接触性运动中持续存在的腹股沟疼痛：一项前瞻性病例对照和MRI研究。

Long-standing groin pain in contact sports: a prospective case-control and MRI study.

作者信息

Paajanen Hannu, Hermunen Heikki, Ristolainen Leena, Branci Sonia

机构信息

Department of Surgery, University of Eastern Finland, Kuopio, Finland.

Department of Radiology, Mikkeli Central Hospital, Mikkeli, Finland.

出版信息

BMJ Open Sport Exerc Med. 2019 Mar 19;5(1):e000507. doi: 10.1136/bmjsem-2018-000507. eCollection 2019.

DOI:10.1136/bmjsem-2018-000507

PMID:31191965

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6539155/

Abstract

OBJECTIVES

We aimed to prospectively evaluate the prevalence of long-standing groin pain and related MRI findings in contact sports.

METHODS

This case-control study followed three male elite-level soccer, ice-hockey and bandy teams (102 players) for 2 years. All athletes with long-standing groin pain lasting >30 days and age-matched controls (1:3) from the same teams were examined clinically, using pelvic MRI and Hip and Groin Outcome Scores (HAGOS). Primary outcome measures were annual prevalence of groin pain and underlying MRI findings.

RESULTS

The annual prevalence of chronic groin pain was 7.5%. Training characteristics and pain scores of athletes were similar in all teams. On MRI, there was no significant difference in the percentage of pubic bone marrow oedema (p = 0.80) between symptomatic players (8/15; 53%) versus controls (20/43; 47%), but adductor tendinopathy and degenerative changes at the pubic symphysis were twice more common among players with pain. Rectus muscle or iliopsoas pathology were seldom observed. Lower HAGOS subscales (p < 0.01) were recorded in players who experienced groin pain compared with the controls.

CONCLUSION

Long-standing groin pain was observed annually in 1 of 14 athletes in contact sports. Abnormalities in the pubic symphysis were common MRI findings in both symptomatic and asymptomatic players.

TRIAL REGISTRATION NUMBER

NCT02560480.

摘要

目的

我们旨在前瞻性评估接触性运动中长期腹股沟疼痛的患病率及相关MRI表现。

方法

这项病例对照研究对三支男子精英水平的足球、冰球和曲棍球队（102名运动员）进行了为期2年的跟踪。对所有持续存在腹股沟疼痛超过30天的运动员以及来自同一球队年龄匹配的对照组（1:3）进行临床检查，采用盆腔MRI和髋关节与腹股沟结果评分（HAGOS）。主要结局指标为腹股沟疼痛的年患病率及潜在的MRI表现。

结果

慢性腹股沟疼痛的年患病率为7.5%。所有球队运动员的训练特征和疼痛评分相似。在MRI上，有症状球员（8/15；53%）与对照组（20/43；47%）之间耻骨骨髓水肿的百分比无显著差异（p = 0.80），但内收肌肌腱病和耻骨联合处的退行性改变在疼痛球员中更为常见，是对照组的两倍。很少观察到直肌或髂腰肌病变。与对照组相比，经历腹股沟疼痛的球员的HAGOS子量表得分较低（p < 0.01）。