Groin Pain Syndrome Italian Consensus Conference on Terminology, Clinical Evaluation and Imaging Assessment in Groin Pain in Athlete

Overview

Journal BMJ Open Sport Exerc Med

Specialty Orthopedics

Date 2017 Sep 12

PMID 28890800

Citations 13

Authors

G N Bisciotti

P Volpi

R Zini

A Auci

A Aprato

A Belli

G Bellistri

P Benelli

S Bona

D Bonaiuti

G Carimati

G L Canata

G Cassaghi

S Cerulli

G Delle Rose

P Di Benedetto

F Di Marzo

F Di Pietto

L Felicioni

L Ferrario

A Foglia

M Galli

E Gervasi

L Gia

C Giammattei

A Guglielmi

A Marioni

B Moretti

R Niccolai

N Orgiani

A Pantalone

F Parra

A Quaglia

F Respizzi

L Ricciotti

M T Pereira Ruiz

A Russo

E Sebastiani

G Tancredi

F Tosi

Z Vuckovic

Affiliations

Soon will be listed here.

Abstract

The nomenclature and the lack of consensus of clinical evaluation and imaging assessment in groin pain generate significant confusion in this field. The Groin Pain Syndrome Italian Consensus Conference has been organised in order to prepare a consensus document regarding taxonomy, clinical evaluation and imaging assessment for groin pain. A 1-day Consensus Conference was organised on 5 February 2016, in Milan (Italy). 41 Italian experts with different backgrounds participated in the discussion. A consensus document previously drafted was discussed, eventually modified, and finally approved by all members of the Consensus Conference. Unanimous consensus was reached concerning: (1) taxonomy (2) clinical evaluation and (3) imaging assessment. The synthesis of these 3 points is included in this paper. The Groin Pain Syndrome Italian Consensus Conference reached a consensus on three main points concerning the groin pain syndrome assessment, in an attempt to clarify this challenging medical problem.

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References

Balconi G . US in pubalgia. J Ultrasound. 2013; 14(3):157-66. PMC: 3558068. DOI: 10.1016/j.jus.2011.06.005. View

Robinson A, Light D, Nice C . Meta-analysis of sonography in the diagnosis of inguinal hernias. J Ultrasound Med. 2013; 32(2):339-46. DOI: 10.7863/jum.2013.32.2.339. View

Braly B, Beall D, Martin H . Clinical examination of the athletic hip. Clin Sports Med. 2006; 25(2):199-210, vii. DOI: 10.1016/j.csm.2005.12.001. View

Sheen A, Iqbal Z . Contemporary management of 'Inguinal disruption' in the sportsman's groin. BMC Sports Sci Med Rehabil. 2015; 6:39. PMC: 4417524. DOI: 10.1186/2052-1847-6-39. View

Koulouris G . Imaging review of groin pain in elite athletes: an anatomic approach to imaging findings. AJR Am J Roentgenol. 2008; 191(4):962-72. DOI: 10.2214/AJR.07.3410. View

Domb B, Brooks A, Byrd J . Clinical examination of the hip joint in athletes. J Sport Rehabil. 2009; 18(1):3-23. DOI: 10.1123/jsr.18.1.3. View

Moeller J . Sportsman's hernia. Curr Sports Med Rep. 2007; 6(2):111-4. DOI: 10.1007/BF02941151. View

Miserez M, Alexandre J, Campanelli G, Corcione F, Cuccurullo D, Hidalgo Pascual M . The European hernia society groin hernia classification: simple and easy to remember. Hernia. 2007; 11(2):113-6. DOI: 10.1007/s10029-007-0198-3. View

Sheen A, Stephenson B, Lloyd D, Robinson P, Fevre D, Paajanen H . 'Treatment of the sportsman's groin': British Hernia Society's 2014 position statement based on the Manchester Consensus Conference. Br J Sports Med. 2013; 48(14):1079-87. DOI: 10.1136/bjsports-2013-092872. View

10.

Lee R, Griffith J, Ng W . High accuracy of ultrasound in diagnosing the presence and type of groin hernia. J Clin Ultrasound. 2015; 43(9):538-47. DOI: 10.1002/jcu.22271. View

11.

Lovell G, Galloway H, Hopkins W, Harvey A . Osteitis pubis and assessment of bone marrow edema at the pubic symphysis with MRI in an elite junior male soccer squad. Clin J Sport Med. 2006; 16(2):117-22. DOI: 10.1097/00042752-200603000-00006. View

12.

Kehlet H . [Groin pain]. Ugeskr Laeger. 2010; 172(49):3393. View

13.

Zajick D, Zoga A, Omar I, Meyers W . Spectrum of MRI findings in clinical athletic pubalgia. Semin Musculoskelet Radiol. 2008; 12(1):3-12. DOI: 10.1055/s-2008-1067933. View

14.

Reiman M, Goode A, Cook C, Holmich P, Thorborg K . Diagnostic accuracy of clinical tests for the diagnosis of hip femoroacetabular impingement/labral tear: a systematic review with meta-analysis. Br J Sports Med. 2014; 49(12):811. DOI: 10.1136/bjsports-2014-094302. View

15.

Verrall G, Slavotinek J, Fon G . Incidence of pubic bone marrow oedema in Australian rules football players: relation to groin pain. Br J Sports Med. 2001; 35(1):28-33. PMC: 1724290. DOI: 10.1136/bjsm.35.1.28. View

16.

Lynch S, Renstrom P . Groin injuries in sport: treatment strategies. Sports Med. 1999; 28(2):137-44. DOI: 10.2165/00007256-199928020-00006. View

17.

Bradshaw C, BUNDY M, Falvey E . The diagnosis of longstanding groin pain: a prospective clinical cohort study. Br J Sports Med. 2008; 42(10):851-4. DOI: 10.1136/bjsm.2007.039685. View

18.

Swan Jr K, Wolcott M . The athletic hernia: a systematic review. Clin Orthop Relat Res. 2006; 455:78-87. DOI: 10.1097/BLO.0b013e31802eb3ea. View

19.

Malliaras P, Hogan A, Nawrocki A, Crossley K, Schache A . Hip flexibility and strength measures: reliability and association with athletic groin pain. Br J Sports Med. 2009; 43(10):739-44. DOI: 10.1136/bjsm.2008.055749. View

20.

Hureibi K, McLatchie G . Groin pain in athletes. Scott Med J. 2010; 55(2):8-11. DOI: 10.1258/rsmsmj.55.2.8. View