Journal of Sports Science and Medicine
Journal of Sports Science and Medicine
ISSN: 1303 - 2968   
Ios-APP Journal of Sports Science and Medicine
Androit-APP Journal of Sports Science and Medicine
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©Journal of Sports Science and Medicine (2007) 06, 71 - 76

Research article
MRI Findings Do not Correlate with Outcome in Athletes with Chronic Groin Pain
Adrien Daigeler1, Orlin Belyaev1, Werner H. Pennekamp2, Stephan Morrosch3, Odo Köster2, Waldemar Uhl1, Dirk Weyhe1, 
Author Information
1 Department of Surgery,
2 Department of Diagnostic and Interventional Radiology and Nuclear Medicine,
3 Department of Anaesthesiology, St. Josef Hospital, Ruhr University Bochum, Bochum, Germany

Dirk Weyhe
✉ Department of Surgery, St. Josef Hospital, Ruhr University Bochum, Gudrunstraβe 56, 44791 Bochum, Germany
Email: d.weyhe@elis-stiftung.de
Publish Date
Received: 18-09-2006
Accepted: 21-12-2006
Published (online): 01-03-2007
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ABSTRACT

This trial aimed to assess the value of MRI in the differential diagnosis of chronic groin pain in athletes, a condition caused by various pathologies, the most common being posterior abdominal wall deficiency, osteitis pubis and muscular imbalance. Nineteen subjects with clinically ruled-out hernia and recurrent episodes of exercise-triggered groin pain were assessed. Dynamic MRI was performed under Valsalva manoeuver and at rest within a training- free period and after training activity. Follow-up was performed after 4 years using a questionnaire and physical examination. An incipient hernia was seen in one case, Valsalva manoeuver provoked a visible bulging in 7 others (3 bilateral). Eight athletes showed symphysitis (accompanied by bulging in 3 cases). MRI visualized one hydrocele, one osteoma of the left femur, one enchondroma of the pubic bone, and one dilated left ureter without clinical symptoms or therapeutic relevance. MRI findings after training and during the training free period did not vary. Fifteen participants were available for a follow-up control examination 4 years later - one suffered from ongoing pain, eleven were free of symptoms and three had improvement. However, most of them improved only with changing or reducing training. There were four participants with a specific therapy of their MRI findings. MRI revealed a variety of pathological findings in athletes suffering from chronic groin pain, but it was not reliable enough in differentiating between diagnoses requiring conservative or operative treatment. The MRI examination within the training interval did not have an advantage to that within the training-free period. Further randomized prospective trials with a long follow-up should establish whether MRI findings could be of help in the choice between conservative and surgical treatment for chronic groin pain.

Key words: MRI, hernia, athletes, chronic groin pain, symphysitis


           Key Points
  • MRI findings after training and during the train free period did not vary.
  • MRI revealed a variety of pathological findings in athletes suffering from chronic groin pain, but it was not reliable enough in differentiating between diagnoses requiring conservative or operative treatment.
 
 
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