Prevalence of Asymptomatic Changes in the Groin Region Among Adult Professional Soccer Players and Their Association With Limb Dominance.

Autor:	Bezuglov E; Department of Sports Medicine and Medical Rehabilitation, Sechenov First Moscow State Medical University, Moscow, Russia.; High Performance Sports Laboratory, Sechenov First Moscow State Medical University, Moscow, Russia., Izmailov S; PFC CSKA, Moscow, Russia., Grinchenko A; Scientific and Clinical Center №2 of the Petrovskiy Russian Scientific Center for Surgery, Moscow, Russia., Emanov A; High Performance Sports Laboratory, Sechenov First Moscow State Medical University, Moscow, Russia.; Smart Recovery Sports Medicine Clinic LLC, Moscow, Russia; and., Shoshorina M; Department of Sports Medicine and Medical Rehabilitation, Sechenov First Moscow State Medical University, Moscow, Russia., Malyakin G; Department of Sports Medicine and Medical Rehabilitation, Sechenov First Moscow State Medical University, Moscow, Russia.; High Performance Sports Laboratory, Sechenov First Moscow State Medical University, Moscow, Russia., Telyshev D; Department of Sports Medicine and Medical Rehabilitation, Sechenov First Moscow State Medical University, Moscow, Russia., Lyubushkina A; Smart Recovery Sports Medicine Clinic LLC, Moscow, Russia; and., Lazarev A; Department of Internal Medicine, Mount Sinai Hospital, Chicago, Illinois, USA., Morgans R; Department of Sports Medicine and Medical Rehabilitation, Sechenov First Moscow State Medical University, Moscow, Russia.
Jazyk:	angličtina
Zdroj:	Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine [Clin J Sport Med] 2024 Nov 01; Vol. 34 (6), pp. 559-566. Date of Electronic Publication: 2024 Oct 15.
DOI:	10.1097/JSM.0000000000001258
Abstrakt:	Objective: To investigate the prevalence of asymptomatic radiologic groin region findings in adult professional soccer players using magnetic resonance imaging (MRI) and examine the influence of age and limb dominance on their occurrences. Design: Cross-sectional trial. Setting: Soccer club medical service, private practice. Participants: Forty-seven male professional soccer players. Interventions: Players underwent a groin presigning MRI scan with a magnetic field induction of 1.5 Tesla. Image analysis of their pubic bones was performed according to The Copenhagen Standardized MRI protocol to assess the pubic symphysis and adductor regions of players. Main Outcome Measures: The prevalence of various changes in the symphysis, pubic bone, and adjacent areas. Results: Fifty images of pubic bones and adjacent regions (53.2%) highlighted 1 to 4 changes, while another 44 images (46.8%) demonstrated 5 or more changes. The most frequent changes observed in the pubic bone were joint surface irregularities (100%), symphyseal sclerosis (93.6%), pubic bone swelling (56.3%), parasymphyseal high-intensity line (55.3%), fatty infiltration in bone marrow (38.3%), and adductor tendinopathy (34%). When comparing the prevalence of different changes in the dominant and nondominant limbs, no statistically significant differences were found. Conclusions: In adult professional soccer players with no prior groin pain complaints in recent history (12 months), asymptomatic changes are extremely common in the pubic joint and adjacent areas, including those that are very likely to be considered the main cause of pain when investigated in soccer players with groin pain. None of these changes were associated with limb dominance. Competing Interests: The authors report no conflicts of interest. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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