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Athletic pubalgia and the "sports hernia": MR imaging findings.

Publication ,  Journal Article
Zoga, AC; Kavanagh, EC; Omar, IM; Morrison, WB; Koulouris, G; Lopez, H; Chaabra, A; Domesek, J; Meyers, WC
Published in: Radiology
June 2008

PURPOSE: To retrospectively determine the sensitivity and specificity of magnetic resonance (MR) imaging findings in patients with clinical athletic pubalgia, with either surgical or physical examination findings as the reference standard. MATERIALS AND METHODS: Institutional review board approval was granted for this HIPAA-compliant study, and informed consent was waived. MR imaging studies in 141 patients (134 male patients, seven female patients; mean age, 30.1 years; range, 17-71 years) who had been referred to a subspecialist because of groin pain were reviewed for findings including hernia, pubic bone marrow edema, secondary cleft sign, and rectus abdominis and adductor tendon injury. MR imaging findings were compared with surgical findings for 102 patients, physical examination findings for all 141 patients, and MR imaging findings in an asymptomatic control group of 25 men (mean age, 29.8 years; range, 18-39 years). Sensitivity and specificity of MR imaging for rectus abdominis and adductor tendon injury were determined by using a chi(2) analysis, and significance of the findings was analyzed with an unpaired Student t test. Disease patterns seen at MR imaging were compared with those reported in the surgical and sports medicine literature. RESULTS: One hundred thirty-eight (98%) of 141 patients had findings at MR imaging that could cause groin pain. Compared with surgery, MR imaging had a sensitivity and specificity, respectively, of 68% and 100% for rectus abdominis tendon injury and 86% and 89% for adductor tendon injury. Injury in each of these structures was significantly more common in the patient group than in the control group (P < .001). Only two patients had hernias at surgery. At MR imaging, injury or disease could be fit into distinct groups, including osteitis pubis, adductor compartment injury, rectus abdominis tendon injury, and injury or disease remote from the pubic symphysis. Patients with injury involving the rectus abdominis insertion were most likely to go on to surgical pelvic floor repair. CONCLUSION: MR imaging depicts patterns of findings in patients with athletic pubalgia, including rectus abdominis insertional injury, thigh adductor injury, and articular diseases at the pubic symphysis (osteitis pubis).

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Published In

Radiology

DOI

EISSN

1527-1315

Publication Date

June 2008

Volume

247

Issue

3

Start / End Page

797 / 807

Location

United States

Related Subject Headings

  • Sensitivity and Specificity
  • Retrospective Studies
  • Pubic Symphysis
  • Nuclear Medicine & Medical Imaging
  • Muscle, Skeletal
  • Middle Aged
  • Male
  • Magnetic Resonance Imaging
  • Humans
  • Groin
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Zoga, A. C., Kavanagh, E. C., Omar, I. M., Morrison, W. B., Koulouris, G., Lopez, H., … Meyers, W. C. (2008). Athletic pubalgia and the "sports hernia": MR imaging findings. Radiology, 247(3), 797–807. https://doi.org/10.1148/radiol.2473070049
Zoga, Adam C., Eoin C. Kavanagh, Imran M. Omar, William B. Morrison, George Koulouris, Hector Lopez, Avneesh Chaabra, John Domesek, and William C. Meyers. “Athletic pubalgia and the "sports hernia": MR imaging findings.Radiology 247, no. 3 (June 2008): 797–807. https://doi.org/10.1148/radiol.2473070049.
Zoga AC, Kavanagh EC, Omar IM, Morrison WB, Koulouris G, Lopez H, et al. Athletic pubalgia and the "sports hernia": MR imaging findings. Radiology. 2008 Jun;247(3):797–807.
Zoga, Adam C., et al. “Athletic pubalgia and the "sports hernia": MR imaging findings.Radiology, vol. 247, no. 3, June 2008, pp. 797–807. Pubmed, doi:10.1148/radiol.2473070049.
Zoga AC, Kavanagh EC, Omar IM, Morrison WB, Koulouris G, Lopez H, Chaabra A, Domesek J, Meyers WC. Athletic pubalgia and the "sports hernia": MR imaging findings. Radiology. 2008 Jun;247(3):797–807.

Published In

Radiology

DOI

EISSN

1527-1315

Publication Date

June 2008

Volume

247

Issue

3

Start / End Page

797 / 807

Location

United States

Related Subject Headings

  • Sensitivity and Specificity
  • Retrospective Studies
  • Pubic Symphysis
  • Nuclear Medicine & Medical Imaging
  • Muscle, Skeletal
  • Middle Aged
  • Male
  • Magnetic Resonance Imaging
  • Humans
  • Groin