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. 2016 Oct 26;51(6):692-696.
doi: 10.1016/j.rboe.2016.10.011. eCollection 2016 Nov-Dec.

Epidemiological profile of patients diagnosed with athletic pubalgia

Anderson Luiz de Oliveira  1 , Carlos Vicente Andreoli  1 , Benno Ejnisman  1 , Roberto Dantas Queiroz  1 , Osvaldo Guilherme Nunes Pires  1 , Guilherme Guadagnini Falótico  1
Affiliations

Epidemiological profile of patients diagnosed with athletic pubalgia

Anderson Luiz de Oliveira et al. Rev Bras Ortop. .

Abstract
in English, Portuguese

Objective: To evaluate the clinical and epidemiological characteristics of pubalgia in patients from a Sports Medicine Center.

Methods: 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.

Objetivo: Avaliar as características clínico-epidemiológicas da pubalgia do atleta nos pacientes de um centro de referência no atendimento a esportistas.

Métodos: Avaliação dos prontuários de pacientes com pubalgia do atleta atendidos entre janeiro de 2007 e janeiro de 2015. O diagnóstico foi feito pelo exame clínico feito por ortopedista pós-graduado em quadril, complementado com radiografia de bacia, ultrassonografia de parede abdominal e ressonância magnética da pelve.

Resultados: Dos 43 pacientes avaliados, 42 eram homens, com média de 33 anos. Quanto aos esportes, 25 (58,1%) atletas praticavam futebol e 13 (30,2%) eram corredores; 37,2% eram atletas profissionais. Foi diagnosticada hérnia inguinal em 20,9% dos pacientes, o que demonstra a importância de sua pesquisa rotineira nesses pacientes. A duração do tratamento variou de um a 12 meses e 95,2% dos pacientes retornaram ao esporte.

Conclusão: O presente estudo apresenta as características epidemiológicas dos pacientes com diagnóstico de pubalgia do atleta atendidos num centro de referência e demonstra o predomínio dessa lesão nos pacientes do sexo masculino praticantes de futebol e de corrida. Mostra também alta taxa de sucesso do tratamento não operatório, bem como elevado índice de retorno à prática esportiva após tratamento.

Keywords: Athletic injuries; Hernia; Pubic symphysis; Sports.

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References

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