职业足球运动员的骨盆发生率与耻骨炎

PELVIC INCIDENCE AND OSTEITIS PUBIS IN PROFESSIONAL SOCCER PLAYERS.

作者信息

Rodrigues Fernando Mansano, Taneja Atul Kumar, Narahashi Erica, Silva Flavio Duarte, Fernandes Artur Rocha Corrêa, Falotico Guilherme G, Yamada André Fukunishi

机构信息

. Universidade Federal de São Paulo, Escola Paulista de Medicina (UNIFESP- EPM), Diagnostic Imaging Department (DDI), São Paulo, Brazil.

. Hospital do Coração (HCor), Diagnostic Center, Musculoskeletal Imaging, São Paulo, Brazil.

出版信息

Acta Ortop Bras. 2022 Jan 28;30(1):e244380. doi: 10.1590/1413-785220223001e244380. eCollection 2022.

DOI:10.1590/1413-785220223001e244380

PMID:35431631

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8979358/

Abstract

INTRODUCTION

Osteitis pubis is a common inflammatory disease of the pubic symphysis, defined as a chronic pain syndrome caused by repetitive microtrauma. Since adaptative changes are necessary in the pelvis to adjust the equilibrium of the myotendinous structures, the aim of this study was to evaluate the correlation between pelvic incidence and osteitis pubis among professional soccer players.

MATERIALS AND METHODS

An observational, cross-sectional study was performed with professional soccer players from five teams during pre-season. Athletes with previous congenital pelvic abnormalities or a history of surgery were excluded. Radiographs of the pelvis were analyzed by two radiologists and assessed for findings consistent with osteitis pubis, and the following parameters were measured: pelvic incidence (PI), sacral inclination (SI), and pelvic version (PV).

RESULTS

A total of 107 subjects were included in the study, with a mean age of 25.6 ± 3.1 years. Findings compatible with osteitis pubis were present in 74.8% of the subjects (80/107). There was no statistical correlation between osteitis pubis and PI (52.3°±12.7° vs. 48.4°±10.8°; p=0.156), SI (43.1°±9.8° vs. 39.9°±10.1°; p=0.146), or PV (9.2°± 6.3° vs 8.6°± 7.5°; p=0.649). Agreement between readers was excellent (p<0.0001).

CONCLUSION

There was no significant correlation between pelvic parameters and radiographic diagnosis of osteitis pubis.

摘要

引言

耻骨炎是耻骨联合常见的炎症性疾病，定义为由重复性微创伤引起的慢性疼痛综合征。由于骨盆需要适应性改变以调整肌腱结构的平衡，本研究旨在评估职业足球运动员中骨盆倾斜度与耻骨炎之间的相关性。

材料与方法

在季前赛期间，对来自五支球队的职业足球运动员进行了一项观察性横断面研究。排除既往有先天性骨盆异常或手术史的运动员。由两名放射科医生分析骨盆X线片，评估是否存在与耻骨炎相符的表现，并测量以下参数：骨盆倾斜度（PI）、骶骨倾斜度（SI）和骨盆旋转角（PV）。

结果

本研究共纳入107名受试者，平均年龄为25.6±3.1岁。74.8%的受试者（80/107）有与耻骨炎相符的表现。耻骨炎与PI（52.3°±12.7°对48.4°±10.8°；p=0.156）、SI（43.1°±9.8°对39.9°±10.1°；p=0.146）或PV（9.2°±6.3°对8.6°±7.5°；p=0.649）之间无统计学相关性。阅片者之间的一致性极佳（p<0.0001）。