Ansede Gonzalo, English Bryan, Healy Jeremiah C
Radiology Department, Chelsea and Westminster Hospital, London, United Kingdom.
Semin Musculoskelet Radiol. 2011 Feb;15(1):3-13. doi: 10.1055/s-0031-1271955. Epub 2011 Feb 17.
Groin pain is a common problem in the elite athlete and may lead to prolonged inactivity if inadequately treated. Groin pain, arising from injuries to the hip and pelvis, accounts for 5 to 6% of athletic injuries in adults and 10 to 24% of these injuries in children. Lower limb-dominated athletic activities such as football, rugby, ice hockey, running, and ballet are particularly at risk. Comprehensive evaluation of all the anatomical locations prone to injury including the hip joint, sacrum, ilium and proximal femora, pelvic tendon attachments, and pelvic musculature is required. Magnetic resonance (MR) imaging provides superb soft tissue contrast resolution, multiplanar capabilities, and a wide field of view to evaluate many potential causes of groin pain. Careful clinical examination allows the optimal use of MR imaging and MR arthrography to evaluate the articular, osseous, tendinous, and muscular structures, which may be the source of groin pain. Accurate diagnosis is essential for appropriate management and rehabilitation plans. This article reviews the role of clinical assessment in guiding diagnostic imaging and also describes the relevant MR imaging findings in athletes presenting with groin pain.
腹股沟疼痛是精英运动员中常见的问题，如果治疗不当可能导致长期无法活动。由髋部和骨盆损伤引起的腹股沟疼痛占成人运动损伤的5%至6%，在儿童运动损伤中占10%至24%。以下肢为主的体育活动，如足球、橄榄球、冰球、跑步和芭蕾舞，尤其容易出现这种情况。需要对所有容易受伤的解剖部位进行全面评估，包括髋关节、骶骨、髂骨和股骨近端、骨盆肌腱附着点以及骨盆肌肉组织。磁共振（MR）成像提供了出色的软组织对比分辨率、多平面成像能力和广阔的视野，以评估腹股沟疼痛的许多潜在原因。仔细的临床检查有助于优化利用MR成像和MR关节造影来评估可能是腹股沟疼痛根源的关节、骨骼、肌腱和肌肉结构。准确诊断对于制定适当的管理和康复计划至关重要。本文回顾了临床评估在指导诊断性成像中的作用，并描述了出现腹股沟疼痛的运动员的相关MR成像表现。
