Epidemiological profile of patients diagnosed with athletic pubalgia

Data analysis from medical records of patients with athletic pubalgia attended to from January 2007 to January 2015. The diagnosis was made by an experienced hip surgeon, complemented with pelvic X-ray, abdominal wall ultrasound, and magnetic resonance imaging of the pelvis.

RESULTS:

Among 43 patients, 42 were men, with mean age of 33 years. As for sports, 25 (58.1%) athletes were soccer players and 13 (30.2%) were runners; 37.2% were professional athletes. Inguinal hernia was diagnosed in 20.9% of patients, showing the importance of its routine search in these patients. Treatment duration ranged from 1 to 12 months and 95.2% of the patients returned to sport.

CONCLUSION:

This study presented the epidemiological characteristics of patients diagnosed with athletic pubalgia attended to in a reference medical center and demonstrated the prevalence of this lesion in male patients, soccer players and runners. It also disclosed a high success rate of the nonoperative treatment, and high rate of return to sport after treatment.

Keywords:
Athletic injuries; Pubic symphysis; Hernia; Sports

Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br

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[1] * Corresponding author. E-mail: anderson_luizoliveira@hotmail.com (A.L. Oliveira).

Age (years)
Mean (SD)	32.8 (12.4)
Median	31
Minimum–maximum	16–67

Age – n (%)
<20 years	4 (9.3)
20–29 years	16 (37.2)
30–39 years	12 (27.9)
40–49 years	5 (11.6)
≥50 years	6 (14.0)

Gender – n (%)
Female	1 (2.3)
Male	42 (97.7)

Sport – n (%)
Athletics	10 (23.3)
Athletics and capoeira fight	1 (2.3)
Athletics and swimming	1 (2.3)
Classical Ballet	1 (2.3)
Basketball	1 (2.3)
Cycling and soccer	1 (2.3)
Circus and football	1 (2.3)
Soccer	22 (51.2)
Soccer and athletics	1 (2.3)
Jiujitsu	1 (2.3)
Judo	1 (2.3)
Karate	1 (2.3)
Rodeo	1 (2.3)

Category – n (%)
Amateur	21 (48.8)
Professional	16 (37.2)
Recreational	6 (14.0)

Dominance – n (%)
Left	9 (20.9)
Right	34 (79.1)

Resistance training – n (%)
No	25 (58.1)
Yes	18 (41.9)

Frequency of resistance training – n (%)
None	25 (58.1)
1x/week	2 (4.7)
2x/week	8 (18.6)
3x/week	6 (14.0)
4x/week	2 (4.7)

Time between sport initiation and symptom onset (years)	(n= 30)
Mean (SD)	11.7 (8.6)
Median (Q1; Q3)	10 (5; 17.25)
Minimum–maximum	1–40

Time between symptom onset and definitive diagnosis (months)
Mean (SD)	9.2 (10.9)
Median (Q1; Q3)	6 (3; 12)
Minimum–maximum	1–53

Diagnoses prior to the definitive diagnosis – n (%)	(n= 42)
No	40 (95.2)
Yes	2 (4.8)

Other orthopedic pathologies – n (%)
No	29 (67.4)
Yes	14 (32.6)

Comorbidities – n (%)
No	34 (79.1)
Yes	9 (20.9)

Physiotherapy time (months)	(n= 42)
Mean (SD)	4.6 (2.5)
Median (Q1; Q3)	4 (3; 6)
Minimum-Maximum	1–12

Injections – n (%)	(n= 42)
No	35 (83.3)
Yes	7 (16.7)

Surgery – n (%)	(n= 42)
No	40 (95.2)
Yes	2 (4.8)

Injury leave – n (%)	(n= 42)
No	28 (66.7)
Yes	14 (33.3)

Return to sports practice – n (%)	(n= 42)
No	2 (4.8)
Yes	40 (95.2)

Recurrence – n (%)
No	39 (90.7)
Yes	4 (9.3)
95% CI	[3.7; 21.7]

Brasil

Brasil

Epidemiological profile of patients diagnosed with athletic pubalgia☆ ☆ I work at the Sports Traumatology Center (CETE), Department of Orthopedics and Traumatology, Federal University of São Paulo, São Paulo, SP, Brazil.

ABSTRACT

OBJECTIVE:

METHODS:

RESULTS:

CONCLUSION:

Epidemiological profile of patients diagnosed with athletic pubalgia^{^☆} ☆ I work at the Sports Traumatology Center (CETE), Department of Orthopedics and Traumatology, Federal University of São Paulo, São Paulo, SP, Brazil.