Roland M Biedert1, Kerstin Warnke, Stephan Meyer. 1. Institute of Sport Sciences, Orthopaedics and Sport Traumatology, Magglingen, Switzerland. roland.biedert@baspo.admin.ch
Abstract
OBJECTIVE: To investigate the results of surgical treatment on athletes presenting with chronic symphysis syndrome (lower abdominal, groin, and adductor pain). DESIGN: Retrospective nonrandomized study. SETTING: Swiss Olympic Medical Center associated with Institute of Sports Sciences. PATIENTS: Twenty-four athletes who were treated for chronic symphysis syndrome, a combination of abdominal, groin, and adductor pain, were evaluated for an average of 6.6 years after surgery. All athletes were males, with a mean age of 25.8 years. The average duration of chronic symptoms was 17 months. INTERVENTIONS: Of patients, 20 underwent spreading of the lateral border of the sheath of the rectus abdominis muscle together with an epimysial adductor release, and 4 had only the reconstruction of the rectus abdominis muscle. MAIN OUTCOME MEASURES: Subjective (questionnaire) and objective (clinical examination) follow-up data using point scores were obtained at a mean of 6.6 years posttreatment. RESULTS: The mean point score in the subjective overall rating was 10.2 (maximum 12) and in the objective rating was 12.0 (maximum 13). Of athletes, 21 were very content, 2 were content, and 1 was not content. Full sports activity was noted in 23 of 24 athletes. CONCLUSIONS: Surgical treatment of chronic symphysis syndrome is successful and can salvage the career of athletes.
OBJECTIVE: To investigate the results of surgical treatment on athletes presenting with chronic symphysis syndrome (lower abdominal, groin, and adductor pain). DESIGN: Retrospective nonrandomized study. SETTING: Swiss Olympic Medical Center associated with Institute of Sports Sciences. PATIENTS: Twenty-four athletes who were treated for chronic symphysis syndrome, a combination of abdominal, groin, and adductor pain, were evaluated for an average of 6.6 years after surgery. All athletes were males, with a mean age of 25.8 years. The average duration of chronic symptoms was 17 months. INTERVENTIONS: Of patients, 20 underwent spreading of the lateral border of the sheath of the rectus abdominis muscle together with an epimysial adductor release, and 4 had only the reconstruction of the rectus abdominis muscle. MAIN OUTCOME MEASURES: Subjective (questionnaire) and objective (clinical examination) follow-up data using point scores were obtained at a mean of 6.6 years posttreatment. RESULTS: The mean point score in the subjective overall rating was 10.2 (maximum 12) and in the objective rating was 12.0 (maximum 13). Of athletes, 21 were very content, 2 were content, and 1 was not content. Full sports activity was noted in 23 of 24 athletes. CONCLUSIONS: Surgical treatment of chronic symphysis syndrome is successful and can salvage the career of athletes.
Authors: Andreas Serner; Casper H van Eijck; Berend R Beumer; Per Hölmich; Adam Weir; Robert-Jan de Vos Journal: Br J Sports Med Date: 2015-01-29 Impact factor: 13.800