Serner Andreas, Tol Johannes L, Jomaah Nabil, Weir Adam, Whiteley Rodney, Thorborg Kristian, Robinson Matthew, Hölmich Per
Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar Sports Orthopaedic Research Center-Copenhagen (SORC-C), Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Denmark
Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
Am J Sports Med. 2015 Aug;43(8):1857-64. doi: 10.1177/0363546515585123. Epub 2015 May 14.
Acute groin injuries are common in high-intensity sports, but there are insufficient data on injury characteristics such as injury mechanisms and clinical and radiological findings.
To describe these characteristics in a cohort of athletes.
Cross-sectional study; Level of evidence, 3.
A total of 110 male athletes (mean age, 25.6 ± 4.7 years) with sports-related acute groin pain were prospectively included within 7 days of injury from August 2012 to April 2014. Standardized history taking, a clinical examination, magnetic resonance imaging (MRI), and/or ultrasound (US) were performed.
The most frequent injury mechanism in soccer was kicking (40%), and change of direction was most frequent in other sports (31%). Clinically, adductor injuries accounted for 66% of all injuries and primarily involved the adductor longus on imaging (91% US, 93% MRI). The iliopsoas and proximal rectus femoris were also frequently injured according to all examination modalities (15%-25%). Acute injury findings were negative in 22% of the MRI and 25% of the US examinations. Of the clinically diagnosed adductor injuries, 3% (US) and 6% (MRI) showed a radiological injury in a different location compared with 35% to 46% for clinically diagnosed iliopsoas and proximal rectus femoris injuries.
Adductor injuries account for the majority of acute groin injuries. Iliopsoas and proximal rectus femoris injuries are also common. More than 1 in 5 injuries showed no imaging signs of an acute injury. Clinically diagnosed adductor injuries were often confirmed on imaging, whereas iliopsoas and rectus femoris injuries showed a different radiological injury location in more than one-third of the cases. The discrepancy between clinical and radiological findings should be considered when diagnosing acute groin injuries.
急性腹股沟损伤在高强度运动中很常见，但关于损伤机制、临床及影像学表现等损伤特征的数据不足。
描述一组运动员的这些特征。
横断面研究；证据等级，3级。
2012年8月至2014年4月期间，共有110名与运动相关的急性腹股沟疼痛男性运动员在受伤7天内被前瞻性纳入研究。进行了标准化病史采集、临床检查、磁共振成像（MRI）和/或超声（US）检查。
足球运动中最常见的损伤机制是踢球（40%），其他运动中最常见的是变向（31%）。临床上，内收肌损伤占所有损伤的66%，影像学上主要累及长收肌（超声91%，MRI 93%）。根据所有检查方式，髂腰肌和股直肌近端也经常受伤（15% - 25%）。22%的MRI检查和25%的超声检查急性损伤表现为阴性。在临床诊断的内收肌损伤中，3%（超声）和6%（MRI）显示的放射学损伤位置与临床诊断不同，而临床诊断的髂腰肌和股直肌近端损伤这一比例为35%至46%。
内收肌损伤占急性腹股沟损伤的大多数。髂腰肌和股直肌近端损伤也很常见。超过五分之一的损伤在影像学上未显示急性损伤迹象。临床诊断的内收肌损伤在影像学上常得到证实，而在超过三分之一的病例中，髂腰肌和股直肌损伤的放射学损伤位置不同。诊断急性腹股沟损伤时应考虑临床和影像学表现之间的差异。
