Eric St-Onge1, Ian G MacIntyre2, Anthony M Galea2. 1. Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Ontario, M2H 3J1; Sports Sciences Resident, Division of Graduate Studies. 2. Private practice, Etobicoke, Ontario, Canada.
Abstract
OBJECTIVE: To present the clinical management of inguinal disruption in a professional hockey player and highlight the importance of a multidisciplinary approach to diagnosis and management. CLINICAL FEATURES: A professional hockey player with recurrent groin pain presented to the clinic after an acute exacerbation of pain while playing hockey. INTERVENTION: The patient received a clinical diagnosis of inguinal disruption. Imaging revealed a tear in the rectus abdominis. Management included two platelet-rich plasma (PRP) injections to the injured tissue, and subsequent manual therapy and exercise. The patient returned to his prior level of performance in 3.5 weeks. DISCUSSION: This case demonstrated the importance of a multidisciplinary team and the need for advanced imaging in athletes with groin pain. SUMMARY: Research quality concerning the non-surgical management of inguinal disruption remains low. This case adds evidence that PRP, with the addition of manual therapy and exercise may serve as a relatively quick and effective non-surgical management strategy.
OBJECTIVE: To present the clinical management of inguinal disruption in a professional hockey player and highlight the importance of a multidisciplinary approach to diagnosis and management. CLINICAL FEATURES: A professional hockey player with recurrent groin pain presented to the clinic after an acute exacerbation of pain while playing hockey. INTERVENTION: The patient received a clinical diagnosis of inguinal disruption. Imaging revealed a tear in the rectus abdominis. Management included two platelet-rich plasma (PRP) injections to the injured tissue, and subsequent manual therapy and exercise. The patient returned to his prior level of performance in 3.5 weeks. DISCUSSION: This case demonstrated the importance of a multidisciplinary team and the need for advanced imaging in athletes with groin pain. SUMMARY: Research quality concerning the non-surgical management of inguinal disruption remains low. This case adds evidence that PRP, with the addition of manual therapy and exercise may serve as a relatively quick and effective non-surgical management strategy.
Authors: Andreas Serner; Johannes L Tol; Nabil Jomaah; Adam Weir; Rodney Whiteley; Kristian Thorborg; Matthew Robinson; Per Hölmich Journal: Am J Sports Med Date: 2015-05-14 Impact factor: 6.202
Authors: Aali J Sheen; B M Stephenson; D M Lloyd; P Robinson; D Fevre; H Paajanen; A de Beaux; A Kingsnorth; O J Gilmore; D Bennett; I Maclennan; P O'Dwyer; D Sanders; M Kurzer Journal: Br J Sports Med Date: 2013-10-22 Impact factor: 13.800