Author(s): Mosler AB, Agricola R, Weir A, Hölmich P, Crossley KM (2015) Which factors differentiate athletes with hip/groin pain from those without? A systematic review with meta-analysis. Br J Sports Med: 810.
Background Hip and groin injuries are common in many sports. Understanding the factors differentiating athletes with hip/groin pain from those without these injuries could facilitate management and prevention.
Objective Conduct a systematic review and meta-analysis of the literature on factors differentiating athletes with and without hip/groin pain.
Methods The review was registered as PROSPERO CRD42014007416 and a comprehensive, systematic search was conducted in June 2014. Inclusion criteria were: cross-sectional, cohort or case–control study designs of n>10 that examined outcome measures differentiating athletes with and without hip/groin pain. Two authors independently screened search results, assessed study quality, and performed data extraction. Methodological heterogeneity was determined and data pooled for meta-analysis when appropriate. A best evidence synthesis was performed on the remaining outcome measures.
Results Of 2251 titles identified, 17 articles were included of which 10 were high quality. Sixty two different outcome measures were examined, 8 underwent meta-analysis. Pooled data showed strong evidence that athletes with hip/groin pain demonstrated: pain and lower strength on the adductor squeeze test, reduced range of motion in hip internal rotation and bent knee fall out; however, hip external rotation range was equivalent to controls. Strong evidence was found that lower patient-reported outcome (PRO) scores, altered trunk muscle function, and moderate evidence of bone oedema and secondary cleft sign were associated with hip/groin pain.
Referred From: http://bjsm.bmj.com/content/49/12/810.short
Author(s): Sedaghati P, Alizadeh MH, Shirzad E, Ardjmand A (2013) Review of Sport-Induced Groin Injuries. Trauma Mon 18: 107-112.
Author(s): Kuzuhara K, Shimamoto H, Mase Y (2009) Ice Hockey Injuries in a Japanese Elite Team: A 3-Year Prospective Study. J Athl Train 44: 208-214.
Author(s): Tyler TF, Silvers HJ, Gerhardt MB, Nicholas SJ (2010) Groin Injuries in Sports Medicine. Sports Health 2: 231-236.
Author(s): Merrifield HH, Cowan RFJ (1973) Groin strain injuries in ice hockey. A disparity in muscle strength between both hip joint adductor muscle groups was found to be a contributing factor in groin strain injuries. Am J Sports Med 1: 41-42
Author(s): TegnerY,LorentzonR (1991) Ice hockey injuries: incidence, nature and causes.Br J Sports Med 25: 87-89.
Author(s): RenströmP,PetersonL (1980) Groin injuries in athletes.Br J Sports Med 14: 30-36.
Author(s): Renström AFH (1997) Groin Injuries: A True Challenge in Orthopaedic Sports Medicine. Sports Med Arthrosc 5: 247-335.
Author(s): Kai B, Lee K, Gordon A, Wilkinson M, Forster BB (2010) Puck to Pubalgia: Imaging of Groin Pain in Professional Hockey Players. Can Assoc of Radiol J 61: 74-79.
Author(s): Whittaker JL, Small C, Maffey L, Emery CA (2015) Risk factors for groin injury in sport: an updated systematic review. Br J Sports Med 49: 803-809.
Author(s): Thorborg K, Branci S, Nielsen MP, Tang L, Nielsen MB, et al. (2014) Eccentric and isometric hip adduction strength in male soccer players with and without adductor-related groin pain: An assessor-blinded comparison.Orthop J Sports Med 2.
Author(s): Schiltz M, Lehance C, Maquet D, Bury T, Crielaard JM, Croisier JL (2009) Explosive strength imbalances in professional basketball players. J Athl Train 44: 39-47.
Author(s): Association WM (2013) World Medical Association Declaration of Helsinki Ethical Principles for Medical Research Involving Human Subjects. JAMA 310: 2191-2194.
Author(s): Gabbe BJ, Finch CF, Bennell KL, Wajswelner H (2003) How valid is a self reported 12 month sports injury history? Br J Sports Med 37: 545-547.