PUBALGIE : Peut-on reprendre rapidement le sport de haut niveau ?
CONCLUSION
La pubalgie est une pathologie fonctionnelle qui diminue le contrôle neuromusculaire du bassin. Initialement bien tolérée, elle évolue vers un état chronique, et provoque un arrêt prématuré de carrières sportives. L’examen clinique et l’imagerie permettent de suivre et contrôler l’évolution de la pubalgie chronique. La réévaluation de la stabilité lombo-pelvienne est une aide précieuse lors du protocole de rééducation et de la validation de chaque étape, permettant ainsi un retour à la compétition plus rapide.
Article information
Transl Med UniSa. 2014 Sep-Dec; 10: 52–58.
Published online Apr 8, 2014.
Jaume Jardí, MD,1 Gil Rodas, MD,1 Carles Pedret, MD,2 Lluis Til, MD,1 Manuel Cusí, MD,3 Nikolaos Malliaropoulos, MD,4 Angelo Del Buono, MD,5 and Nicola Maffulli, MD, MS, PhD FRCS(Orth)6
(1) F.C. Barcelona Medical Department. Barcelona. Spain
(2) Centre de Diagnòstic per Imatge de Tarragona. Tarragona. Spain
(3) Sydney School of Medicine. University of Notre Dame. Sydney. Australia
(4) National Track & Field Centre, Sports Medicine Clinic of S.E.G.A.S., Thessaloniki, Greece
(5) Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo, Rome, Italy
(6) Centre Lead and Professor of Sports and Exercise Medicine Consultant Trauma and Orthopaedic Surgeon Centre for Sports and Exercise Medicine Barts and The London School of Medicine and Dentistry Mile End Hospital
1. Macintyre J, Johson C, Schroeder EL. Groin pain in athletes. Curr Sports Med Rep. 2006;5:293–9. [PubMed ]
2. Fricker PA, Taunton JE, Ammann W. Osteitis pubis in athletes. Infection, inflammation or injury? Sports Med. 1991;12:266–79. [PubMed ]
3. Zoga AC, Kavanagh EC, Omar IM, Morrison WB, Koulouris G, Lopez H, Chaabra A, Domesek J, Meyers WC. Athletic pubalgia and the “sports hernia”: MR imaging findings. Radiology. 2008;247:797–807. [PubMed ]
4. Gilmore J. Groin pain in the soccer athlete: fact, fiction, and treatment. Clin Sports Med. 1998;17:787–93. vii. [PubMed ]
5. Swan KG, Jr, Wolcott M. The athletic hernia: a systematic review. Clin Orthop Relat Res. 2007;455:78–87. [PubMed ]
6. Kunduracioglu B, Yilmaz C, Yorubulut M, Kudas S. Magnetic resonance findings of osteitis pubis. J Magn Reson Imaging. 2007;25:535–9. [PubMed ]
7. Pauli S, Willemsen P, Declerck K, Chappel R, Vanderveken M. Osteomyelitis pubis versus osteitis pubis: a case presentation and review of the literature. Br J Sports Med. 2002;36:71–3. [PMC free article ] [PubMed ]
8. Rodriguez C, Miguel A, Lima H, Heinrichs K. Osteitis Pubis Syndrome in the Professional Soccer Athlete: A Case Report. J Athl Train. 2001;36:437–440. [PMC free article ] [PubMed ]
9. Williams PR, Thomas DP, Downes EM. Osteitis pubis and instability of the pubic symphysis. When nonoperative measures fail. Am J Sports Med. 2000;28:350–5. [PubMed ]
10. Verrall GM, Slavotinek JP, Fon GT. Incidence of pubic bone marrow oedema in Australian rules football players: relation to groin pain. Br J Sports Med. 2001;35:28–33. [PMC free article ] [PubMed ]
11. Schilders E, Bismil Q, Robinson P, O'Connor PJ, Gibbon WW, Talbot JC. Adductor-related groin pain in competitive athletes. Role of adductor enthesis, magnetic resonance imaging, and entheseal pubic cleft injections. J Bone Joint Surg Am. 2007;89:2173–8. [PubMed ]
12. Verrall GM, Slavotinek JP, Fon GT, Barnes PG. Outcome of conservative management of athletic chronic groin injury diagnosed as pubic bone stress injury. Am J Sports Med. 2007;35:467–74. [PubMed ]
13. Walden M, Hagglund M, Ekstrand J. UEFA Champions League study: a prospective study of injuries in professional football during the 2001–2002 season. Br J Sports Med. 2005;39:542–6. [PMC free article ] [PubMed ]
14. Holmich P, Holmich LR, Bjerg AM. Clinical examination of athletes with groin pain: an intraobserver and interobserver reliability study. Br J Sports Med. 2004;38:446–51. [PMC free article ] [PubMed ]
15. Lovell G. The diagnosis of chronic groin pain in athletes: a review of 189 cases. Aust J Sci Med Sport. 1995;27:76–9. [PubMed ]
16. Arnason A, Sigurdsson SB, Gudmundsson A, Holme I, Engebretsen L, Bahr R. Risk factors for injuries in football. Am J Sports Med. 2004;32:5S–16S. [PubMed ]
17. Orchard JW. Intrinsic and extrinsic risk factors for muscle strains in Australian football. Am J Sports Med. 2001;29:300–3. [PubMed ]
18. Radic R, Annear P. Use of pubic symphysis curettage for treatment-resistant osteitis pubis in athletes. Am J Sports Med. 2008;36:122–8. [PubMed ]
19. Mehin R, Meek R, O'Brien P, Blachut P. Surgery for osteitis pubis. Can J Surg. 2006;49:170–6. [PMC free article ] [PubMed ]
20. Cunningham PM, Brennan D, O'Connell M, MacMahon P, O'Neill P, Eustace S. Patterns of bone and soft-tissue injury at the symphysis pubis in soccer players: observations at MRI. AJR Am J Roentgenol. 2007;188:W291–6. [PubMed ]
21. Balius R. Patologia muscular en el deporte. Masson: Barcelona; 2004.
22. Wollin M, Lovell G. Osteitis pubis in four young football players: a case demonstrating successful rehabilitation. Phys therapy in sport. 2006;7:153–160.
23. Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med. 2006;36:189–98. [PubMed ]
24. Levin M. A different approach to the mechanics of the human pelvis: tensegrity. In: Vleeming M, Dorman, Snijders, Stoeckary, editors. Movement, Stability and Low Back Pain. London: Churchill Livingstone; 1997.
25. Devlin L. Recurrent posterior thigh symptoms detrimental to performance in rugby union: predisposing factors. Sports Med. 2000;29:273–87. [PubMed ]
26. Warden SJ. A new direction for ultrasound therapy in sports medicine. Sports Med. 2003;33:95–107. [PubMed ]
27. Sedaghat N, Latimer J, Maher C, Wisbey-Roth T. The reproducibility of a clinical grading system of motor control in patients with low back pain. J Manipulative Physiol Ther. 2007;30:501–8. [PubMed ]w
La pubalgie est une pathologie fonctionnelle qui diminue le contrôle neuromusculaire du bassin. Initialement bien tolérée, elle évolue vers un état chronique, et provoque un arrêt prématuré de carrières sportives. L’examen clinique et l’imagerie permettent de suivre et contrôler l’évolution de la pubalgie chronique. La réévaluation de la stabilité lombo-pelvienne est une aide précieuse lors du protocole de rééducation et de la validation de chaque étape, permettant ainsi un retour à la compétition plus rapide.
Article information
Transl Med UniSa. 2014 Sep-Dec; 10: 52–58.
Published online Apr 8, 2014.
Jaume Jardí, MD,1 Gil Rodas, MD,1 Carles Pedret, MD,2 Lluis Til, MD,1 Manuel Cusí, MD,3 Nikolaos Malliaropoulos, MD,4 Angelo Del Buono, MD,5 and Nicola Maffulli, MD, MS, PhD FRCS(Orth)6
(1) F.C. Barcelona Medical Department. Barcelona. Spain
(2) Centre de Diagnòstic per Imatge de Tarragona. Tarragona. Spain
(3) Sydney School of Medicine. University of Notre Dame. Sydney. Australia
(4) National Track & Field Centre, Sports Medicine Clinic of S.E.G.A.S., Thessaloniki, Greece
(5) Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo, Rome, Italy
(6) Centre Lead and Professor of Sports and Exercise Medicine Consultant Trauma and Orthopaedic Surgeon Centre for Sports and Exercise Medicine Barts and The London School of Medicine and Dentistry Mile End Hospital
1. Macintyre J, Johson C, Schroeder EL. Groin pain in athletes. Curr Sports Med Rep. 2006;5:293–9. [PubMed ]
2. Fricker PA, Taunton JE, Ammann W. Osteitis pubis in athletes. Infection, inflammation or injury? Sports Med. 1991;12:266–79. [PubMed ]
3. Zoga AC, Kavanagh EC, Omar IM, Morrison WB, Koulouris G, Lopez H, Chaabra A, Domesek J, Meyers WC. Athletic pubalgia and the “sports hernia”: MR imaging findings. Radiology. 2008;247:797–807. [PubMed ]
4. Gilmore J. Groin pain in the soccer athlete: fact, fiction, and treatment. Clin Sports Med. 1998;17:787–93. vii. [PubMed ]
5. Swan KG, Jr, Wolcott M. The athletic hernia: a systematic review. Clin Orthop Relat Res. 2007;455:78–87. [PubMed ]
6. Kunduracioglu B, Yilmaz C, Yorubulut M, Kudas S. Magnetic resonance findings of osteitis pubis. J Magn Reson Imaging. 2007;25:535–9. [PubMed ]
7. Pauli S, Willemsen P, Declerck K, Chappel R, Vanderveken M. Osteomyelitis pubis versus osteitis pubis: a case presentation and review of the literature. Br J Sports Med. 2002;36:71–3. [PMC free article ] [PubMed ]
8. Rodriguez C, Miguel A, Lima H, Heinrichs K. Osteitis Pubis Syndrome in the Professional Soccer Athlete: A Case Report. J Athl Train. 2001;36:437–440. [PMC free article ] [PubMed ]
9. Williams PR, Thomas DP, Downes EM. Osteitis pubis and instability of the pubic symphysis. When nonoperative measures fail. Am J Sports Med. 2000;28:350–5. [PubMed ]
10. Verrall GM, Slavotinek JP, Fon GT. Incidence of pubic bone marrow oedema in Australian rules football players: relation to groin pain. Br J Sports Med. 2001;35:28–33. [PMC free article ] [PubMed ]
11. Schilders E, Bismil Q, Robinson P, O'Connor PJ, Gibbon WW, Talbot JC. Adductor-related groin pain in competitive athletes. Role of adductor enthesis, magnetic resonance imaging, and entheseal pubic cleft injections. J Bone Joint Surg Am. 2007;89:2173–8. [PubMed ]
12. Verrall GM, Slavotinek JP, Fon GT, Barnes PG. Outcome of conservative management of athletic chronic groin injury diagnosed as pubic bone stress injury. Am J Sports Med. 2007;35:467–74. [PubMed ]
13. Walden M, Hagglund M, Ekstrand J. UEFA Champions League study: a prospective study of injuries in professional football during the 2001–2002 season. Br J Sports Med. 2005;39:542–6. [PMC free article ] [PubMed ]
14. Holmich P, Holmich LR, Bjerg AM. Clinical examination of athletes with groin pain: an intraobserver and interobserver reliability study. Br J Sports Med. 2004;38:446–51. [PMC free article ] [PubMed ]
15. Lovell G. The diagnosis of chronic groin pain in athletes: a review of 189 cases. Aust J Sci Med Sport. 1995;27:76–9. [PubMed ]
16. Arnason A, Sigurdsson SB, Gudmundsson A, Holme I, Engebretsen L, Bahr R. Risk factors for injuries in football. Am J Sports Med. 2004;32:5S–16S. [PubMed ]
17. Orchard JW. Intrinsic and extrinsic risk factors for muscle strains in Australian football. Am J Sports Med. 2001;29:300–3. [PubMed ]
18. Radic R, Annear P. Use of pubic symphysis curettage for treatment-resistant osteitis pubis in athletes. Am J Sports Med. 2008;36:122–8. [PubMed ]
19. Mehin R, Meek R, O'Brien P, Blachut P. Surgery for osteitis pubis. Can J Surg. 2006;49:170–6. [PMC free article ] [PubMed ]
20. Cunningham PM, Brennan D, O'Connell M, MacMahon P, O'Neill P, Eustace S. Patterns of bone and soft-tissue injury at the symphysis pubis in soccer players: observations at MRI. AJR Am J Roentgenol. 2007;188:W291–6. [PubMed ]
21. Balius R. Patologia muscular en el deporte. Masson: Barcelona; 2004.
22. Wollin M, Lovell G. Osteitis pubis in four young football players: a case demonstrating successful rehabilitation. Phys therapy in sport. 2006;7:153–160.
23. Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med. 2006;36:189–98. [PubMed ]
24. Levin M. A different approach to the mechanics of the human pelvis: tensegrity. In: Vleeming M, Dorman, Snijders, Stoeckary, editors. Movement, Stability and Low Back Pain. London: Churchill Livingstone; 1997.
25. Devlin L. Recurrent posterior thigh symptoms detrimental to performance in rugby union: predisposing factors. Sports Med. 2000;29:273–87. [PubMed ]
26. Warden SJ. A new direction for ultrasound therapy in sports medicine. Sports Med. 2003;33:95–107. [PubMed ]
27. Sedaghat N, Latimer J, Maher C, Wisbey-Roth T. The reproducibility of a clinical grading system of motor control in patients with low back pain. J Manipulative Physiol Ther. 2007;30:501–8. [PubMed ]w