Evidence map›Paper›PMID 42565835›Full record

ArticleSkeletal radiology2026

Prevalence and severity of pubic symphysis radiographic findings in male and female sub-elite football players with and without hip and/or groin pain.

David F Hanff, Adam Weir, Rintje Agricola, Andrea B Mosler, Joanne L Kemp, Mark J Scholes, Kay Crossley, Kiki de Smidt, Matthew G King, Ben Mentiplay and 5 more

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Article in Skeletal radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

15 authors.

David F HanffDepartment of Radiology & Nuclear Medicine, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.
Adam WeirDepartment of Orthopaedics and Sports Medicine, Erasmus MC, Erasmus University Medical Center, Rotterdam, the Netherlands.
Rintje AgricolaDepartment of Orthopaedics and Sports Medicine, Erasmus MC, Erasmus University Medical Center, Rotterdam, the Netherlands.
Andrea B MoslerLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Australia.
Joanne L KempLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Australia.
Mark J ScholesLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Australia.
Kay CrossleyLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Australia.
Kiki de SmidtDepartment of Orthopaedics and Sports Medicine, Erasmus MC, Erasmus University Medical Center, Rotterdam, the Netherlands.
Matthew G KingLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Australia.
Ben MentiplayLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Australia.
Peter LawrensonLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Australia.
Mick GirdwoodLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Australia.
Adam SemciwLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Australia.
Edwin H G OeiDepartment of Radiology & Nuclear Medicine, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.
Joshua HeereyLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Australia. j.heerey@latrobe.edu.au.

Funding

National Health and Medical Research Council 1088683
6 · The paper itself

Abstract

objectiveTo determine the prevalence and severity of radiographic features of the pubic symphysis in sub-elite football players (soccer and Australian football) with and without hip and/or groin pain, and to compare these features between men and women. MATERIALS AND

methodsTwo hundred and thirty-nine football players (184 symptomatic, 55 asymptomatic; 187 men, 52 women) were included. Participants underwent a supine anteroposterior pelvic radiograph. Five pubic symphysis radiographic features were assessed using the Aspetar scoring protocol. Radiographic severity score was defined as the total number of radiographic features present (range 0-5). Two readers independently evaluated all radiographs. Regression analyses adjusted for age, sex (where applicable), body mass index, sport type, and training load compared radiographic feature prevalence and severity between groups.

resultsRadiographic feature prevalence and severity did not differ between symptomatic and asymptomatic participants. Men more frequently demonstrated erosion-like configuration (28% vs 10%; adjusted odds ratio (aOR) 3.58, 95% CI 1.32-9.71; p = 0.012) and sclerosis (70% vs 44%; aOR 2.46, 95% CI 1.25-4.84; p = 0.009), whereas bony proliferation and fragmentation were more common in women (54% vs 30%; aOR 0.34, 95% CI 0.18-0.66; p = 0.002 and aOR 0.25, 95% CI 0.08-0.78, p = 0.017, respectively). Radiographic severity score did not differ between men and women (adjusted incidence rate ratio (aIRR) 1.21, 95% CI 0.89-1.66; p = 0.227).

conclusionThe prevalence and severity of radiographic features at the pubic symphysis did not differ between symptomatic and asymptomatic football players. However, sex-related differences in radiographic findings were evident.

Indexed as

AthletesGroin painPelvisPubic symphysisRadiographs

Identifiers

PMID42565835

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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.