Messaoudi Nouredin, Jans Christophe, Pauli Steven, Van Riet Roger, Declercq Geert, Van Cleemput Marc
Department of General Surgery, Monica Hospital, Deurne, Belgium.
Orthopedics. 2012 Sep;35(9):e1371-5. doi: 10.3928/01477447-20120822-24.
Soccer players frequently experience acute and chronic groin pain. Sportsman's hernia is a common injury in professional soccer players, that causes inguinal pain. The authors discuss their experience with the management of sportsman's hernia in professional soccer players competing in national and international competition in a retrospective review of prospectively collected data. Between March 2004 and December 2009, seventy-one professional soccer players were surgically treated for sportsman's hernia. Average age at surgery was 24 years, and average duration of symptoms from onset to surgical repair was 11 months. Conservative treatment improved symptoms temporarily or to some extent in 18 athletes. All athletes underwent a bilateral open hernia repair with concurrent adductor tendon release. Average follow-up was 4 years, and average time to return to competitive sport was 4 months. At final follow-up, 95% of soccer players were still active, 48 at the same level and 19 at a lower level. Four athletes had stopped their careers because of another injury (n=2) or recurrence (n=2). Sportsman's hernia is a potentially career-ending injury in professional soccer players. Conservative management is often unsuccessful. An open surgical hernia repair combined with an adductor longus tenotomy relieves the symptoms caused by a sportsman's hernia and restores activity in 95% of athletes. This study offers insight into the management of sportsman's hernia and offers a successful treatment to salvage the careers of professional soccer players.
足球运动员经常遭受急慢性腹股沟疼痛。运动员疝是职业足球运动员常见的一种损伤，会导致腹股沟疼痛。作者通过对前瞻性收集的数据进行回顾性分析，讨论了他们在治疗参加国内和国际比赛的职业足球运动员运动员疝方面的经验。2004年3月至2009年12月期间，71名职业足球运动员接受了运动员疝的手术治疗。手术时的平均年龄为24岁，从症状出现到手术修复的平均症状持续时间为11个月。18名运动员接受保守治疗后症状暂时或部分得到改善。所有运动员均接受了双侧开放式疝修补术并同时进行内收肌腱松解术。平均随访时间为4年，恢复竞技运动的平均时间为4个月。在最后一次随访时，95%的足球运动员仍在从事足球运动，其中48名处于原水平，19名水平有所下降。4名运动员因另一次受伤（2例）或复发（2例）而终止了职业生涯。运动员疝对职业足球运动员来说可能是一种终结职业生涯的损伤。保守治疗往往不成功。开放式手术疝修补术联合长收肌切断术可缓解运动员疝引起的症状，并使95%的运动员恢复运动能力。本研究为运动员疝的治疗提供了见解，并提供了一种成功的治疗方法以挽救职业足球运动员的职业生涯。
