Department of Orthopaedic Surgery, Arthroscopic Center Amager, Copenhagen University Hospital, Hvidovre, Denmark.
Br J Sports Med. 2013 Jul;47(10):611-9. doi: 10.1136/bjsports-2012-091905. Epub 2013 Feb 12.
Long-standing symphyseal and adductor-related groin pain is a common problem for many athletes, and requires a multidisciplinary approach. Radiological evaluation of symptomatic individuals is a cornerstone in the diagnostic workup, and should be based on precise and reliable diagnostic terms and imaging techniques. The authors performed a review of the existing original evidence-based radiological literature involving radiography, ultrasonography and MRI in athletes with long-standing symphyseal and adductor-related groin pain. Our search yielded 17 original articles, of which 12 were dedicated to MRI, four to radiography and one to ultrasonography. Four main radiological findings seem to consistently appear: degenerative changes at the pubic symphyseal joint, pathology at the adductor muscle insertions, pubic bone marrow oedema and the secondary cleft sign. However, the existing diagnostic terminology is confusing, and the interpretation of radiological findings would benefit from imaging studies using a more systematic approach.
长期耻骨联合和内收肌相关腹股沟疼痛是许多运动员的常见问题，需要多学科的方法。对有症状个体的影像学评估是诊断工作的基石，应基于精确和可靠的诊断术语和影像学技术。作者对涉及有长期耻骨联合和内收肌相关腹股沟疼痛的运动员的放射摄影、超声和 MRI 的现有基于证据的放射学文献进行了回顾。我们的搜索结果为 17 篇原始文章，其中 12 篇专门用于 MRI，4 篇用于放射摄影，1 篇用于超声。似乎有四个主要的放射学发现经常出现：耻骨联合关节的退行性改变、内收肌附着处的病变、耻骨骨髓水肿和继发性裂隙征。然而，现有的诊断术语令人困惑，并且放射学发现的解释将受益于使用更系统方法的影像学研究。
