Groin Pain Hip joint Arthritis Femoracetabular impingement FAI Osseous stress injuries AVN Tendinopathy or tear 040949x000149I8849x0001x000144 SCFE Inguinal or femoral he ID: 840284
Download Pdf The PPT/PDF document "of Athletic Beaulieu MD PhDStanford Uni..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
1 of Athletic Beaulieu, M.D., Ph.D.Stanfo
of Athletic Beaulieu, M.D., Ph.D.Stanford University Medical Center Groin Pain Hip joint A
2 rthritis Femoracetabular impingement (FA
rthritis Femoracetabular impingement (FAI) Osseous stress injuries AVN Tendinopathy or tear
3 $0<4>09/49:?=49I,88,>4:9
$0<4>09/49:?=49I,88,>4:9:<-?<=4>4= SCFE Inguinal or femoral hernia
4 (traditional) “Sports or sportsman
(traditional) “Sports or sportsman’s hernia” “Sports Hernia” Orig
5 inally, described as a weakness in the a
inally, described as a weakness in the abdominal wall without true herniation of bowel. &
6 #147;incipient hernia” Later, a var
#147;incipient hernia” Later, a variety of predominantly musculotendinous disorders a
7 bout the pubis recognized and lumped und
bout the pubis recognized and lumped under this term, having nothing to do with hernia wha
8 tsoever A somewhat better term the syndr
tsoever A somewhat better term the syndrome of groin pain in athletes is athletic pubalgia
9 Athletic Pubalgia Groin pain in an indi
Athletic Pubalgia Groin pain in an individual that cannot be attributed to hip joint or h
10 ip tendon pathology, often in competitiv
ip tendon pathology, often in competitive athletes May be acute, but is more often chronic
11 Encompasses osseous, myotendinous, as we
Encompasses osseous, myotendinous, as well as abdominal wall disorders Current terminology
12 in fashion is “core (muscle) injur
in fashion is “core (muscle) injury” Etiology Sports with rapid change in direct
13 ion and twisting or kicking American fo
ion and twisting or kicking American football Soccer Rugby Australian rules football Hocke
14 y Trail running (?) Modified from Anato
y Trail running (?) Modified from Anatomic Structures Involved Bones - pubic symphysisTend
15 ons and musclesAdductors, long and short
ons and musclesAdductors, long and shortabdominal wall muscles Injury Patterns Osteitis pub
16 is - bone marrow edema Rectus-adductor &
is - bone marrow edema Rectus-adductor “pubic plate” injury Adductor longus tendi
17 nopathy/tear Short adductor tendinopathy
nopathy/tear Short adductor tendinopathy/tear Muscle tear Pubic bone marrow edema, Osteitis
18 Pubis Primary (symphyseal) cleft Normal
Pubis Primary (symphyseal) cleft Normal physiologic cleft between pubic bones, closed sup
19 eriorly and inferiorly by cartilage and
eriorly and inferiorly by cartilage and ligaments Secondary cleft Fluid extending from the
20 primary cleft and tracking parallel to
primary cleft and tracking parallel to the inferior margin of inferior pubic rams. Rela
21 ted to tears of the short adductors (ad
ted to tears of the short adductors (adductor brevis, gracilis, pectineus) Superior cleft
22 Fluid tracking parallel to the inferior
Fluid tracking parallel to the inferior margin of the superior pubic ramus. A marker of t
23 ear of the adductor longus or rectus-ad
ear of the adductor longus or rectus-adductor aponeurosis. Radiographic Signs Symphyseal C