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  1. Matthieu Sailly1,
  2. Rod Whiteley2,
  3. John Read3,
  4. Amanda Johnson2,
  5. Per Hölmich2,4
  1. 1Centre Medical Synergie Lausanne, Switzerland
  2. 2Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
  3. 3Castlereagh Imaging, St Leonards, New South Wales, Australia
  4. 4Department of Orthopaedic Surgery, Sports Orthopaedic Research Center-Copenhagen (SORC-C), Copenhagen University Hospital, Amager-Hvidovre, Denmark
  1. Correspondence to Dr Rod Whiteley, Aspetar Orthopaedic and Sports Medicine Hospital, Doha 29222, Qatar; rodney.whiteley{at}

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We thank our colleague Dr Garvey for his interest1 in our paper,2 and take this opportunity to address his queries on the important topic of groin pain in sport.3

First, two independent radiologists (JR, BG) classified the asymptomatic cohort according to the classification system developed by the first author based on the apparent normal development of the pubic apophysis. A third radiologist assessed the symptomatic group's imaging and contributed to the diagnosis as part of the usual care of these injured athletes within our institution.

The diagnosis of pubic apophysitis, as with all apophysitis cases', is clinical supported by radiology. The first step in such diagnoses …

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