The Experts below are selected from a list of 450 Experts worldwide ranked by ideXlab platform
William C. Meyers - One of the best experts on this subject based on the ideXlab platform.
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editorial commentary core muscle injuries or Athletic Pubalgia finally the real sausage not just the same ole baloney
Arthroscopy, 2017Co-Authors: William C. MeyersAbstract:In their paper "Prevalence of Surgical Repair for Athletic Pubalgia and Impact on Performance in Football Athletes Participating in the National Football League Combine," Knapik et al. cut through the baloney in the literature on "sports hernia" and apply new eyes to the impact of the results of core muscle surgery on young elite athletes trying out for the National Football League (NFL). They found that the players who had surgery did just as well as all the others in and following NFL Combines. Even the players with presumptively residual, MRI findings did well. The paper is superb and identifies, in subtle ways, the importance of magnetic resonance imaging, as well as the role of experience in diagnosing and handling these injuries. The paper is a case control series that extracts tremendous beneficial information for sports physicians, Athletic trainers, management, agents, players, and all of us Sunday afternoon, TV-watching football experts.
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Editorial Commentary: Core Muscle Injuries or Athletic Pubalgia—Finally the Real Sausage, Not Just the Same Ole Baloney
Arthroscopy: The Journal of Arthroscopic & Related Surgery, 2017Co-Authors: William C. MeyersAbstract:In their paper "Prevalence of Surgical Repair for Athletic Pubalgia and Impact on Performance in Football Athletes Participating in the National Football League Combine," Knapik et al. cut through the baloney in the literature on "sports hernia" and apply new eyes to the impact of the results of core muscle surgery on young elite athletes trying out for the National Football League (NFL). They found that the players who had surgery did just as well as all the others in and following NFL Combines. Even the players with presumptively residual, MRI findings did well. The paper is superb and identifies, in subtle ways, the importance of magnetic resonance imaging, as well as the role of experience in diagnosing and handling these injuries. The paper is a case control series that extracts tremendous beneficial information for sports physicians, Athletic trainers, management, agents, players, and all of us Sunday afternoon, TV-watching football experts.
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Imaging of Athletic Pubalgia and core muscle injuries: clinical and therapeutic correlations.
Clinics in Sports Medicine, 2013Co-Authors: Andrew Palisch, Adam C Zoga, William C. MeyersAbstract:Athletes frequently injure their hips and core muscles. Accurate diagnosis and proper treatment of groin pain in the athlete can be tricky, frequently posing vexing problem for trainers and physicians. Clinical presentations of the various hip problems overlap with respect to history and physical examination. This article reviews clinical presentations and magnetic resonance imaging findings specific to the various causes of groin pain in the athlete. The focus is on the core muscle injuries (Athletic Pubalgia or "sports hernia"). The goal is to raise awareness about the variety of injuries that occur and therapeutic options.
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Magnetic Resonance Imaging of Athletic Pubalgia and the Sports Hernia: Current Understanding and Practice
Magnetic Resonance Imaging Clinics of North America, 2013Co-Authors: Waseem Khan, Adam C Zoga, William C. MeyersAbstract:Magnetic resonance imaging (MRI) has become the standard imaging modality for activity-related groin pain. Lesions, including rectus abdominis/adductor aponeurosis injury and osteitis pubis, can be accurately identified and delineated in patients with clinical conditions termed Athletic Pubalgia, core injury, and sports hernia. A dedicated noncontrast Athletic Pubalgia MRI protocol is easy to implement and should be available at musculoskeletal MR imaging centers. This article will review pubic anatomy, imaging considerations, specific lesions, and common MRI findings encountered in the setting of musculoskeletal groin pain.
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Current Understanding of Core Muscle Injuries (Athletic Pubalgia, “Sports Hernia”)
Operative Hip Arthroscopy, 2012Co-Authors: William C. Meyers, Adam C Zoga, Tina Joseph, Marcia A. HornerAbstract:Introduction: Groin injuries commonly encountered by physicians and surgeons who treat athletes of all ages and at all levels of competition may be quality-of-life changing or even career ending. The purpose of this chapter is to serve as a cornerstone foundation and also enhance the clarity of the current understanding of career-threatening soft tissue injuries of the pelvis. The misleading term “sports hernia” may mask an underlying diagnosis, consequently leading physicians and surgeons into incorrect management plans.
Hannu Paajanen - One of the best experts on this subject based on the ideXlab platform.
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effect of pubic bone marrow edema on recovery from endoscopic surgery for Athletic Pubalgia
Scandinavian Journal of Medicine & Science in Sports, 2015Co-Authors: L Kuikka, H Hermunen, Hannu PaajanenAbstract:Athletic Pubalgia (sportsman's hernia) is often repaired by surgery. The presence of pubic bone marrow edema (BME) in magnetic resonance imaging (MRI) may effect on the outcome of surgery. Surgical treatment of 30 patients with Athletic Pubalgia was performed by placement of totally extraperitoneal endoscopic mesh behind the painful groin area. The presence of pre-operative BME was graded from 0 to 3 using MRI and correlated to post-operative pain scores and recovery to sports activity 2 years after operation. The operated athletes participated in our previous prospective randomized study. The athletes with (n = 21) or without (n = 9) pubic BME had similar patients' characteristics and pain scores before surgery. Periostic and intraosseous edema at symphysis pubis was related to increase of post-operative pain scores only at 3 months after surgery (P = 0.03) but not to long-term recovery. Two years after surgery, three athletes in the BME group and three in the normal MRI group needed occasionally pain medication for chronic groin pain, and 87% were playing at the same level as before surgery. This study indicates that the presence of pubic BME had no remarkable long-term effect on recovery from endoscopic surgical treatment of Athletic Pubalgia.
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Surgical Treatment of Sports Hernia: Laparoscopic Approach
Sports Hernia and Athletic Pubalgia, 2014Co-Authors: Hannu Paajanen, Agneta MontgomeryAbstract:Sports hernia (SH) is a weakness of the posterior wall of the inguinal canal causing groin pain commonly seen in active sports persons. The prevalence in physically active adults is between 5 and 10 %. Sports hernia, in a wider perspective also named Athletic Pubalgia, has multiple etiological factors. Surgical approach includes various open techniques (with or without mesh) or laparoscopic transabdominal pre-peritoneal (TAPP) or total extraperitoneal (TEP) techniques with a mesh behind the injured groin. The results of operative treatment from single centers are reported to be good to excellent in between 70 and 90 % of patients. TEP and TAPP are minimally invasive techniques for the treatment of SH. Athletes recover quickly and return to sports early. There are few randomized controlled trials in this field with no single surgical technique exhibiting any significant advantage over the other. In this chapter, we review shortly the pathophysiology, diagnostic difficulties, and treatment using the laparoscopic/endoscopic approach of SH and the associated Athletic Pubalgia.
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laparoscopic surgery for chronic groin pain in athletes is more effective than nonoperative treatment a randomized clinical trial with magnetic resonance imaging of 60 patients with sportsman s hernia Athletic Pubalgia
Surgery, 2011Co-Authors: Hannu Paajanen, H Hermunen, Tuomas Brinck, Ilari AiroAbstract:Background Chronic groin pain in athletes presents often a diagnostic and therapeutic challenge. Sportsman’s hernia (also called “Athletic Pubalgia”) is a deficiency of the posterior wall of the inguinal canal, which is often repaired by laparoscopic mesh placement. Endoscopic mesh repair may offer a faster recovery for athletes with sportsman’s hernia than nonoperative therapy. Methods A randomized, prospective study was conducted on 60 patients with a diagnosis of chronic groin pain and suspected sportsman’s hernia. Clinical data and MRI were collected on all patients. After 3 to 6 months of groin symptoms, the patients were randomized into an operative or a physiotherapy group (n = 30 patients in each group). Operation was performed using a totally extraperitoneal repair in which mesh was placed behind the symphysis and painful groin area. Conservative treatment included at least 2 months of active physiotherapy, including corticosteroid injections and oral anti-inflammatory analgesics. The outcome measures were pre- and postoperative pain using a visual analogue scale and partial or full recovery to sports activity at 1, 3, 6, and 12 months after randomization. Results The athletes in both treatment groups had similar characteristics and pain scores. Operative repair was more effective than nonoperative treatment to decrease chronic groin pain after 1 month and up to 12 months of follow-up (P Conclusion This randomized controlled study indicated that the endoscopic placement of retropubic mesh was more efficient than conservative therapy for the treatment of sportsman’s hernia (Athletic Pubalgia).
Adam C Zoga - One of the best experts on this subject based on the ideXlab platform.
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The Role of Magnetic Resonance Imaging in Athletic Pubalgia and Core Muscle Injury.
Topics in Magnetic Resonance Imaging, 2015Co-Authors: Dana J. Coker, Adam C ZogaAbstract:AbstractMagnetic resonance imaging (MRI) has become the standard of care imaging modality for a difficult, often misunderstood spectrum of musculoskeletal injury termed Athletic Pubalgia or core muscle injury. Armed with a dedicated noncontrast Athletic Pubalgia protocol and a late model phased arra
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Magnetic Resonance Imaging of Athletic Pubalgia and the Sports Hernia: Current Understanding and Practice
Magnetic Resonance Imaging Clinics of North America, 2013Co-Authors: Waseem Khan, Adam C Zoga, William C. MeyersAbstract:Magnetic resonance imaging (MRI) has become the standard imaging modality for activity-related groin pain. Lesions, including rectus abdominis/adductor aponeurosis injury and osteitis pubis, can be accurately identified and delineated in patients with clinical conditions termed Athletic Pubalgia, core injury, and sports hernia. A dedicated noncontrast Athletic Pubalgia MRI protocol is easy to implement and should be available at musculoskeletal MR imaging centers. This article will review pubic anatomy, imaging considerations, specific lesions, and common MRI findings encountered in the setting of musculoskeletal groin pain.
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Imaging of Athletic Pubalgia and core muscle injuries: clinical and therapeutic correlations.
Clinics in Sports Medicine, 2013Co-Authors: Andrew Palisch, Adam C Zoga, William C. MeyersAbstract:Athletes frequently injure their hips and core muscles. Accurate diagnosis and proper treatment of groin pain in the athlete can be tricky, frequently posing vexing problem for trainers and physicians. Clinical presentations of the various hip problems overlap with respect to history and physical examination. This article reviews clinical presentations and magnetic resonance imaging findings specific to the various causes of groin pain in the athlete. The focus is on the core muscle injuries (Athletic Pubalgia or "sports hernia"). The goal is to raise awareness about the variety of injuries that occur and therapeutic options.
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Current Understanding of Core Muscle Injuries (Athletic Pubalgia, “Sports Hernia”)
Operative Hip Arthroscopy, 2012Co-Authors: William C. Meyers, Adam C Zoga, Tina Joseph, Marcia A. HornerAbstract:Introduction: Groin injuries commonly encountered by physicians and surgeons who treat athletes of all ages and at all levels of competition may be quality-of-life changing or even career ending. The purpose of this chapter is to serve as a cornerstone foundation and also enhance the clarity of the current understanding of career-threatening soft tissue injuries of the pelvis. The misleading term “sports hernia” may mask an underlying diagnosis, consequently leading physicians and surgeons into incorrect management plans.
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Review of MRI technique and imaging findings in Athletic Pubalgia and the "sports hernia".
European Journal of Radiology, 2012Co-Authors: Frank E. Mullens, Adam C Zoga, William B. Morrison, William C. MeyersAbstract:The clinical syndrome of Athletic Pubalgia has prematurely ended many promising Athletic careers, has made many active, fitness conscious adults more sedentary, and has served as a diagnostic and therapeutic conundrum for innumerable trainers and physicians worldwide for decades. This diagnosis actually arises from one or more lesions within a spectrum of musculoskeletal and visceral injuries. In recent years, MRI has helped define many of these syndromes, and has proven to be both sensitive and specific for numerous potential causes of Athletic Pubalgia. This text will provide a comprehensive, up to date review of expected and sometimes unexpected MRI findings in the setting of Athletic Pubalgia, and will delineate an imaging algorithm and MRI protocol to help guide radiologists and other clinicians dealing with refractory, activity related groin pain in an otherwise young, healthy patient. There is still more to be learned about prevention and treatment plans for Athletic Pubalgia lesions, but accurate diagnosis should be much less nebulous and difficult with the use of MRI as a primary imaging modality.
L. Michael Brunt - One of the best experts on this subject based on the ideXlab platform.
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Management of Abdominal Wall Hernias, Sports Hernias, and Athletic Pubalgia
Management of Abdominal Hernias, 2018Co-Authors: Wen Hui Tan, L. Michael BruntAbstract:Groin injuries are a common occurrence in sport, especially in elite-level athletes. Most of these injuries are muscular strains that resolve completely with standard conservative management measures. However, some groin injuries result in a significant loss of playing time and can be a source of persistent pain that limits performance. Over the last 20 years, a subset of athletes with chronic, unremitting groin pain known commonly as “sports hernia” has become increasingly recognized. These injuries present challenging diagnostic and therapeutic management problems for Athletic trainers and physicians because of the broad range of diagnostic possibilities, the subtle physical exam findings, and the anatomic complexity of the lower abdominal and groin region. In this chapter, the clinical presentation, diagnostic evaluation, and treatment options for athletes with a possible sports hernia will be reviewed. The differential diagnosis of Athletic groin pain will also be discussed since surgeons who treat these athletes must understand the spectrum of injuries in order to make an accurate diagnosis.
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Hernia Management in the Athlete.
Advances in Surgery, 2016Co-Authors: L. Michael BruntAbstract:� Groin injuries are common in sports because of the forces exerted around the pelvis in high-level athletes. � The approach to Athletic groin pain requires a multidisciplinary approach involving sports orthopedists, Athletic trainers, and surgeons. � Surgeons who evaluate athletes with groin pain should be well versed in the differential diagnosis and evaluation strategies. � Surgery for Athletic Pubalgia/sport’s hernia is appropriate for athletes who fail to respond to conservative management and who have appropriate findings on imaging and physical examination.
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Sports Hernia and Athletic Pubalgia: E-Book
2015Co-Authors: David R. Diduch, L. Michael BruntAbstract:Sports Hernia and Athletic Pubalgia: E-Book , Sports Hernia and Athletic Pubalgia: E-Book , کتابخانه دیجیتال جندی شاپور اهواز
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Surgical Treatment of Sports Hernia: Open Mesh Approach
Sports Hernia and Athletic Pubalgia, 2014Co-Authors: L. Michael BruntAbstract:The use of tension-free mesh approaches in the treatment of inguinal hernia has largely supplanted primary tissue repairs over the last 20 years. The advantages of this approach for inguinal hernia repair are less pain, a more rapid return to physical activity, and a lower long-term recurrence rate. For similar reasons, a tension-free mesh approach to repair sports hernia or Athletic Pubalgia injuries in appropriately selected athletes has resulted in successful outcomes. In this chapter, selection of athletes for surgery, technical aspects of mesh repair including adjunctive procedures, and outcomes of treatment are presented.
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Sports Hernia—Anatomy: What Is a Sports Hernia?
Sports Hernia and Athletic Pubalgia, 2014Co-Authors: Matt Lyons, L. Michael BruntAbstract:Groin injuries are a common problem in elite athletes and may result in a significant loss in playing time. While most groin injuries are muscular strains that heal with conservative treatment measures, a subset of athletes may develop a chronic condition termed sports hernia or Athletic Pubalgia in which there is chronic exertional lower abdominal or inguinal pain that fails to respond to conservative treatment measures. In this chapter, the normal anatomy of the groin and pubic region is reviewed and the definition of sports hernia and its anatomic basis are discussed. The etiology and pathophysiology of this condition are also reviewed in detail.
Christopher M. Larson - One of the best experts on this subject based on the ideXlab platform.
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core muscle injury sports hernia Athletic Pubalgia and femoroacetabular impingement
Sports Medicine and Arthroscopy Review, 2015Co-Authors: James R. Ross, Rebecca M. Stone, Christopher M. LarsonAbstract:Core muscle injury/sports hernia/Athletic Pubalgia is an increasingly recognized source of pain, disability, and time lost from Athletics. Groin pain among athletes, however, may be secondary to various etiologies. A thorough history and comprehensive physical examination, coupled with appropriate diagnostic imaging, may improve the diagnostic accuracy for patients who present with core muscular injuries. Outcomes of nonoperative management have not been well delineated, and multiple operative procedures have been discussed with varying return-to-Athletic activity rates. In this review, we outline the clinical entity and treatment of core muscle injury and Athletic Pubalgia. In addition, we describe the relationship between Athletic Pubalgia and femoroacetabular impingement along with recent studies that have investigated the treatment of these related disorders.
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Core Muscle Injury/Sports Hernia/Athletic Pubalgia, and Femoroacetabular Impingement.
Sports Medicine and Arthroscopy Review, 2015Co-Authors: James R. Ross, Rebecca M. Stone, Christopher M. LarsonAbstract:Core muscle injury/sports hernia/Athletic Pubalgia is an increasingly recognized source of pain, disability, and time lost from Athletics. Groin pain among athletes, however, may be secondary to various etiologies. A thorough history and comprehensive physical examination, coupled with appropriate diagnostic imaging, may improve the diagnostic accuracy for patients who present with core muscular injuries. Outcomes of nonoperative management have not been well delineated, and multiple operative procedures have been discussed with varying return-to-Athletic activity rates. In this review, we outline the clinical entity and treatment of core muscle injury and Athletic Pubalgia. In addition, we describe the relationship between Athletic Pubalgia and femoroacetabular impingement along with recent studies that have investigated the treatment of these related disorders.
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Sports Hernia/Athletic Pubalgia: Evaluation and Management
Sports Health: A Multidisciplinary Approach, 2014Co-Authors: Christopher M. LarsonAbstract:Context:Sports hernia/Athletic Pubalgia has received increasing attention as a source of disability and time lost from Athletics. Studies are limited, however, lacking consistent objective criteria for making the diagnosis and assessing outcomes.Evidence Acquisition:PubMed database through January 2013 and hand searches of the reference lists of pertinent articles.Study Design:Review article.Level of Evidence:Level 5.Results:Nonsurgical outcomes have not been well reported. Various surgical approaches have return-to–Athletic activity rates of >80% regardless of the approach. The variety of procedures and lack of outcomes measures in these studies make it difficult to compare one surgical approach to another. There is increasing evidence that there is an association between range of motion–limiting hip disorders (femoroacetabular impingement) and sports hernia/Athletic Pubalgia in a subset of athletes. This has added increased complexity to the decision-making process regarding treatment.Conclusion:An asso...
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sports hernia Athletic Pubalgia evaluation and management
Sports Health: A Multidisciplinary Approach, 2014Co-Authors: Christopher M. LarsonAbstract:Context:Sports hernia/Athletic Pubalgia has received increasing attention as a source of disability and time lost from Athletics. Studies are limited, however, lacking consistent objective criteria for making the diagnosis and assessing outcomes.Evidence Acquisition:PubMed database through January 2013 and hand searches of the reference lists of pertinent articles.Study Design:Review article.Level of Evidence:Level 5.Results:Nonsurgical outcomes have not been well reported. Various surgical approaches have return-to–Athletic activity rates of >80% regardless of the approach. The variety of procedures and lack of outcomes measures in these studies make it difficult to compare one surgical approach to another. There is increasing evidence that there is an association between range of motion–limiting hip disorders (femoroacetabular impingement) and sports hernia/Athletic Pubalgia in a subset of athletes. This has added increased complexity to the decision-making process regarding treatment.Conclusion:An asso...
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treatment of athletes with symptomatic intra articular hip pathology and Athletic Pubalgia sports hernia a case series
Arthroscopy, 2011Co-Authors: Christopher M. Larson, Bradley R. Pierce, Russell M GiveansAbstract:Purpose The purpose of the study was to evaluate the results of surgical treatment in athletes with associated intra-articular hip pathology and extra-articular sports Pubalgia. Methods Between December 2003 and September 2009, 37 hips (mean patient age, 25 years) were diagnosed with both symptomatic Athletic Pubalgia and symptomatic intra-articular hip joint pathology. There were 8 professional athletes, 15 collegiate athletes, 5 elite high school athletes, and 9 competitive club athletes. Outcomes included an evaluation regarding return to sports and modified Harris Hip Score, Short Form 12 score, and visual analog scale score. Results We evaluated 37 hips at a mean of 29 months (range, 12 to 78 months) after the index surgery. Thirty-one hips underwent thirty-five Athletic Pubalgia surgeries. Hip arthroscopy was performed in 32 hips (30 cases of femoroacetabular impingement treatment, 1 traumatic labral tear, and 1 borderline dysplasia). Of 16 hips that had Athletic Pubalgia surgery as the index procedure, 4 (25%) returned to sports without limitations, and 11 (69%) subsequently had hip arthroscopy at a mean of 20 months after Pubalgia surgery. Of 8 hips managed initially with hip arthroscopy alone, 4 (50%) returned to sports without limitations, and 3 (43%) had subsequent Pubalgia surgery at a mean of 6 months after hip arthroscopy. Thirteen hips had Athletic Pubalgia surgery and hip arthroscopy at one setting. Concurrent or eventual surgical treatment of both disorders led to improved postoperative outcomes scores ( P Conclusions When surgery only addressed either the Athletic Pubalgia or intra-articular hip pathology in this patient population, outcomes were suboptimal. Surgical management of both disorders concurrently or in a staged manner led to improved postoperative outcomes scoring and an unrestricted return to sporting activity in 89% of hips. Level of Evidence Level IV, therapeutic case series.