Evidence map›Paper›PMID 26380829›Full record

ArticleWorld journal of clinical cases2015

Sports hernia and femoroacetabular impingement in athletes: A systematic review.

Daniele Munegato, Marco Bigoni, Giulia Gridavilla, Stefano Olmi, Giovanni Cesana, Giovanni Zatti

Abstract read
In one paragraph

Article in World journal of clinical cases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. [Femoroacetabular impingement in adolescents].Radiologie (Heidelberg, Germany) · 2023
    Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Imaging of inguinal-related groin pain in athletes.The British journal of radiology · 2018
    Review
  15. IncidentalMolecular imaging and radionuclide therapy · 2018
    Article
  16. Review
  17. Cam morphology and inguinal pathologies: is there a possible connection?Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2017
    Observational
  18. Article
  19. Femoroacetabular impingement.Revista brasileira de ortopedia
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Daniele MunegatoDaniele Munegato, Marco Bigoni, Giulia Gridavilla, Giovanni Zatti, Clinica Ortopedica AO San Gerardo, Università degli Studi di Milano Bicocca, 20900 Monza, Italy.
Marco BigoniDaniele Munegato, Marco Bigoni, Giulia Gridavilla, Giovanni Zatti, Clinica Ortopedica AO San Gerardo, Università degli Studi di Milano Bicocca, 20900 Monza, Italy.
Giulia GridavillaDaniele Munegato, Marco Bigoni, Giulia Gridavilla, Giovanni Zatti, Clinica Ortopedica AO San Gerardo, Università degli Studi di Milano Bicocca, 20900 Monza, Italy.
Stefano OlmiDaniele Munegato, Marco Bigoni, Giulia Gridavilla, Giovanni Zatti, Clinica Ortopedica AO San Gerardo, Università degli Studi di Milano Bicocca, 20900 Monza, Italy.
Giovanni CesanaDaniele Munegato, Marco Bigoni, Giulia Gridavilla, Giovanni Zatti, Clinica Ortopedica AO San Gerardo, Università degli Studi di Milano Bicocca, 20900 Monza, Italy.
Giovanni ZattiDaniele Munegato, Marco Bigoni, Giulia Gridavilla, Giovanni Zatti, Clinica Ortopedica AO San Gerardo, Università degli Studi di Milano Bicocca, 20900 Monza, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate the association between sports hernias and femoroacetabular impingement (FAI) in athletes.

methodsPubMed, MEDLINE, CINAHL, Embase, Cochrane Controlled Trials Register, and Google Scholar databases were electronically searched for articles relating to sports hernia, athletic pubalgia, groin pain, long-standing adductor-related groin pain, Gilmore groin, adductor pain syndrome, and FAI. The initial search identified 196 studies, of which only articles reporting on the association of sports hernia and FAI or laparoscopic treatment of sports hernia were selected for systematic review. Finally, 24 studies were reviewed to evaluate the prevalence of FAI in cases of sports hernia and examine treatment outcomes and evidence for a common underlying pathogenic mechanism.

resultsFAI has been reported in as few as 12% to as high as 94% of patients with sports hernias, athletic pubalgia or adductor-related groin pain. Cam-type impingement is proposed to lead to increased symphyseal motion with overload on the surrounding extra-articular structures and muscle, which can result in the development of sports hernia and athletic pubalgia. Laparoscopic repair of sports hernias, via either the transabdominal preperitoneal or extraperitoneal approach, has a high success rate and earlier recovery of full sports activity compared to open surgery or conservative treatment. For patients with FAI and sports hernia, the surgical management of both pathologies is more effective than sports pubalgia treatment or hip arthroscopy alone (89% vs 33% of cases). As sports hernias and FAI are typically treated by general and orthopedic surgeons, respectively, a multidisciplinary approach for diagnosis and treatment is recommended for optimal treatment of patients with these injuries.

conclusionThe restriction in range of motion due to FAI likely contributes to sports hernias; therefore, surgical treatment of both pathologies represents an optimal therapy.

Indexed as

Athletic pubalgiaFemoroacetabular impingementGroin painLaparoscopic treatmentSports hernia

Identifiers

PMID26380829
PMCPMC4568531

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.