Outcomes following surgical management of inguinal-related groin pain in athletes: a case series
| Autor: | Michael B. Gerhardt, Josh Christiansen, William Hutchinson, Benjamin Sherman, Alejandro Miranda, Jorge Chahla |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Debridement biology Groin Athletes business.industry medicine.medical_treatment 030229 sport sciences biology.organism_classification Nerve entrapment Surgery Return to sport 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Orthopedic surgery medicine General surgery clinic business Research Articles 030217 neurology & neurosurgery Neurolysis |
| Zdroj: | Journal of Hip Preservation Surgery |
| ISSN: | 2054-8397 |
| DOI: | 10.1093/jhps/hnz068 |
| Popis: | To determine the outcomes of a limited surgical intervention, consisting of neurolysis, inguinal wall repair and/or adductor debridement of adhesions based on intraoperative findings. Retrospective case series. Outpatient orthopedic/general surgery clinic. Fifty-one athletes treated surgically for inguinal-related groin pain from 2009 to 2015. Limited surgical intervention, consisting of neurolysis, inguinal wall repair and/or adductor debridement based on intra-operative findings. Ability to return to sport at the same level, time to return to play. Fifty-one athletes were included in the study with an average follow-up of 4.42 years (range 2.02–7.01). The average age was 24.2 years (range 16–49) and consisted of 94.0% males and 6.0% females. Nerve entrapment was demonstrated in 96.2% of cases with involvement of the ilioinguinal in 92.5%, the iliohypogastric in 30.8% and the genitofemoral in 13.2%. Attenuation of the posterior inguinal wall was present and repaired in 79.3% of cases. Scar tissue was present around the adductor origin and required debridement in 56.7% of cases. Forty-nine (96.1%) athletes returned to sport at the same level of play at an average of 5.9 weeks. Two athletes required a revision surgery. High rates of return to sport were achieved after surgery for inguinal-related groin pain that addresses the varying pathology and associated nerve entrapment. |
| Databáze: | OpenAIRE |
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