From the Department of Orthopedic Surgery and Sports Medicine, The University of Kansas Health System, Kansas City, KS (Mullen, Hadley and Vopat) and the Department of Orthopaedic Surgery and Rehabilitation Atrium Health Wake Forest Baptist, Winston-Salem, NC (Wolf).
J Am Acad Orthop Surg. 2023 Jun 1;31(11):549-556. doi: 10.5435/JAAOS-D-22-00739. Epub 2023 Mar 24.
Groin pain is a common cause of pain in the athlete and may be the result of a variety of causes. Musculoskeletal groin injuries are often associated with muscle strain, particularly the adductor and abdominal muscles, termed "core muscle injury" (CMI). Since the early 1960s, there have been a growing number of articles intending to identify, define, prevent, and treat this condition; to date, however, the lack of a universal definition and treatment approach has complicated the narrative around CMI. This article intends to review the recent literature surrounding CMI, identifying common defining characteristics, as well as delineating treatment protocols that benefit the injured patient populations. Emphasis is placed on the clinical outcomes of different treatment methodologies and failure rates.
腹股沟疼痛是运动员常见的疼痛原因,可能由多种原因引起。肌肉骨骼腹股沟损伤通常与肌肉拉伤有关,特别是内收肌和腹肌,称为“核心肌肉损伤”(CMI)。自 20 世纪 60 年代初以来,越来越多的文章旨在确定、定义、预防和治疗这种情况;然而,到目前为止,缺乏通用的定义和治疗方法使得围绕 CMI 的叙述变得复杂。本文旨在回顾 CMI 的最新文献,确定常见的定义特征,并阐述有益于受伤患者群体的治疗方案。重点放在不同治疗方法的临床结果和失败率上。