Surgery for posterior inguinal wall deficiency in athletes
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Cited by (60)
Mini-open Incision Sports Hernia Repair: A Surgical Technique for Core Muscle Injury
2017, Arthroscopy TechniquesCitation Excerpt :Unlike laparoscopic techniques that often involve the use of mesh, we believe that our technique allows for direct visualization and repair of the core muscle while minimizing the risk of recurrence by performing a complete adductor lengthening (Table 2). There are multiple surgical techniques for the treatment of core muscle injury that have been reported to result in satisfactory outcomes and a quick return to the preinjury activity level.3,8-11 Messaoudi et al.9 assessed the outcomes of a series of professional soccer players who underwent a procedure similar to ours—direct rectus repair with adductor lengthening (n = 71).
The operative therapy for sportsmen hernia
2017, Sports Orthopaedics and TraumatologyHernia Management in the Athlete
2016, Advances in SurgeryCitation Excerpt :The presence of an inguinal hernia noted incidentally on MRI should be correlated with clinical findings before recommending surgical intervention, as this may be clinically insignificant. The pathophysiology of athletic pubalgia has been postulated to involve principally 1 of 3 different mechanisms or a combination of the 3: (1) rectus tendon injury or injury to the rectus-adductor aponeurosis complex [18,19], (2) posterior abdominal wall/inguinal floor defect [20], and (3) inguinal and/or genital neuropathy [21–23]. Rectus and adductor aponeurosis tendon injuries can be seen on pelvic MRI imaging.
Imaging Athletic Groin Pain
2016, Radiologic Clinics of North AmericaCitation Excerpt :The ultrasound findings were shown to be more specific when occurring bilaterally and with advancing age. However, they also occurred commonly in asymptomatic patients and a subsequent study corroborated that overall this finding is neither sensitive nor specific.15,19,20 The main role of MR imaging in this group of patients is to exclude an alternative diagnosis such as inguinal canal masses.
Ultrasound-guided Corticosteroid Injection for the Treatment of Athletic Pubalgia: A Series of 12 Cases
2015, Journal of Medical UltrasoundCitation Excerpt :The pain is usually unilateral, but can be bilateral, and typically manifests as tenderness over the symphysis pubis, pubic tubercle, and/or midinguinal region with possible radiation into the adductor region, perineum, or testicular area [1]. Some patients recollect a specific inciting injury, although they typically report an insidious onset of pain associated with activities such as running, kicking, and cutting [2,5,6,8,13–15]. Despite research into advanced imaging studies for the diagnosis of athletic pubalgia such as magnetic resonance imaging (MRI) [1] and ultrasound [16], no diagnostic modality has demonstrated sufficient sensitivity and/or specificity to become a gold standard treatment [1].
MR imaging and ultrasound correlation of hip pathologic conditions
2013, Magnetic Resonance Imaging Clinics of North AmericaCitation Excerpt :Sonography can guide cortisone injection of the pubic symphysis. For those who think a weakness of the transversalis fascia is responsible for athletic pubalgia groin pain, dynamic sonography of the inguinal ring is the procedure of choice, demonstrating convex anterior bowing of the transversalis fascia and ballooning of the inguinal canal during the Valsalva maneuver.48,69 The reported MR imaging diagnosis of this entity has had variable results.