Bradshaw C, McCrory P
Olympic Park Sports Medicine Centre, Melbourne, Australia.
Clin J Sport Med. 1997 Jul;7(3):217-9. doi: 10.1097/00042752-199707000-00012.
To describe a case of obturator nerve entrapment, a previously unreported cause of chronic groin pain in athletes.
A 23-year-old man, an elite Australian rules footballer, presented with a 2-year history of groin pain. Conservative treatment was unsuccessful. Examination postexercise revealed adductor weakness and medial thigh paraesthesia. Diagnosis of obturator nerve entrapment was confirmed by EMG and nerve block. Surgical neurolysis was performed. The patient returned to sport and has remained symptom free.
Although intrapelvic obturator nerve entrapment has been reported following surgical trauma, no cases of sport-related entrapment have been described.
Obturator nerve entrapment should be considered as a potential cause of chronic groin pain in athletes.
描述一例闭孔神经卡压病例,这是一种此前未报道过的运动员慢性腹股沟疼痛病因。
一名23岁的澳大利亚式橄榄球精英运动员,有2年腹股沟疼痛病史。保守治疗无效。运动后检查发现内收肌无力和大腿内侧感觉异常。肌电图和神经阻滞证实为闭孔神经卡压。进行了手术神经松解术。患者恢复运动且一直无症状。
虽然已有报道称手术创伤后会发生盆腔内闭孔神经卡压,但尚未描述与运动相关的卡压病例。
闭孔神经卡压应被视为运动员慢性腹股沟疼痛的潜在病因。