المؤلفون: Perraton Z; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia. Electronic address: z.perraton@latrobe.edu.au., Mosler AB; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia; School of Medical and Health Sciences, Edith Cowan University, Joondalup, WA, Australia. Electronic address: a.mosler@latrobe.edu.au., Lawrenson PR; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia; School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australia; Innovation and Research Centre, Community and Oral Health Directorate, Metro North Health, Brisbane, Australia. Electronic address: peter.lawrenson@health.qld.gov.au., Weber Ii K; Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University, Palo Alto, CA, USA. Electronic address: kenweber@stanford.edu., Elliott JM; School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australia; Faculty of Medicine and Health, Northern Sydney Local Health District & The University of Sydney, The Kolling Institute St Leonards, NSW, Australia. Electronic address: jim.elliott@sydney.edu.au., Wesselink EO; Faculty of Behavioural and Movement Sciences, Amsterdam Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands. Electronic address: eddo_wesselink@msn.com., Crossley KM; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia. Electronic address: k.crossley@latrobe.edu.au., Kemp JL; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia. Electronic address: j.kemp@latrobe.edu.au., Stewart C; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia. Electronic address: christopher.stewart@latrobe.edu.au., Girdwood M; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia. Electronic address: m.girdwood@latrobe.edu.au., King MG; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia; Discipline of Physiotherapy, School of Allied Health, Human Services and Sport, La Trobe University, Australia. Electronic address: m.king@latrobe.edu.au., Heerey JJ; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia. Electronic address: j.heerey@latrobe.edu.au., Scholes MJ; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia; Discipline of Physiotherapy, School of Allied Health, Human Services and Sport, La Trobe University, Australia. Electronic address: m.scholes@latrobe.edu.au., Mentiplay BF; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia. Electronic address: b.mentiplay@latrobe.edu.au., Semciw AI; Discipline of Physiotherapy, School of Allied Health, Human Services and Sport, La Trobe University, Australia; Department of Allied Health Research, Northern Health, Epping, Victoria, Australia. Electronic address: a.semciw@latrobe.edu.au.

المصدر: Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine [Phys Ther Sport] 2024 Jan; Vol. 65, pp. 95-101. Date of Electronic Publication: 2023 Dec 12.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Churchill Livingstone Country of Publication: England NLM ID: 100940513 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-1600 (Electronic) Linking ISSN: 1466853X NLM ISO Abbreviation: Phys Ther Sport Subsets: MEDLINE

مواضيع طبية MeSH: Groin* , Muscle, Skeletal*/physiology, Male ; Humans ; Female ; Young Adult ; Cross-Sectional Studies ; Australia ; Hip Joint/physiology ; Arthralgia ; Muscle Strength/physiology ; Pelvic Pain

مستخلص: Objectives: To investigate associations between lateral hip muscle size/intramuscular fat infiltration (MFI) and hip strength in active young adults with longstanding hip/groin pain.
Design: Cross-sectional study.
Setting: University/Clinical.
Participants: Sub-elite soccer and Australian Football players (n = 180; 37 female) with long standing hip/groin pain.
Main Outcome Measures: Muscle size (volume) and MFI of gluteus maximus, medius, and minimis, and tensor fascia latae (TFL) were assessed using magnetic resonance imaging. Isometric hip strength was measured with handheld dynamometry. Associations between muscle size/MFI were assessed using linear regression models, adjusted for body mass index and age, with sex-specific interactions.
Results: Positive associations were identified between lateral hip muscle volume and hip muscle strength, particularly for gluteus maximus and gluteus minimus volume. For all muscles, hip abduction was associated with an increase in strength by up to 0.69 N (R ² ranging from 0.29 to 0.39). These relationships were consistent across sexes with no sex interactions observed. No associations were found between MFI and strength measures.
Conclusion: Greater lateral hip muscle volumes are associated with greater hip strength in active young adults with long standing hip/groin pain, irrespective of sex. Gluteus maximus and minimus volume showed the most consistent relationships with hip strength across multiple directions.
Competing Interests: Declaration of competing interest None. All authors declare that they have no competing interests to disclose.
(Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.)

المؤلفون: Collings TJ; School of Health Sciences and Social Work, Griffith University, Gold Coast Campus, Australia; Griffith Centre of Biomedical and Rehabilitation Engineering (GCORE), Menzies Health Institute Queensland, Griffith University, Gold Coast Campus, Australia. Electronic address: tyler.collings@griffithuni.edu.au., Diamond LE; School of Health Sciences and Social Work, Griffith University, Gold Coast Campus, Australia; Griffith Centre of Biomedical and Rehabilitation Engineering (GCORE), Menzies Health Institute Queensland, Griffith University, Gold Coast Campus, Australia; Centre of Clinical Research Excellence in Spinal Pain, Injury & Health, School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, Australia. Electronic address: l.diamond@griffith.edu.au., Barrett RS; School of Health Sciences and Social Work, Griffith University, Gold Coast Campus, Australia; Griffith Centre of Biomedical and Rehabilitation Engineering (GCORE), Menzies Health Institute Queensland, Griffith University, Gold Coast Campus, Australia. Electronic address: r.barrett@griffith.edu.au., Timmins RG; School of Behavioural and Health Sciences, Australian Catholic University, Melbourne, Australia; Sports Performance, Recovery, Injury and New Technologies (SPRINT) Research Centre, Australian Catholic University, Fitzroy, Victoria, Australia. Electronic address: ryan.timmins@acu.edu.au., Hickey JT; School of Behavioural and Health Sciences, Australian Catholic University, Melbourne, Australia. Electronic address: jack.hickey@acu.edu.au., du Moulin WS; School of Health Sciences and Social Work, Griffith University, Gold Coast Campus, Australia; Griffith Centre of Biomedical and Rehabilitation Engineering (GCORE), Menzies Health Institute Queensland, Griffith University, Gold Coast Campus, Australia. Electronic address: will.dumoulin@griffithuni.edu.au., Gonçalves BAM; School of Health Sciences and Social Work, Griffith University, Gold Coast Campus, Australia; Griffith Centre of Biomedical and Rehabilitation Engineering (GCORE), Menzies Health Institute Queensland, Griffith University, Gold Coast Campus, Australia. Electronic address: b.goncalves@griffith.edu.au., Cooper C; School of Health Sciences and Social Work, Griffith University, Gold Coast Campus, Australia; Griffith Centre of Biomedical and Rehabilitation Engineering (GCORE), Menzies Health Institute Queensland, Griffith University, Gold Coast Campus, Australia. Electronic address: christopher.cooper5@griffithuni.edu.au., Bourne MN; School of Health Sciences and Social Work, Griffith University, Gold Coast Campus, Australia; Griffith Centre of Biomedical and Rehabilitation Engineering (GCORE), Menzies Health Institute Queensland, Griffith University, Gold Coast Campus, Australia; La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Australia. Electronic address: m.bourne@griffith.edu.au.

المصدر: Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine [Phys Ther Sport] 2021 Nov; Vol. 52, pp. 297-304. Date of Electronic Publication: 2021 Oct 19.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Churchill Livingstone Country of Publication: England NLM ID: 100940513 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-1600 (Electronic) Linking ISSN: 1466853X NLM ISO Abbreviation: Phys Ther Sport Subsets: MEDLINE

مواضيع طبية MeSH: Anterior Cruciate Ligament Injuries*/physiopathology , Groin*/injuries , Hamstring Muscles*/injuries , Lower Extremity*/physiopathology , Muscle Strength*, Adolescent ; Adult ; Female ; Humans ; Young Adult ; Athletes ; Australia ; Cross-Sectional Studies ; Kinetics ; Knee ; Rugby ; Soccer ; Team Sports

مستخلص: Objective: To compare lower limb strength and countermovement jump (CMJ) kinetics between elite female footballers with and without a history of anterior cruciate ligament reconstruction (ACLR), hamstring strain, or hip/groin injury.
Design: Cross-sectional.
Setting: Field-based.
Participants: 369 elite female Australian football, soccer and rugby league players aged 15-35.
Main Outcome Measures: Isometric hip adductor and abductor strength, eccentric knee flexor strength, and CMJ vertical ground reaction forces, including between-leg asymmetry. Players reported their lifetime history of ACLR, and whether they had sustained a hamstring strain, or hip/groin injury in the previous 12-months.
Results: Players with a unilateral history of ACLR (n = 24) had significant between-leg asymmetry in eccentric knee flexor strength (mean = -6.3%, 95%CI = -8.7 to -3.9%, P < .001), isometric hip abductor strength (mean = -2.5%, 95%CI = -4.3 to -0.7%, P = .008), and CMJ peak landing force (mean = -5.5%, 95%CI = -10.9 to -0.1%, P = .046). Together, between-leg asymmetry in eccentric knee flexor strength, isometric hip abductor strength, and CMJ peak landing force distinguished between players with and without prior ACLR with 93% accuracy.
Conclusion: Elite female footballers with a history of ACLR, but not hamstring or hip/groin injury, exhibit persistent between-leg asymmetries in lower limb strength and jump kinetics following a return to sport.
(Copyright © 2021 Elsevier Ltd. All rights reserved.)

المؤلفون: Heerey J, Agricola R, Smith A, Kemp J, Pizzari T, King M, Lawrenson P, Scholes M, Crossley K

المصدر: The Journal of orthopaedic and sports physical therapy [J Orthop Sports Phys Ther] 2021 Mar; Vol. 51 (3), pp. 115-125. Date of Electronic Publication: 2020 Dec 25.

نوع المنشور: Comparative Study; Journal Article

بيانات الدورية: Publisher: Williams And Wilkins Country of Publication: United States NLM ID: 7908150 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1938-1344 (Electronic) Linking ISSN: 01906011 NLM ISO Abbreviation: J Orthop Sports Phys Ther Subsets: MEDLINE

مواضيع طبية MeSH: Groin*/diagnostic imaging , Groin*/pathology , Osteophyte*/diagnostic imaging , Osteophyte*/pathology , Team Sports*, Adolescent ; Adult ; Female ; Humans ; Male ; Middle Aged ; Young Adult ; Athletic Injuries/diagnostic imaging ; Athletic Injuries/epidemiology ; Australia/epidemiology ; Case-Control Studies ; Hip Injuries/diagnostic imaging ; Hip Injuries/epidemiology ; Patient Reported Outcome Measures ; Prevalence ; Prospective Studies

مستخلص: Objective: To compare the size and prevalence of bony hip morphology in football players with and without hip and/or groin pain.
Design: Case-control.
Methods: We recruited 184 soccer and Australian football players with self-reported hip and/or groin pain of greater than 6 months in duration and a positive flexion, adduction, and internal rotation (FADIR) test (290 hips, 21% women), and 55 football players with no pain and a negative FADIR test (110 hips, 26% women) as a control group. Bony hip morphology was identified by the alpha angle and lateral center-edge angle (LCEA) on anteroposterior pelvis and Dunn 45° radiographs. The alpha angle and LCEA were analyzed as continuous measures (size) and dichotomized using threshold values to determine the presence of bony hip morphology (cam, large cam, pincer, and acetabular dysplasia). Regression analyses estimated differences in the size and prevalence of bony hip morphology between football players with and without pain.
Results: In all football players and in men, the size and prevalence of bony hip morphology did not differ between those with and without hip and/or groin pain. Cam morphology was evident in 63% of hips in players without pain and 71% of symptomatic hips in players with hip and/or groin pain. In female football players with hip and/or groin pain compared to those without pain, larger alpha angle values were observed on the Dunn 45° view (5.9°; 95% confidence interval: 1.2°, 10.6°; P = .014).
Conclusion: The size and prevalence of bony hip morphology appear to be similar in football players with and without hip and/or groin pain. J Orthop Sports Phys Ther 2021;51(3):115-125. Epub 25 Dec 2020. doi:10.2519/jospt.2021.9622 .

المؤلفون: Scholes MJ, Kemp JL, Mentiplay BF, Heerey JJ, Agricola R, Semciw AI, Souza RB, Link TM, Majumdar S, King MG, Lawrenson PR, Crossley KM

المصدر: Sports health [Sports Health] 2022 Nov-Dec; Vol. 14 (6), pp. 920-931. Date of Electronic Publication: 2022 Mar 23.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Sage Publications Country of Publication: United States NLM ID: 101518422 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1941-0921 (Electronic) Linking ISSN: 19410921 NLM ISO Abbreviation: Sports Health Subsets: MEDLINE

مواضيع طبية MeSH: Athletic Injuries*/diagnostic imaging , Femoracetabular Impingement*/complications , Femoracetabular Impingement*/diagnostic imaging , Pain*/etiology , Soccer*/injuries , Team Sports*, Female ; Humans ; Arthralgia ; Australia/epidemiology ; Cartilage, Articular/diagnostic imaging ; Cartilage, Articular/injuries ; Cost of Illness ; Cross-Sectional Studies ; Groin/diagnostic imaging ; Hip Injuries/diagnostic imaging ; Hip Injuries/etiology ; Hip Joint/diagnostic imaging ; Patient Reported Outcome Measures ; Self Report

مستخلص: Background: It is unknown if football players with femoroacetabular impingement (FAI) syndrome report worse burden than those with other causes of hip/groin pain, and to what extent this is mediated by cartilage defects and labral tears.
Hypothesis: Football players with FAI syndrome would report worse burden than other symptomatic players, with the effect partially mediated by cartilage defects and/or labral tears.
Study Design: Cross-sectional study.
Level of Evidence: Level 4.
Methods: Football (soccer and Australian football) players (n = 165; 35 women) with hip/groin pain (≥6 months and positive flexion-adduction-internal rotation test) were recruited. Participants completed 2 patient-reported outcome measures (PROMs; the International Hip Outcome Tool-33 [iHOT-33] and Copenhagen Hip and Groin Outcome Score [HAGOS]) and underwent hip radiographs and magnetic resonance imaging (MRI). FAI syndrome was determined to be present when cam and/or pincer morphology were present. Cartilage defects and labral tears were graded as present or absent using MRI. Linear regression models investigated relationships between FAI syndrome (dichotomous independent variable) and PROM scores (dependent variables). Mediation analyses investigated the effect of cartilage defects and labral tears on these relationships.
Results: FAI syndrome was not related to PROM scores (unadjusted b values ranged from -4.693 ( P = 0.23) to 0.337 ( P = 0.93)) and cartilage defects and/or labral tears did not mediate its effect ( P = 0.22-0.97).
Conclusion: Football players with FAI syndrome did not report worse burden than those with other causes of hip/groin pain. Cartilage defects and/or labral tears did not explain the effect of FAI syndrome on reported burden.
Clinical Relevance: FAI syndrome, cartilage defects, and labral tears were prevalent but unrelated to reported burden in symptomatic football players.

المؤلفون: Mills JMZ; Northern Clinical School, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia., Luscombe GM; Sydney Medical School, The University of Sydney School of Rural Health, Sydney, New South Wales, Australia., Hugh TJ; Northern Clinical School, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.; Upper Gastrointestinal Surgical Unit, Royal North Shore Hospital, Sydney, New South Wales, Australia.

المصدر: ANZ journal of surgery [ANZ J Surg] 2022 Oct; Vol. 92 (10), pp. 2408-2411.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Wiley-Blackwell Publishing Asia Country of Publication: Australia NLM ID: 101086634 Publication Model: Print Cited Medium: Internet ISSN: 1445-2197 (Electronic) Linking ISSN: 14451433 NLM ISO Abbreviation: ANZ J Surg Subsets: MEDLINE

مواضيع طبية MeSH: Hernia, Inguinal*/surgery , Laparoscopy*, Australia/epidemiology ; Groin/surgery ; Herniorrhaphy ; Humans ; Surgical Mesh

المؤلفون: Waters, Georgina C, Jones, Christopher, D'Alessandro, Peter, Yates, Piers

المصدر: Hip International; May2024, Vol. 34 Issue 3, p336-343, 8p

مصطلحات موضوعية: ACETABULUM surgery, MEDICAL protocols, GROIN pain, TOTAL hip replacement, ACETABULUM (Anatomy), FUNCTIONAL assessment, POSTOPERATIVE pain, COMPUTED tomography, DESCRIPTIVE statistics, PATIENT-centered care, PATIENT positioning, ALGORITHMS

مصطلحات جغرافية: AUSTRALIA

مستخلص: Background: Persisting groin pain post total hip arthroplasty (THA) is a common and complex issue that can be difficult to diagnose and manage. Acetabular component positioning is often implicated. Aims and methods: We used a previously well described and validated functional positioning protocol to determine if functional acetabular malpositioning was a factor in groin pain post THA and hence to determine if acetabular revision would be indicated. We compared patient-specific functional acetabular positioning to traditional CT evaluation of cup position and assessment of anterior cup overhang. Results: 39 patients with groin pain post-THA were investigated. Functional acetabular malpositioning was diagnosed in 31% (12/39). Revision THA was performed in those 12 patients, resulting in resolution of functional malpositioning (100%), with an overall accuracy of 5.6° (range 1–12), and resolution of groin pain in 67% (8/12). 33% (4/12) of the revised implants had functional positioning located outside the traditional "40/20 zone". Comparison with CT indicated that 40% (4/10) of implants with anterior overhang were well positioned, however only 50% (6/12) of functionally malpositioned implants had CT evidence of anterior cup prominence. Of the 8/12 revision patients who had resolution of their groin pain, only 1 had cup prominence. Conclusions: This study suggests that the utilisation of a patient specific functional positioning algorithm in the analysis of persistent groin pain following THA can assist in identifying the underlying cause of pain and help to guide treatment. For a functionally malpositioned acetabulum, revision surgery offers a potential resolution of groin pain. [ABSTRACT FROM AUTHOR]

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المؤلفون: Smith NA; School of Allied Health Sciences, Griffith University, Australia., Franettovich Smith MM; School of Health and Rehabilitation Sciences, the University of Queensland, Australia., Bourne MN; School of Allied Health Sciences, Griffith University, Australia., Barrett RS; School of Allied Health Sciences, Griffith University, Australia., Hides JA; School of Allied Health Sciences, Griffith University, Australia.; The Mater Back Stability Clinic, Mater Hospital, Australia.

المصدر: Journal of sports sciences [J Sports Sci] 2021 Jun; Vol. 39 (12), pp. 1395-1401. Date of Electronic Publication: 2021 Jan 28.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Routledge Country of Publication: England NLM ID: 8405364 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1466-447X (Electronic) Linking ISSN: 02640414 NLM ISO Abbreviation: J Sports Sci Subsets: MEDLINE

مواضيع طبية MeSH: Hamstring Muscles*/injuries , Hamstring Muscles*/physiopathology , Team Sports*, Humans ; Male ; Young Adult ; Age Factors ; Australia ; Groin/injuries ; Leg Injuries/complications ; Muscle Strength ; Prospective Studies ; Reinjuries ; Risk Factors ; Soft Tissue Injuries/complications ; Torque

مستخلص: This study aimed to explore the association between hamstring strength, age and lower limb soft tissue injury history and subsequent hamstring injury among Australian Football League (AFL) players. This prospective cohort study recruited 125 players from three professional AFL teams. Eccentric knee flexor strength was assessed while performing the Nordic hamstring exercise in pre-season, and injury data were collected retrospectively (hamstring, groin, calf, quadriceps and knee), and prospectively (hamstring injuries) for one AFL playing season. Fourteen players (11%) sustained a hamstring injury in the subsequent playing season. Nordic strength was not significantly associated with future hamstring injury (Odds Ratio (OR) 1.9, p = 0.36), whereas player age greater than 25 years (OR = 2.9, p < 0.05), report of a hamstring injury within the previous year (OR = 3.7, p = 0.01), or greater than 1-year (OR = 3.6, p = 0.01), a previous groin (OR = 8.6, p < 0.01) or calf injury (OR = 4.6, p = 0.01) were factors significantly associated with subsequent hamstring injury. Based on these findings, increasing age and previous hamstring, groin and calf injury are all associated with an elevated risk of subsequent hamstring injury in AFL players.

المؤلفون: Bury K; Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, Australia., Leavy JE; Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, Australia., Lan C; Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, Australia., O'Connor A; Amanda O'Connor, National Cycling Centre Western Australia, Australia., Jancey J; Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, Australia. Electronic address: j.jancey@curtin.edu.au.

المصدر: Journal of science and medicine in sport [J Sci Med Sport] 2021 Apr; Vol. 24 (4), pp. 357-367. Date of Electronic Publication: 2020 Oct 17.

نوع المنشور: Journal Article; Systematic Review

بيانات الدورية: Publisher: Elsevier Australia Country of Publication: Australia NLM ID: 9812598 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-1861 (Electronic) Linking ISSN: 18781861 NLM ISO Abbreviation: J Sci Med Sport Subsets: MEDLINE

مواضيع طبية MeSH: Equipment Design*, Athletic Injuries/*epidemiology , Bicycling/*injuries , Soft Tissue Injuries/*epidemiology , Sports Equipment/*adverse effects, Australia/epidemiology ; Buttocks/injuries ; Female ; Groin/injuries ; Humans ; Thigh/injuries

مستخلص: Objectives: Saddle sores are a prominent but an under investigated health issue among female competitive cyclists. To identify and describe existing evidence of the prevalence, prevention and treatment of saddle sores among female competitive cyclists.
Design: Systematic scoping review and expert consultation.
Methods: Primary studies and grey literature investigating saddle sores for competitive female cyclists were identified from six databases which were systematically searched (Medline; PubMed; Scopus; SPORTDiscus; Embase; Advanced Google Scholar) from 1990 onwards. An online survey was distributed to consultants in the female Australian competitive cycling community to obtain information and expert perspectives outside the published literature.
Results: Of the 401 studies identified, 10 met the inclusion criteria - 4 were case-series, 4 were cross-sectional, and 2 were brief intervention trials. There was limited empirical evidence to determine the prevalence, and identify prevention and treatment approaches for saddle sores. Handlebar positioning relative to the saddle and reducing perineal pressure had some evidence. Saddle sore treatments appear to be limited to antibiotics and surgical intervention when they worsen or become infected. Yet, three-quarters of the consultants (n=16) indicated saddle sores were frequent among female competitive cyclists, identifying prevention and management strategies as topical creams, maintaining good hygiene, wearing appropriate clothing, leg elevation and taking time off the bike.
Conclusions: There is limited research investigating the prevalence, prevention and treatment of saddle sores among female competitive cyclists, although it has been described as a common occurrence by those in the cycling community. Research is required to understand its prevalence, along with trials to investigate prevention and management methods, so that evidence informed guidelines and/or protocols can be developed.
(Copyright © 2020 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.)

المؤلفون: Heerey JJ; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Australia. Electronic address: j.heerey@latrobe.edu.au., Srinivasan R; Department of Radiology and Biomedical Imaging, University of California-San Francisco, CA, USA. Electronic address: ramya.srinivasan@ucsf.edu., Agricola R; Department of Orthopaedics, Erasmus University Medical Center, Rotterdam, The Netherlands. Electronic address: r.agricola@erasmusmc.nl., Smith A; School of Physiotherapy and Exercise Science, Curtain University, Perth, Australia. Electronic address: anne.smith@exchange.curtin.edu.au., Kemp JL; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Australia. Electronic address: j.kemp@latrobe.edu.au., Pizzari T; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Australia. Electronic address: t.pizzari@latrobe.edu.au., King MG; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Australia. Electronic address: m.king@latrobe.edu.au., Lawrenson PR; The University of Queensland, St Lucia, Australia. Electronic address: p.lawrenson@uq.edu.au., Scholes MJ; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Australia. Electronic address: m.scholes@latrobe.edu.au., Souza RB; Department of Radiology and Biomedical Imaging, University of California-San Francisco, CA, USA; Department of Physical Therapy and Rehabilitation Science, University of California-San Francisco, CA, USA. Electronic address: richard.souza@ucsf.edu., Link T; Department of Radiology and Biomedical Imaging, University of California-San Francisco, CA, USA. Electronic address: thomas.link@ucsf.edu., Majumdar S; Department of Radiology and Biomedical Imaging, University of California-San Francisco, CA, USA. Electronic address: sharmila.majumdar@ucsf.edu., Crossley KM; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Australia. Electronic address: k.crossley@latrobe.edu.au.

المصدر: Osteoarthritis and cartilage [Osteoarthritis Cartilage] 2021 Mar; Vol. 29 (3), pp. 323-334. Date of Electronic Publication: 2020 Dec 30.

نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't

بيانات الدورية: Publisher: W.B. Saunders For The Osteoarthritis Research Society Country of Publication: England NLM ID: 9305697 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1522-9653 (Electronic) Linking ISSN: 10634584 NLM ISO Abbreviation: Osteoarthritis Cartilage Subsets: MEDLINE

مواضيع طبية MeSH: Arthralgia*/diagnostic imaging , Arthralgia*/physiopathology , Athletes* , Femoracetabular Impingement*/diagnostic imaging , Femoracetabular Impingement*/physiopathology , Osteoarthritis, Hip*/diagnostic imaging, Adolescent ; Adult ; Female ; Humans ; Male ; Middle Aged ; Young Adult ; Australia ; Case-Control Studies ; Groin ; Magnetic Resonance Imaging ; Soccer ; Synovitis/diagnostic imaging ; Synovitis/physiopathology ; Team Sports

مستخلص: Objective: To compare early hip osteoarthritis (OA) features on magnetic resonance imaging (MRI) in high-impact athletes with and without hip and/or groin pain, and to evaluate associations between early hip OA features, the International Hip Outcome Tool (iHOT33) and Copenhagen Hip and Groin Outcome Score (HAGOS).
Design: This case-control study evaluated data of the femoroacetabular impingement and hip osteoarthritis cohort (FORCe). One hundred and eighty-two symptomatic (hip and/or groin pain >6 months and positive flexion-adduction-internal-rotation (FADIR) test) and 55 pain-free high-impact athletes (soccer or Australian football (AF)) without definite radiographic hip OA underwent hip MRI. The Scoring Hip Osteoarthritis with MRI (SHOMRI) method quantified and graded the severity of OA features. Each participant completed the iHOT33 and HAGOS.
Results: Hip and/or groin pain was associated with higher total SHOMRI (0-96) (mean difference 1.4, 95% CI: 0.7-2.2), labral score (adjusted incidence rate ratio (aIRR) 1.33, 95% CI: 1.1-1.6). Differences in prevalence of cartilage defects, labral tears and paralabral cysts between symptomatic and pain-free participants were inconclusive. There was a lower prevalence of effusion-synovitis in symptomatic participants when compared to pain-free participants (adjusted odds ratio (aOR) 0.46 (95% CI: 0.3-0.8). Early hip OA features were not associated with iHOT33 or HAGOS.
Conclusions: A complex and poorly understood relationship exists between hip and/or groin pain and early hip OA features present on MRI in high-impact athletes without radiographic OA. Hip and/or groin pain was associated with higher SHOMRI and labral scores.
(Copyright © 2020 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.)

المؤلفون: Webster, Daniel K., Jolley, Daniel J.

المصدر: International Journal of Athletic Therapy & Training; Jan2024, Vol. 29 Issue 1, p29-32, 4p

مصطلحات موضوعية: GROIN injuries, KNEE physiology, BASKETBALL injuries, RESEARCH evaluation, RANGE of motion of joints, STATISTICAL reliability, CONFIDENCE intervals, HIP joint, RESEARCH methodology, CROSS-sectional method, MEDICAL screening, BASKETBALL, RISK assessment, MUSCLE strength, SPHYGMOMANOMETERS, INTRACLASS correlation, DESCRIPTIVE statistics, DISEASE risk factors, EVALUATION

مصطلحات جغرافية: AUSTRALIA

مستخلص: Groin injuries are common in basketball. Reduced adductor strength is a risk factor for injury, so monitoring strength can be important for injury prevention. This research assessed the reliability of an adductor strength test in male professional basketballers in preseason. Strength was tested using a sphygmomanometer between the knees at 0°, 45°, and 90° of hip flexion, in two trials. There was no difference in mean scores between trials. All conditions had moderate or higher intrarater reliability, with 45° hip flexion the most reliable. This test can be used to identify and monitor players with increased adductor injury risk. [ABSTRACT FROM AUTHOR]

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