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This Article Full Text Full Text (PDF) All Versions of this Article: 35/3/467    most recent 0363546506295180v1 Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Request Reprints Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Verrall, G. M. Articles by Barnes, P. G. Search for Related Content PubMed PubMed Citation Articles by Verrall, G. M. Articles by Barnes, P. G. Related Collections Imaging Studies Hip/groin Football Nonoperative

Outcome of Conservative Management of Athletic Chronic Groin Injury Diagnosed as Pubic Bone Stress Injury

Geoffrey M. Verrall, MBBS, FACSP^,*, John P. Slavotinek, MBBS, FRANSCR, Gerald T. Fon, MBBS, FRANSCR and Peter G. Barnes, MBBS

From the SPORTSMED·SA Sports Medicine Clinic, Adelaide, Australia, and the Department of Medical Imaging, Flinders Medical Centre, Adelaide, Australia

^* Address correspondence to Geoffrey M. Verrall, MBBS, FACSP, SPORTSMED SA, 32 Payneham Road, Stepney, 5069, Adelaide, Australia (e-mail: verrallg{at}bigpond.com).

Background: Little data exist on the results of treatment for sports-related chronic groin injury.

Hypothesis: Sports-related chronic groin injury treated with a conservative (rest) program results in a satisfactory outcome.

Study Design: Case series; Level of evidence, 4.

Methods: Professional Australian male football players, at the end of the playing season, had their groin injury diagnosed using specific clinical and magnetic resonance imaging (MRI) criteria. Those assessed as having a non–hip-related cause for their chronic groin injury were treated principally by 12 weeks of complete rest from active weightbearing activities. Response to treatment was assessed at different stages of rehabilitation by recording the number of athletes who had returned to playing football and the number of athletes without symptoms.

Results: Twenty-seven athletes were considered to have chronic groin injury. Clinical and MRI (pubic bone marrow edema N = 26 [96%]), hyperintense line N = 25 [93%]) criteria suggested a pubic bone stress injury as diagnosis for the chronic groin injury. Eighty-nine percent of athletes returned to sport in the subsequent playing season, with 100% having returned by the second playing season after diagnosis. Forty-one percent of the athletes were without symptoms at the commencement of the following playing season, rising to 67% by the end of that playing season.

Conclusions: Conservative management of athletic chronic groin injury resulted in an excellent outcome when assessed by the return to sport criterion. However, the results were only satisfactory if the criterion of ongoing symptoms after treatment was used. More research is needed to compare the efficacy of all treatments that are used in this troublesome condition.

Key Words: chronic groin injury • pubic bone stress injury • groin pain • magnetic resonance imaging • conservative management

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