.language.isoenen
dc.publisherBMJen
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.urihttp://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectAthletic groin painen
dc.subjectAnatomical diagnosisen
dc.subjectMRIen
dc.titleAthletic groin pain (part 1): A prospective anatomical diagnosis of 382 patients - Clinical findings, MRI findings and patient-reported outcome measures at baselineen
dc.typeArticle (peer-reviewed)en
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