Rachel Taylor1, Zarko Vuckovic1, Andrea Mosler2, Rintje Agricola1,3, Roald Otten1, Philipp Jacobsen1, Per Holmich1,4, Adam Weir1. 1. Aspetar Orthopedic and Sports Medicine Hospital, Doha, Qatar. 2. La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Victoria, Australia. 3. Erasmus University Medical Centre, Rotterdam, the Netherlands. 4. Sports Orthopedic Research Center Copenhagen, Department of Orthopedic Surgery, University Hospital of Copenhagen, Amager and Hvidovre, Denmark.
Abstract
OBJECTIVE: To examine the prevalence of different causes of groin pain in athletes using the recent Doha consensus classification of terminology and definitions of groin pain in athletes. DESIGN: Descriptive epidemiological study. SETTING: Multidisciplinary sports groin pain clinic at Aspetar Orthopedic and Sports Medicine Hospital, Doha, Qatar. PATIENTS: The clinical records of 100 consecutive athletes with complaints of groin pain who attended the multidisciplinary sports groin pain clinic between January and December 2014 were analyzed. MAIN OUTCOME MEASURES: The causes of groin pain were categorized according to terminology and definitions agreed upon at the Doha consensus meeting on groin pain classification in athletes. The classification system has 3 main subheadings; defined clinical entities for groin pain (adductor-related, iliopsoas-related, inguinal-related, and pubic-related groin pain), hip-related groin pain, and other causes of groin pain in athletes. RESULTS: The majority of athletes were male (98%) soccer players (60%). Multiple causes for groin pain were found in 44% of the athletes. Adductor-related groin pain was the most prevalent defined clinical entity (61% of athletes), and pubic-related groin pain was the least prevalent (4% of athletes). CONCLUSIONS: Adductor-related groin pain is the most commonly occurring clinical entity in this athlete population in mainly kicking and change of direction sports and frequently, multiple causes are found. CLINICAL RELEVANCE: This is the first study to use the Doha agreement classification system and highlights the prevalence of adductor-related groin pain and that often multiple clinical entities contribute to an athlete's groin pain. Consequently, prevention programs should be implemented with these factors in mind.
OBJECTIVE: To examine the prevalence of different causes of groin pain in athletes using the recent Doha consensus classification of terminology and definitions of groin pain in athletes. DESIGN: Descriptive epidemiological study. SETTING: Multidisciplinary sports groin pain clinic at Aspetar Orthopedic and Sports Medicine Hospital, Doha, Qatar. PATIENTS: The clinical records of 100 consecutive athletes with complaints of groin pain who attended the multidisciplinary sports groin pain clinic between January and December 2014 were analyzed. MAIN OUTCOME MEASURES: The causes of groin pain were categorized according to terminology and definitions agreed upon at the Doha consensus meeting on groin pain classification in athletes. The classification system has 3 main subheadings; defined clinical entities for groin pain (adductor-related, iliopsoas-related, inguinal-related, and pubic-related groin pain), hip-related groin pain, and other causes of groin pain in athletes. RESULTS: The majority of athletes were male (98%) soccer players (60%). Multiple causes for groin pain were found in 44% of the athletes. Adductor-related groin pain was the most prevalent defined clinical entity (61% of athletes), and pubic-related groin pain was the least prevalent (4% of athletes). CONCLUSIONS: Adductor-related groin pain is the most commonly occurring clinical entity in this athlete population in mainly kicking and change of direction sports and frequently, multiple causes are found. CLINICAL RELEVANCE: This is the first study to use the Doha agreement classification system and highlights the prevalence of adductor-related groin pain and that often multiple clinical entities contribute to an athlete's groin pain. Consequently, prevention programs should be implemented with these factors in mind.
Authors: G N Bisciotti; F Di Marzo; A Auci; F Parra; G Cassaghi; A Corsini; M Petrera; P Volpi; Z Vuckovic; M Panascì; R Zini Journal: J Orthop Traumatol Date: 2017-09-18
Authors: Joshua Heerey; Joanne Kemp; Rintje Agricola; Ramya Srinivasan; Anne Smith; Tania Pizzari; Matthew King; Peter Lawrenson; Mark Scholes; Thomas Link; Richard Souza; Sharmila Majumdar; Kay Crossley Journal: BMJ Open Sport Exerc Med Date: 2021-12-15