ArticleOrthopaedic journal of sports medicine2018
Athletic Pubalgia Secondary to Rectus Abdominis-Adductor Longus Aponeurotic Plate Injury: Diagnosis, Management, and Operative Treatment of 100 Competitive Athletes.
Article in Orthopaedic journal of sports medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 40 citations in OpenAlex.
- Osteitis Pubis in Athletes in the Era of Pubic-Related Groin Pain: Contemporary Concepts in Diagnosis, Rehabilitation, and Surgical Decision-Making.Journal of clinical medicine · 2026Review
- Evaluating the Association Between Core Muscle Injury Symptom Pattern and Concomitant Femoroacetabular Impingement Syndrome.Orthopaedic journal of sports medicine · 2026Article
- 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 Lengthening and Rectus Abdominis Repair via a 2-Incision Approach for Treatment of Core Muscle Injuries: A Technique Guide.Arthroscopy techniques · 2025Article
- Ultrasound-guided intra-muscular botulinum toxin A in athletes with chronic adductor-related groin-pain: A retrospective observational study.JSAMS plus · 2025Article
- The rectus abdominis tendon insertion to the pubic bone and its clinical implications: A cadaveric study.SICOT-J · 2025Article
- Narrative Review and Clinical Recommendations for Sportsman's Hernia and Athletic Pubalgia Based on 30 Years of Expert Experience.Journal of abdominal wall surgery : JAWS · 2025Review
- Review
- Associations Between Hip Pathology, Hip and Groin Pain, and Injuries in Hockey Athletes: A Clinical Commentary.International journal of sports physical therapy · 2024Article
- Cadaveric Analysis of Key Anatomic Structures of Athletic Pubalgia.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023Article
- Article
- Comprehensive Approach to Core Training in Sports Physical Therapy: Optimizing Performance and Minimizing Injuries.International journal of sports physical therapy · 2023Article
- Robotic Abdominal Wall Repair with Endoscopic Adductor Lengthening: A Minimally Invasive Approach for Core Muscle Injuries.Arthroscopy techniques · 2022Article
- A proposed algorithm for the treatment of core muscle injuries.Journal of hip preservation surgery · 2021Review
- High Return to Play Rate and Reduced Career Longevity Following Surgical Management of Athletic Pubalgia in National Basketball Association Players.Arthroscopy, sports medicine, and rehabilitation · 2021Article
- Proximal Adductor Longus Tendon Repair With a Concomitant Distal Fascial Release for Complete Hip Adductor Tendon Tears: Surgical Technique and Outcomes in 40 Male Athletes.Orthopaedic journal of sports medicine · 2021Article
- Surgical Outcomes of Inguinal-, Pubic-, and Adductor-Related Chronic Pain in Athletes: A Systematic Review Based on Surgical Technique.Orthopaedic journal of sports medicine · 2021Review
- Use of Preoperative Magnetic Resonance Imaging to Predict Clinical Outcomes After Core Muscle Injury Repair.Orthopaedic journal of sports medicine · 2021Article
- Surgical Release of the Adductor Longus With or Without Sports Hernia Repair Is a Useful Treatment for Recalcitrant Groin Strains in the Elite Athlete.Orthopaedic journal of sports medicine · 2020Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA rectus abdominis-adductor longus (RA-AL) aponeurotic plate injury, commonly associated with athletic pubalgia, sports hernia, or a core muscle injury, causes significant dysfunction in athletes. Increased recognition of this specific injury distinct from inguinal hernia abnormalities has led to better management of this debilitating condition. HYPOTHESIS: Surgical repair of RA-AL aponeurotic plate injuries will result in decreased symptoms and high rates of return to play. STUDY
designCase series; Level of evidence, 4.
methodsUsing our billing and clinical database, patients who underwent RA-AL aponeurotic plate repair by a single surgeon at a single institution were contacted for Hip Outcome Score (HOS) and return-to-play data. Patients with a confirmed diagnosis by history, physical examination, and magnetic resonance imaging who failed 6 to 12 weeks of appropriate conservative treatment were indicated for surgery. Surgical repair involved adductor longus fractional lengthening, limited adductor longus tenotomy, and a turn-up flap of the released adductor tendon and aponeurosis onto the rectus abdominis for imbrication reinforcement.
resultsOf 100 patients who met the inclusion criteria, 85 (85%) were contacted. A total of 82 (96%) patients were able to return to play at a mean of 4.1 months after repair. Hip function was rated as 98% of normal and sports function as 92% of normal. Factors associated with negative outcomes were multiple procedures, prior inguinal hernia repair, and female sex. Negative outcomes were demonstrated by decreased HOS scores and decreased sports function. The overall complication rate was 7%.
conclusionRA-AL aponeurotic plate repair by the method of an adductor-to-rectus abdominis turn-up flap is a safe procedure with high return-to-play success. Patients who had previously undergone inguinal hernia repair or other hip/pelvic-related surgery and female patients had worse outcomes.
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