ArticleBritish journal of sports medicine2016
Athletic groin pain (part 1): a prospective anatomical diagnosis of 382 patients--clinical findings, MRI findings and patient-reported outcome measures at baseline.
Article in British journal of sports medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02437942 (An Examination of the Anatomical and Biomechanical Diagnoses That Exist in Athletic Groin Pain Patients and the Effects of a Biomechanics Led Rehabilitation Intervention in These Same Patients), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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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.
An Examination of the Anatomical and Biomechanical Diagnoses That Exist in Athletic Groin Pain Patients and the Effects of a Biomechanics Led Rehabilitation Intervention in These Same Patients
Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.
- Anatomical variations of the pyramidalis muscle: a systematic review and meta-analysis.Surgical and radiologic anatomy : SRA · 2021Pooled it
- Prevalence and severity of pubic symphysis radiographic findings in male and female sub-elite football players with and without hip and/or groin pain.Skeletal radiology · 2026Article
- Do we need another randomised controlled trial for sportsman's groin?Hernia : the journal of hernias and abdominal wall surgery · 2026Review
- Groin Pain Syndrome: Analysis of Surgical and Nonsurgical Outcomes Between Athletes and Nonathletes With "Sports Hernia" Using a Standardized Management Algorithm.Orthopaedic journal of sports medicine · 2026Article
- Adductor-Related Athletic Groin Pain: A Clinical Commentary.International journal of sports physical therapy · 2026Article
- What the Radiologist Needs to Know About Sport Hernias: A Systematic Review of the Current Literature.Diagnostics (Basel, Switzerland) · 2025Review
- Inguinal-Related Groin Pain and/or Disruption in Athletes: Current Understanding, Assessment and Management Strategies.Open access journal of sports medicine · 2025Review
- A New Clinical Examination Algorithm to Prescribe Conservative Treatment in People with Hip-Related Pain.Pain and therapy · 2024Review
- Current Clinical Concepts: Exercise and Load Management of Adductor Strains, Adductor Ruptures, and Long-Standing Adductor-Related Groin Pain.Journal of athletic training · 2023Review
- Cadaveric Analysis of Key Anatomic Structures of Athletic Pubalgia.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023Article
- Imaging of groin pain in athletes: patterns of injury at MRI and gender differences therein.Irish journal of medical science · 2023Article
- Clinical examination for athletes with inguinal-related groin pain: interexaminer reliability and prevalence of positive tests.BMJ open sport & exercise medicine · 2023Article
- Movement Variability and Loading Characteristics in Athletes With Athletic Groin Pain: Changes After Successful Return to Play and Compared With Uninjured Athletes.Orthopaedic journal of sports medicine · 2022Article
- Long-standing pubic-related groin pain in professional academy soccer players: a prospective cohort study on possible risk factors, rehabilitation and return to play.BMC musculoskeletal disorders · 2021Article
- Hip Muscle Strength Explains Only 11% of the Improvement in HAGOS With an Intersegmental Approach to Successful Rehabilitation of Athletic Groin Pain.The American journal of sports medicine · 2021Article
- The cleft sign may be an independent factor of magnetic resonance imaging findings associated with a delayed return-to-play time in athletes with groin pain.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- The Case of Insertional Adductor Tendinopathy of an International-Level 3,000-m Steeplechase Runner.Frontiers in sports and active living · 2021Article
- A study exploring the prevalence of Extremity Pain of Spinal Source (EXPOSS).The Journal of manual & manipulative therapy · 2020Article
- Rehabilitation interventions need more than methodological standardisation: an individualised approach.BMJ open sport & exercise medicine · 2020Article
- Groin pain caused by iliopsoas synovial cyst treated with endoscopic approach. A case report.Acta bio-medica : Atenei Parmensis · 2019Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAthletic groin pain remains a common field-based team sports time-loss injury. There are few reports of non-surgically managed cohorts with athletic groin pain.
aimTo describe clinical presentation/examination, MRI findings and patient-reported outcome (PRO) scores for an athletic groin pain cohort.
methodsAll patients had a history including demographics, injury duration, sport played and standardised clinical examination. All patients underwent MRI and PRO score to assess recovery. A clinical diagnosis of the injured anatomical structure was made based on these findings. Statistical assessment of the reliability of accepted standard investigations undertaken in making an anatomical diagnosis was performed.
result382 consecutive athletic groin pain patients, all male, enrolled. Median time in pain at presentation was (IQR) 36 (16-75) weeks. Most (91%) played field-based ball-sports. Injury to the pubic aponeurosis (PA) 240 (62.8%) was the most common diagnosis. This was followed by injuries to the hip in 81 (21.2%) and adductors in 56 (14.7%) cases. The adductor squeeze test (90° hip flexion) was sensitive (85.4%) but not specific for the pubic aponeurosis and adductor pathology (negative likelihood ratio 1.95). Analysed in series, positive MRI findings and tenderness of the pubic aponeurosis had a 92.8% post-test probability.
conclusionsIn this largest cohort of patients with athletic groin pain combining clinical and MRI diagnostics there was a 63% prevalence of PA injury. The adductor squeeze test was sensitive for athletic groin pain, but not specific individual pathologies. MRI improved diagnostic post-test probability. No hernia or incipient hernia was diagnosed. CLINICAL TRIAL REGISTRATION NUMBER: NCT02437942.
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