Sports injuries in the pelvis and hip: diagnostic imaging
Introduction
The hip and the pelvis are commonly injured in athletes. A variety of sports injuries in the soft tissues or bones, may involve the pelvis and the hip. Groin pain, osteitis pubis, hamstring syndrome, ischiatic intersection syndrome, avulsion fracture, stress fracture of the femoral neck and of the inferior pubic ramus, bursitis and snapping hip syndrome are just some of them.
Section snippets
Groin pain
Groin pain is the most common finding in hip and pelvis injuries in sports, representing 2–5% of all sports injuries 1, 2. The symptoms of chronic groin injuries are often diffuse and indistinctive and several differential diagnoses are possible. This may lead to long lasting disability and is, therefore, a major diagnostic and therapeutic challenge for sports physicians.
The most common sports-related injuries in the hip, pelvis and thigh area are muscle–tendon conditions involving the
The hip
MRI studies of the hip are currently limited to avascular osteonecrosis, stress fractures, RSDS, herniation pit of the femoral neck and acetabular labrum injuries. MRI permits a prompt and accurate diagnosis and depicts injury extent. It is most useful when the assessment of injury presence and/or extent is needed for treatment planning.
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2012, Disease-a-MonthCitation Excerpt :Thus, in athletes who have pathology at the symphysis pubis, simultaneous sacral stress fractures or sacroiliac joint degenerative change or instability should be considered in any athlete with osteitis pubis and low back or sciatic pain.124 Abdominal wall abnormalities, anterior abdominal wall hernias, and groin hernias are increasingly being diagnosed in the athletic population.125 Athletic pubalgia because of abdominal musculofascial abnormalities is most likely a single manifestation of a complex multifactorial entity named the “sportsman's hernia.”
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