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[Pubalgia in sportsmen]

F Zeitoun1, B Frot, P Sterin

  • 1Service de Radiologie, Hôpital Saint-Antoine, Paris.

Annales De Radiologie
|January 1, 1995
PubMed
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Pubalgia, a groin pain affecting athletes, involves lesions in abdominal and adductor muscles. Imaging like MRI and scintigraphy aids diagnosis and healing confirmation, with medical treatment as the primary approach.

Area of Science:

  • Sports Medicine
  • Musculoskeletal Imaging
  • Athletic Injuries

Background:

  • Pubalgia is a common groin pain syndrome predominantly affecting young athletes, especially soccer players.
  • It involves lesions of the lower abdominal muscles, pubic symphysis, and adductor muscles.
  • Differential diagnosis includes pubic osteitis.

Purpose of the Study:

  • To outline the diagnostic modalities and treatment strategies for pubalgia in athletes.
  • To highlight the role of various imaging techniques in confirming diagnosis and monitoring healing.

Main Methods:

  • Clinical diagnosis confirmed by standard X-rays.
  • Advanced imaging techniques including scintigraphy, sonography, and Magnetic Resonance Imaging (MRI).
  • Evaluation of treatment outcomes, including medical management and surgical interventions.

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Main Results:

  • X-rays can reveal anomalies in pubic symphysis, indicative of osteoarthropathy or tendinitis.
  • Scintigraphic anomalies appear earlier than radiological ones and normalize sooner, aiding healing assessment.
  • Sonography and MRI are effective in detecting lesions in abdominal, adductor muscles, and pubic symphysis.

Conclusions:

  • Early diagnosis and monitoring of pubalgia can be enhanced by appropriate imaging techniques.
  • Medical treatment (rest, analgesics, anti-inflammatories) is the primary approach.
  • Surgery is reserved for refractory cases, with bilateral procedures recommended when necessary.