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Athletic pubalgia: Return to play after targeted surgery.

C Kajetanek1, O Benoît2, B Granger1

  • 1Service d'orthopédie et de traumatologie du sport, Sorbonne University, CHU Pitié-Salpêtrière, 47, boulevard de l'Hôpital, 75013 Paris, France.

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|March 18, 2018
PubMed
Summary
This summary is machine-generated.

Targeted surgery for athletic pubalgia offers excellent return to play (RTP) outcomes. This approach, focusing on specific injured structures, shows faster recovery for isolated abdominal wall injuries.

Keywords:
Athletic pubalgiaGroin painReturn to sportsSports herniaSports surgery

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Surgical Outcomes

Background:

  • Athletic pubalgia surgery traditionally involves combined abdominal wall repair and adductor tenotomy.
  • An 'à la carte' surgical approach, targeting only injured structures, is being explored to potentially reduce morbidity and speed recovery.
  • The outcomes of this individualized surgical strategy for athletic pubalgia remain unclear.

Purpose of the Study:

  • To determine the return to play (RTP) time following 'à la carte' surgery for athletic pubalgia.
  • To evaluate the influence of injury location on RTP.
  • To assess the frequency of recurrence or contralateral involvement after this surgical approach.

Main Methods:

  • Retrospective study including adults under 40 who underwent surgery for athletic pubalgia between 2009 and 2015.
  • Exclusion criteria included intra-articular hip disorders, isolated pubic symphysis involvement, or herniation.
  • Diagnosis was clinical, confirmed by imaging (ultrasonography plus radiography or MRI); surgery was performed after failed conservative therapy.

Main Results:

  • Of 27 patients, 92.6% returned to play at their previous level after a mean of 112±38 days with no recurrence within 1 year.
  • Mean RTP time was significantly shorter for isolated abdominal wall injuries (91.1 days) compared to isolated adductor injuries (101.7 days) or combined injuries (132.5 days).
  • No recurrence or contralateral involvement was observed during the follow-up period.

Conclusions:

  • The 'à la carte' surgical approach for athletic pubalgia, tailored to specific injured structures, yields excellent return to play outcomes.
  • Isolated injuries to the lower abdominal wall demonstrate the shortest return to play times.
  • This targeted surgical strategy appears safe and effective, with no increased risk of recurrence.