Department of Orthopaedic Surgery, Sports Orthopaedic Research Center-Copenhagen, Arthroscopic Center Amager, Copenhagen University Hospital, Amager-Hvidovre, Denmark Department of Radiology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Department of Orthopaedic Surgery, Sports Orthopaedic Research Center-Copenhagen, Arthroscopic Center Amager, Copenhagen University Hospital, Amager-Hvidovre, Denmark.
Br J Sports Med. 2015 May;49(10):681-91. doi: 10.1136/bjsports-2014-093710. Epub 2014 Dec 15.
Soccer players are commonly affected by long-standing adductor-related groin pain (ARGP), but the clinical significance of MRI findings in these athletes is largely unknown. Our aims were (1) to evaluate whether MRI findings are associated with long-standing ARGP in soccer players, (2) to assess MRI findings in asymptomatic soccer players and non-soccer playing controls.
This cross-sectional study included 28 male soccer players with long-standing ARGP, 17 male asymptomatic soccer players and 20 male asymptomatic non-soccer playing athletes of matching age and athletic exposure. Participants underwent identical standardised and reliable clinical examination, and MRI scans (3 T) of the pelvis performed by a blinded observer. Images were consensus rated by three blinded radiologists according to a standardised MRI evaluation protocol. The associations between clinical adductor-related findings and pathological MRI findings were investigated with χ(2) statistics and OR.
Central disc protrusion (p=0.027) and higher grades of pubic bone marrow oedema (BMO; p=0.027) were significantly more present in symptomatic players than asymptomatic players. However, up to 71% of asymptomatic soccer players displayed different positive MRI findings, and asymptomatic soccer players had significantly higher odds (OR ranging from 6.3 to 13.3) for BMO, adductor tendinopathy and degenerative changes than non-soccer players.
ARGP in soccer players was associated with central disc protrusion and higher grades of pubic BMO. Moreover, positive MRI findings were significantly more frequent in soccer players compared with non-soccer players irrespective of symptoms, suggesting that these MRI changes may be associated with soccer play itself rather than clinical symptoms.
足球运动员常受到长期内收肌相关腹股沟疼痛（ARGP）的影响，但这些运动员的 MRI 结果的临床意义在很大程度上尚不清楚。我们的目的是：（1）评估 MRI 结果是否与足球运动员的长期 ARGP 相关；（2）评估无症状足球运动员和非足球运动对照组的 MRI 结果。
这项横断面研究纳入了 28 名患有长期 ARGP 的男性足球运动员、17 名无症状的男性足球运动员和 20 名年龄和运动暴露相匹配的无症状非足球运动员。所有参与者均接受了相同的标准化和可靠的临床检查以及由盲法观察者进行的 3T 骨盆 MRI 扫描。根据标准化的 MRI 评估方案，由三位盲法放射科医生对图像进行共识评分。通过 χ(2)检验和 OR 来研究临床内收肌相关发现与病理性 MRI 结果之间的相关性。
中央盘突出（p=0.027）和耻骨骨髓水肿（BMO）更高等级（p=0.027）在有症状的运动员中明显更常见。然而，多达 71%的无症状足球运动员显示出不同的阳性 MRI 结果，并且无症状足球运动员的 BMO、内收肌腱病和退行性改变的可能性明显高于非足球运动员（OR 范围为 6.3 至 13.3）。
足球运动员的 ARGP 与中央盘突出和耻骨 BMO 更高等级相关。此外，与非足球运动员相比，足球运动员的阳性 MRI 结果明显更为常见，无论是否有症状，这表明这些 MRI 变化可能与足球运动本身有关，而与临床症状无关。
