2,254 results match your criteria Groin Injury

One-Year Clinical and Imaging Follow-up After Exercise-Based Treatment for Acute Complete Adductor Longus Tendon Avulsions in Athletes: A Prospective Case Series.

Am J Sports Med 2021 Jun 23:3635465211015996. Epub 2021 Jun 23.

Erasmus MC Center for Groin Injuries, Department of Orthopaedics, Erasmus MC University Medical Centre, Rotterdam, the Netherlands.

Background: Complete avulsions of the adductor longus tendon are serious injuries, yet we have few data to inform clinical decisions on management. Previous studies are limited by a lack of detailed follow-up.

Purpose: To describe detailed clinical and imaging measures 1 year after complete proximal adductor longus avulsion injuries in athletes who received exercise-based treatment. Read More

View Article and Full-Text PDF

Adductor magnus muscle transfer to restore knee extension: Anatomical studies and clinical applications.

J Plast Reconstr Aesthet Surg 2021 Apr 8. Epub 2021 Apr 8.

Division of Plastic Surgery, Department of Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8238, St. Louis, MO, USA. Electronic address:

Background: Loss of knee extension causes significant impairment. Though nerve-based reconstruction is preferable in cases of femoral nerve palsy or injury, these surgeries are not always appropriate if the pathology involves the quadriceps muscles or presentation too late for muscle reinnervation. Muscle transfers are another option that has been underutilized in the lower extremity. Read More

View Article and Full-Text PDF

Liposarcoma of the pelvic fossa masquerading as hematoma: a rare case report and its surgical management.

J Surg Case Rep 2021 Jun 12;2021(6):rjab120. Epub 2021 Jun 12.

Anatomy and Histology Laboratory, Nursing School, University of Athens, Athens, Greece.

Liposarcomas constitute rare malignant tumors of the soft tissue, with wide anatomical distribution. The prompt diagnosis of a liposarcoma is extremely challenging since these tumors tend to remain asymptomatic, until they grow enough to displace adjacent anatomical structures. In the presented case, a 55-year-old Caucasian male proceeded to our institution complaining about irreducible swelling of the right iliac fossa and constant discomfort, over the course of a year. Read More

View Article and Full-Text PDF

Factors associated with injury and blood-borne infection risk when providing assisted injection among people who inject drugs.

Int J Drug Policy 2021 May 30;97:103297. Epub 2021 May 30.

Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 N. Soto Street, Los Angeles, CA, 90032, USA.

Objective: Prior research has associated assisted injection with risk behaviors, but other risks such as injury, missed veins, and incidental exposures to blood-borne infections during an injection episode have not been assessed. In the following, we present the frequency of these other risks and determine factors associated with missing a vein and incidental blood exposure among people who inject drugs (PWID).

Methods: We conducted a cross-sectional analysis of data from PWID who were recruited using targeted sampling in Los Angeles and San Francisco, California, during 2016 and 2017. Read More

View Article and Full-Text PDF

CD73 Mesenchymal Stem Cells Ameliorate Myocardial Infarction by Promoting Angiogenesis.

Front Cell Dev Biol 2021 12;9:637239. Epub 2021 May 12.

Henan Key Laboratory of Medical Tissue Regeneration, Xinxiang Medical University, Xinxiang, China.

With multipotent differentiation potential and paracrine capacity, mesenchymal stem cells (MSCs) have been widely applied in clinical practice for the treatment of ischemic heart disease. MSCs are a heterogeneous population and the specific population of MSCs may exhibit a selective ability for tissue repair. The aim of our research was to adapt the CD73 subgroup of adipose derived MSCs (AD-MSCs) for the therapy of myocardial infarction (MI). Read More

View Article and Full-Text PDF

Open Reduction and Suture Fixation of Acute Sternoclavicular Fracture-Dislocations in Children.

JBJS Essent Surg Tech 2020 Jul-Sep;10(3). Epub 2020 Sep 18.

Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Background: Acute sternoclavicular fracture-dislocation is associated with high-energy trauma and is being increasingly recognized in children. These injuries are associated with compression of mediastinal structures and can be life-threatening. The management of acute sternoclavicular fracture-dislocation includes closed reduction or open surgical stabilization; however, limited success is reported with closed reduction. Read More

View Article and Full-Text PDF
September 2020

Sex differences in injury rates in team-sport athletes: A systematic review and meta-regression analysis.

J Sport Health Sci 2021 May 28. Epub 2021 May 28.

Department of Sports and Exercise Medicine, Institute of Human Movement Science, University of Hamburg, Hamburg 20146, Germany.

Background: Team-sport players have a particularly high injury risk. Although female sex is considered a risk factor, it is still unknown whether female and male team-sport players, in fact, differ in their injury rates. We aimed to compare injury rates between female and male players by systematically reviewing and meta-analyzing injury surveillance studies of both sexes in order to evaluate sex-specific differences in team-sport injuries. Read More

View Article and Full-Text PDF

A Life Saving Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) with Open Groin Technique.

Open Access Emerg Med 2021 18;13:183-188. Epub 2021 May 18.

Department of Surgery, Faculty of Medicine, Khonkaen University, Khon Kaen, Thailand.

A 53-year-old male pedestrian was hit by a car and arrived at our hospital with a blunt abdominal injury and hemorrhagic shock. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) was performed in a timely fashion using the open groin technique in the emergency room. The procedure resulted in rapid improvement of hemodynamic status while the bleeding source was controlled. Read More

View Article and Full-Text PDF

[Differential diagnosis of groin pain - a problem not only in athletes].

MMW Fortschr Med 2021 05;163(10):52-57

Abteilung für Muskuloskelettale Forschung, Klinikum Fichtelgebirge gGmbH - Haus Marktredwitz, Marktredwitz, Deutschland.

View Article and Full-Text PDF

Total hip replacement in patient with residual poliomyelitis with neglected femoral neck fracture.

BMJ Case Rep 2021 May 21;14(5). Epub 2021 May 21.

Orthopaedic, Benghazi Medical Center, Benghazi, Libya

A 71-year-old man with residual poliomyelitis was referred to the orthopaedic surgeons with a neglected left femoral neck fracture of the paralytic limb. He had presented at another hospital with left groin pain and inability to weight bear 4 weeks earlier after a fall from standing height, but had delayed treatment due to his insistence on waiting until he returned to his home country.Successful treatment of residual poliomyelitis fractures requires early union as well as early mobilisation and rehabilitation. Read More

View Article and Full-Text PDF

A Higher Playing Standard, Bowling, and Intermittent Helmet Use Are Related to a Greater Odds of Injury or Concussion in Cricket.

Clin J Sport Med 2021 Apr 29. Epub 2021 Apr 29.

Centre for Sport, Exercise and Osteoarthritis Research Versus Arthritis; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom; Department of Physiotherapy, Centre for Health Exercise and Sports Medicine, University of Melbourne, Melbourne, VIC, Australia; England and Wales Cricket Board, Lord's Cricket Ground, London, United Kingdom; and National Centre For Sports and Exercise Medicine and National Cricket Performance Centre, Loughborough University, Loughborough, United Kingdom.

Objective: To determine if playing position, a higher playing standard, and nonhelmet use are related to an increased odds of joint-specific injury and concussion in cricket.

Design: Cross-sectional cohort.

Participants: Twenty-eight thousand one hundred fifty-two current or former recreational and high-performance cricketers registered on a national database were invited to participate in the Cricket Health and Wellbeing Study. Read More

View Article and Full-Text PDF

Update on Injury Epidemiology in Rowing: Our experience with Female NCAA Division I Athletes and A Systematic Review of the Literature.

Phys Sportsmed 2021 May 17. Epub 2021 May 17.

USC Epstein Family Center for Sports Medicine at Keck Medicine of USC, Los Angeles California USA.

Objectives: (1) To report the distribution of injuries per body site and time lost from participation in female NCAA Division I rowers (2) To present an updated summary of the existing evidence regarding the analysis of injuries per body site in rowers.

Methods: Case series: The distribution of injuries per body site in female NCAA Division I rowers and the time lost from participation were retrieved from an institutional registry. Injuries per body site were reported as number of athletes with site-specific injury per total number of injured athletes. Read More

View Article and Full-Text PDF

Clinical Outcomes of Hip Arthroscopy for Hip Labrum Calcification in Young and Middle-Aged Patients.

Orthop Surg 2021 May 4. Epub 2021 May 4.

Medical School of Chinese PLA, Chinese PLA General Hospital, Beijing, China.

Objective: To investigate the methods and outcomes of hip arthroscopy for hip labrum calcification, and to discuss the clinical, imaging, and intraoperative findings of hip labrum calcification.

Methods: This is a therapeutic case series study. From January 2015 to June 2018, 15 patients who met the inclusion and exclusion criteria were followed up for at least 2 years for an analysis on the outcomes of arthroscopy in the treatment of hip labrum calcification and the clinical, imaging, and intraoperative findings of the patients. Read More

View Article and Full-Text PDF

Total extra peritoneal inguinal hernia repair: a single-surgeon preliminary findings report.

Folia Med (Plovdiv) 2021 Apr;63(2):183-188

Medical University of Plovdiv, Plovdiv, Bulgaria.

Introduction: Inguinal hernia repair is one of the most frequent operations in general surgery. Various techniques have been used to repair inguinal hernias since the first reconstructive technique described by Bassini in 1887. In 1989 Lichtenstein reported a new technique: tension free inguinal hernia repair. Read More

View Article and Full-Text PDF

Use of Preoperative Magnetic Resonance Imaging to Predict Clinical Outcomes After Core Muscle Injury Repair.

Orthop J Sports Med 2021 Apr 7;9(4):2325967121995806. Epub 2021 Apr 7.

Department of Orthopaedic Surgery, St. Joseph's University Medical Center, Paterson, New Jersey, USA.

Background: Core muscle injury (CMI), often referred to as a sports hernia or athletic pubalgia, is a common cause of groin pain in athletes. Imaging modalities used to assist in the diagnosis of CMI include ultrasound (US) and magnetic resonance imaging (MRI).

Purpose: To determine if preoperative MRI findings predict clinical outcomes after surgery for CMI. Read More

View Article and Full-Text PDF

Intra-Operative Vascular Injury and Control During Laparoscopic and Robotic Mesh Explantation for Chronic Post Herniorrhaphy Inguinal Pain (CPIP).

Surg Technol Int 2021 04 20;38. Epub 2021 Apr 20.

Department of Surgery, David Geffen School of Medicine, Lichtenstein Amid Hernia Institute at UCLA Santa Monica, CA, USA.

Introduction: Chronic postherniorrhaphy inguinal pain (CPIP) is common following inguinal hernia repair. As even primary minimally-invasive inguinal hernia repairs carry a risk of significant intra-operative bleeding, it is unsurprising that reoperative groin exploration and mesh explantation for chronic post-inguinal herniorrhaphy pain confers an even higher risk of arteriotomy or venotomy due to a distorted anatomy and the presence of adhesions. In this report, we present a single institution's experience with the management of intra-operative vascular injury encountered during minimally invasive groin exploration and mesh explantation for CPIP. Read More

View Article and Full-Text PDF

Laparoscopic exploration of the retroperitoneum in a gunshot victim: A case report.

Int J Surg Case Rep 2021 May 6;82:105863. Epub 2021 Apr 6.

Department of Surgery, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia; King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.

Introduction: Non-operative management and minimally invasive surgery reduce the burden of negative laparotomies in patients with penetrating gunshot wounds (GSW). Careful patient selection is key. Although challenging, in experienced hands laparoscopic exploration of the retroperitoneal space can be carried out. Read More

View Article and Full-Text PDF

Temporal trends in incidence of time-loss injuries in four male professional North American sports over 13 seasons.

Sci Rep 2021 Apr 15;11(1):8278. Epub 2021 Apr 15.

Centre for Sport, Exercise and Osteoarthritis Research Versus Arthritis, University of Oxford, Oxford, UK.

Sports-related injuries increase healthcare cost burden, and in some instances have harmful long term physical and psychological implications. There is currently a lack of comprehensive data on temporal injury trends across professional North American sports. The purpose of this study was to compare temporal trends, according to incidence and time-loss injuries, by body part in professional baseball, basketball, football, and ice hockey. Read More

View Article and Full-Text PDF

Screening to Detect Hip and Groin Problems in Elite Adolescent Football (Soccer) Players - Friend or Foe?

Int J Sports Phys Ther 2021 Apr 2;16(2):591-593. Epub 2021 Apr 2.

Sports Orthopedic Research Center Copenhagen (SORC-C), Department of Orthopedic Surgery, Amager-Hvidovre Hospital; Department of Clinical Medicine, University of Copenhagen.

Injury prevention strategies in team settings should not overlook early detection and secondary prevention. Monitoring systems may be an effective approach to detect common and troublesome injuries, such as hip and groin pain in football (soccer) players. The purpose of this International Perspective is to share our experiences with monitoring hip and groin pain in youth academy football and discuss challenges that surfaced. Read More

View Article and Full-Text PDF

Validity of a Rehab and Reconditioning Program Following an Adductor Longus Injury in Professional Soccer.

J Sport Rehabil 2021 Apr 9:1-6. Epub 2021 Apr 9.

Context: The high rates of adductor injuries and reinjuries in soccer have suggested that the current rehabilitation programs may be insufficient; therefore, there is a need to create prevention and reconditioning programs to prepare athletes for the specific demands of the sport.

Objective: The aim of this study is to validate a rehab and reconditioning program (RRP) for adductor injuries through a panel of experts and determine the effectiveness of this program through its application in professional soccer.

Design: A 20-item RRP was developed, which was validated by a panel of experts anonymously and then applied to 12 injured male professional soccer players. Read More

View Article and Full-Text PDF

Non-penetrating traumatic psoas muscle hematoma presenting with gross hematuria: a case report.

Int J Emerg Med 2021 Apr 7;14(1):20. Epub 2021 Apr 7.

Department of General Surgery, Shahid Beheshti Hospital, Yasuj University of Medical Sciences, Yasuj, Iran.

Psoas muscle hematoma is defined as a spontaneous or traumatic retroperitoneal collection of blood involving the psoas muscle. Early symptoms of an iliopsoas hematoma include lower abdominal or severe groin pain. Although psoas hematoma is a known complication of coagulopathy, psoas hematoma caused by non-penetrating trauma is the subject of only scattered reports and its significance has not been well described in the literature, so the aim of this study was to report a case of blunt traumatic psoas hematoma with the fracture of vertebral transverse process with the presentation of gross hematuria. Read More

View Article and Full-Text PDF

Editorial Commentary: The Cause of Groin Pain Is Difficult to Determine: The Elusive "Nether-Nether Region".

Arthroscopy 2021 04;37(4):1179-1181

As one of the many causes of groin pain, iliopsoas tendinitis can be hard to identify and even harder to treat. It occurs in the setting of both the native hip joint and following total hip arthroplasty. Internal snapping, or coxa saltans, can result from the iliopsoas snapping over the anterior hip capsule or iliopectineal eminence and can be a source of labral pathology. Read More

View Article and Full-Text PDF

Lymphaticovenular anastomosis for lymph vessel injury in the pelvis and groin.

Microsurgery 2021 Apr 3. Epub 2021 Apr 3.

Department of Plastic and Reconstructive Surgery, Kyushu University Hospital, Fukuoka, Japan.

Background: Lymphatic diseases due to lymph vessel injuries in the pelvis and groin require immediate clinical attention when conventional treatments fail. We aimed to clarify the effectiveness of and indications for lymphaticovenular anastomosis (LVA) to treat these lymphatic diseases.

Methods: We retrospectively evaluated six patients who underwent LVA for lymphatic diseases due to lymph vessel injuries in the pelvis and groin. Read More

View Article and Full-Text PDF

Extensive high-pressure injection injury of the hand due to epoxy resin paint: a case report.

Case Reports Plast Surg Hand Surg 2021 Mar 15;8(1):56-62. Epub 2021 Mar 15.

Department of Orthopaedic Surgery, Showa University School of Medicine, Tokyo, Japan.

Epoxy resin paint has rarely been inoculated in high-pressure injection injuries. We report the surgical management of a patient with a rare extensive high-pressure injection injury caused by epoxy resin paint. A pedicled groin flap was used, as it prevents tissue scarring, tendon adhesion, and contracture of the fingers. Read More

View Article and Full-Text PDF

Improvements After Arthroscopic Treatment for Femoroacetabular Impingement Syndrome in High-Level Ice Hockey Players: 2-Year Outcomes by Player Position.

Orthop J Sports Med 2021 Mar 18;9(3):2325967120981687. Epub 2021 Mar 18.

Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.

Background: Ice hockey players often undergo arthroscopic treatment for femoroacetabular impingement syndrome (FAIS); however, only a few studies have reported postoperative patient-reported outcomes. It has been debated whether player position is related to FAIS.

Purpose: To evaluate the change in patient-reported outcome measures (PROMs) in high-level ice hockey players from presurgery to 2 years after arthroscopic treatment for FAIS. Read More

View Article and Full-Text PDF

Muscle activity of cutting manoeuvres and soccer inside passing suggests an increased groin injury risk during these movements.

Sci Rep 2021 Mar 31;11(1):7223. Epub 2021 Mar 31.

Institute of Biomechanics and Orthopedics, German Sport University Cologne, 50933, Cologne, Germany.

Cutting manoeuvres and inside passing are thought to increase the risk of sustaining groin injuries. But both movements have received little research attention in this regard. The purpose of this study was to investigate the muscle activity of adductor longus and gracilis as well as hip and knee joint kinematics during [Formula: see text]-cutting and inside passing. Read More

View Article and Full-Text PDF

Implementing the SNIS recommendations for neurointerventional emergent care in the setting of COVID-19: impact on stroke metrics and patient outcomes.

J Neurointerv Surg 2021 Mar 23. Epub 2021 Mar 23.

Injury Outcomes Network, Englewood, Colorado, USA

Background: It is not clear whether the COVID-19 pandemic and subsequent Society of Neurointerventional Surgery (SNIS) recommendations affected hospital stroke metrics.

Methods: This retrospective cohort study compared stroke patients admitted to a comprehensive stroke center during the COVID-19 pandemic April 1 2020 to June 30 2020 (COVID-19) to patients admitted April 1 2019 to June 30 2019. We examined stroke admission volume and acute stroke treatment use. Read More

View Article and Full-Text PDF

Arthroscopic Correction of Sports-Related Femoroacetabular Impingement in Competitive Athletes: 2-Year Clinical Outcome and Predictors for Achieving Minimal Clinically Important Difference.

Orthop J Sports Med 2021 Mar 4;9(3):2325967121989675. Epub 2021 Mar 4.

The Hip and Groin Clinic, UPMC Whitfield Hospital, Butlerstown North, County Waterford, Ireland.

Background: A growing body of literature supports surgical intervention for femoroacetabular impingement (FAI) in young, active athletes. However, factors likely to influence results in this cohort are less clearly defined.

Purpose: To quantify changes in validated patient-reported outcome measures (PROMs) and determine whether differences in baseline athlete demographic characteristics, intraoperative findings, and surgical techniques are associated with achieving improved outcomes and minimal clinically important difference (MCID) after arthroscopic management of sports-related FAI. Read More

View Article and Full-Text PDF