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Groin Disruption

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1. Groin Disruption

Groin Disruption Groin Disruption Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Groin Disruption Groin Disruption Aka: Groin (...) and superior to Groin Disruption VI. Radiology Imaging rules out other diagnoses VII. Management Conservative therapy trial for 2-3 weeks Surgical exploration if conservative therapy fails Successful return to sport in 90% of cases VIII. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Groin Disruption." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database

2018 FP Notebook

2. Contemporary management of 'Inguinal disruption' in the sportsman's groin. (PubMed)

Contemporary management of 'Inguinal disruption' in the sportsman's groin. This article helps define the basic principles to diagnosis and manage one of the surgically correctable causes of the 'painful groin', which is commonly described as the sportsman's groin.Often many surgeons will describe a single pathology for the sportsman's groin such as a 'hernia' but often other coexisting etiologies may be present. Management relies on a multidisciplinary approach with a diagnosis initially made (...) by a history of pain in the groin on exercise. Physiotherapy is the recommended first line treatment and is designed to concentrate on strengthening of the abdominal wall muscle and tendon groups around the groin area. Surgery does have a role in the sportsman's groin but only once all conservative measures have been exhausted or if there is a clear identified pathology causing the groin symptoms such as posterior wall defect. Surgical principles for an inguinal disruption include either open

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2014 BMC sports science, medicine and rehabilitation

3. The Vienna Statement; an Update on the Surgical Treatment of Sportsman's Groin in 2017 (PubMed)

The Vienna Statement; an Update on the Surgical Treatment of Sportsman's Groin in 2017 30035112 2018 11 14 2296-875X 5 2018 Frontiers in surgery Front Surg The Vienna Statement; an Update on the Surgical Treatment of Sportsman's Groin in 2017. 45 10.3389/fsurg.2018.00045 Sheen Aali J AJ Manchester University Foundation Trust, Manchester, United Kingdom. Centre for Biomedicine, Manchester Metropolitan University, Manchester, United Kingdom. Pilkington J James JJ Manchester University Foundation (...) Trust, Manchester, United Kingdom. Centre for Biomedicine, Manchester Metropolitan University, Manchester, United Kingdom. Dudai Moshe M Hernia Excellence, Ramat Avic Medical Center, Tel Aviv, Israel. Conze Joachim K JK Hernienzentrum, Munich, Germany. eng Journal Article 2018 07 04 Switzerland Front Surg 101645127 2296-875X athletic pubalgia inguinal disruption (ID) inguinal hernia (IH) inguinal ligament release pubic inguinal pain syndrome (PIPS) sportsman's hernia 2018 03 20 2018 06 15 2018 7 24

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2018 Frontiers in surgery

4. Outcome of the “Manchester Groin Repair” (Laparoscopic Totally Extraperitoneal Approach With Fibrin Sealant Mesh Fixation) in 434 Consecutive Inguinal Hernia Repairs (PubMed)

rank tests with Kruskal-Wallis rank sum test for three-group comparisons. Significance was at the P < 0.05 level. The study was undertaken as an institutional audit. Results: Three hundred and fifty two patients underwent TEP repair as per the "Manchester Groin Repair" modification during the period of interest with a median follow-up period of 109.5 (IQR 57.0-318.5) weeks. Of these 274 (77.8%) were for the repair of true hernias and 78 (22.2%) were for inguinal disruptions. All inguinal hernia (...) Outcome of the “Manchester Groin Repair” (Laparoscopic Totally Extraperitoneal Approach With Fibrin Sealant Mesh Fixation) in 434 Consecutive Inguinal Hernia Repairs Introduction: This study looks at the outcome of 352 patients that underwent the "Manchester groin repair" in the period from 2007 to 2016. The effect of laterality on chronic groin pain and the reduction of pain scores post-surgery are evaluated as well as the rate of hernia recurrence for the inguinal hernia repairs. Methods

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2018 Frontiers in surgery

5. Incidence and risk factors of groin lymphocele formation after venoarterial extracorporeal membrane oxygenation in cardiogenic shock patients. (PubMed)

Incidence and risk factors of groin lymphocele formation after venoarterial extracorporeal membrane oxygenation in cardiogenic shock patients. Venous-arterial extracorporeal membrane oxygenation (VA-ECMO) is a well-established therapy for refractory cardiopulmonary failure. Femoral cannulation offers a quick and effective means of providing circulatory support but is not without complication. Inflammation or lymphatic disruption at the site of cannulation can cause the formation of lymphoceles (...) . Groin lymphocele formation was assessed as the primary outcome.Median age was 58 years (interquartile range, 48-67 years) with a median duration of support of 4 days (interquartile range, 2-6 days). Lymphocele formation was identified in 31 patients (16%). Patients who developed lymphoceles were more likely to have post-heart transplantation primary graft dysfunction (PGD) as an indication for ECMO support compared with those who did not (54.2% vs 8%; P < .001). ECMO duration was similar between

2017 Journal of Vascular Surgery

6. Outcomes after retroflexed gracilis muscle flap for vascular infections in the groin. (PubMed)

Outcomes after retroflexed gracilis muscle flap for vascular infections in the groin. Multiple catheterizations and procedures on the femoral arteries can increase the risk of infection and eventual destruction of the overlying skin and subcutaneous tissue. Without adequate tissue coverage, vascular structures are exposed and, thus, vulnerable to disruption. This can lead to loss of limb and/or life and carries a significant mortality. We hypothesized that gracilis muscle flap (GMF (...) ) was a reliable adjunct in providing healthy tissue coverage for a complex surgical problem.Retrospective review of charts was performed on all patients who had undergone GMF for groin infections at a tertiary care medical center.From 1997 to 2012, GMF was performed in 68 limbs (64 patients) by vascular surgeons for infectious etiology to cover the common femoral artery. At the time the GMF was placed, the femoral artery had synthetic graft/patch in 14 limbs, whereas 54 limbs had procedures with autologous

2016 Journal of Vascular Surgery

7. Groin Injuries (Athletic Pubalgia) and Return to Play (PubMed)

Groin Injuries (Athletic Pubalgia) and Return to Play Groin pain is a common entity in athletes involved in sports that require acute cutting, pivoting, or kicking such as soccer and ice hockey. Athletic pubalgia is increasingly recognized as a common cause of chronic groin and adductor pain in athletes. It is considered an overuse injury predisposing to disruption of the rectus tendon insertion to the pubis and weakness of the posterior inguinal wall without a clinically detectable hernia (...) . These patients often require surgical therapy after failure of nonoperative measures. A variety of surgical options have been used, and most patients improve and return to high-level competition.PubMed databases were searched to identify relevant scientific and review articles from January 1920 to January 2015 using the search terms groin pain, sports hernia, athletic pubalgia, adductor strain, osteitis pubis, stress fractures, femoroacetabular impingement, and labral tears.Clinical review.Level 4.Athletic

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2016 Sports health

8. Patient perceptions of acute pain and activity disruption following inguinal hernia repair: a propensity-matched comparison of robotic-assisted, laparoscopic, and open approaches (PubMed)

Patient perceptions of acute pain and activity disruption following inguinal hernia repair: a propensity-matched comparison of robotic-assisted, laparoscopic, and open approaches Few publications describe the potential benefit of robotic-assisted inguinal hernia repair on acute postoperative groin pain (APGP). This study compared patients' perceptions of APGP, activity limitation, and overall satisfaction after robotic-assisted- (R), laparoscopic (L), or open (O) inguinal hernia repair (IHR (...) ). Random samples of patients from two web-based research panels and surgical practices were screened for patients who underwent IHR between October 28, 2015 and November 1, 2016. Qualified patients were surveyed to assess perceived APGP at 1 week postoperatively, activity disruption, and overall satisfaction. Three cohorts based on operative approach were compared after propensity matching. Propensity scoring resulted in 83 R-IHR matched to 83 L-IHR respondents, while 85 R-IHR matched with 85 O-IHR

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2018 Journal of Robotic Surgery

9. Groin Disruption

Groin Disruption Groin Disruption Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Groin Disruption Groin Disruption Aka: Groin (...) and superior to Groin Disruption VI. Radiology Imaging rules out other diagnoses VII. Management Conservative therapy trial for 2-3 weeks Surgical exploration if conservative therapy fails Successful return to sport in 90% of cases VIII. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Groin Disruption." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database

2015 FP Notebook

10. The Use of Musculoskeletal Ultrasound for the Diagnosis of Groin and Hip Pain in Athletes. (PubMed)

-related, iliopsoas-related, inguinal-related, pubic-related, and hip-related groin pain. It has been extremely difficult in the past to accurately diagnose what has been previously labeled sports hernia, sportsman's groin, or inguinal disruption. Therefore, this article describes the methods and procedures used for diagnostic ultrasound (US) and differentiation between these entities from one practice based on the most current research in musculoskeletal US. (...) The Use of Musculoskeletal Ultrasound for the Diagnosis of Groin and Hip Pain in Athletes. Athletes are particularly predisposed to injuries in the groin and pelvic region. Men in particular are predisposed to injuries like hernias in the inguinal region. The increased demands and training load on today's athletes combined with individual factors may create the environment for these injuries. Five areas categorize the pain present from different pathological entities in this region: adductor

2017 Current Sports Medicine Reports

11. Endoscopic totally extraperitoneal (TEP) hernia repair for inguinal disruption (Sportsman's hernia): rationale and design of a prospective observational cohort study (TEP-ID-study). (PubMed)

Endoscopic totally extraperitoneal (TEP) hernia repair for inguinal disruption (Sportsman's hernia): rationale and design of a prospective observational cohort study (TEP-ID-study). Chronic inguinal pain is a frequently occurring problem in athletes. A diagnosis of inguinal disruption is performed by exclusion of other conditions causing groin pain. Up to now, conservative medical management is considered to be the primary treatment for this condition. Relevant large and prospective clinical (...) groin (inguinal disruption).The study is being conducted in a high-volume, single centre hospital with specialty in TEP hernia repair. Patients over 18 years, suffering from inguinal pain for at least 3 months during or after playing sports, and whom have not undergone previous inguinal surgery and have received no benefit from physiotherapy are eligible for inclusion. Patients with any another cause of inguinal pain, proven by physical examination, inguinal ultrasound, X-pelvis/hip or MRI

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2016 BMJ open

12. Groin Injuries in Finnish Contact Sports

(MRI) are performed. Hip and groin questionnaire (HAGOS) is used to determine severity of groin injuries. Condition or disease Intervention/treatment Groin Injury Device: magnetic resonance imaging Detailed Description: The prevalence of chronic groin pain in athletes and physically active adults is between 5 and 10 %. Common causes include adductor tendonitis, musculus rectus abdominis tendopathy, osteitis pubis (edema on MRI scans at pubic symphysis) or disruption of the posterior wall (...) Groin Injuries in Finnish Contact Sports Groin Injuries in Finnish Contact Sports - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Groin Injuries in Finnish Contact Sports (Finngroin) The safety

2015 Clinical Trials

13. Cutaneous vascularization of the femoral triangle in respect to groin incisions. (PubMed)

Cutaneous vascularization of the femoral triangle in respect to groin incisions. The purpose of this anatomic study was to describe the cutaneous vascularization of the femoral triangle and its variation to evaluate the potential consequences of the classic incisions used in vascular surgery. The ultimate goal was to suggest surgical approaches that would take into account the vascularization of the inguinal region to potentially reduce the vascular lesions and wound complications (...) circumflex iliac, the superficial epigastric, and the external pudendal. The first two arteries originate generally through a common trunk that buds laterally from the femoral artery at about 1.5 cm below the inguinal ligament. This study shows that the classic vertical incision at the groin would lead to damage of the cutaneous branches that cross over the femoral artery in its proximal part (the superficial epigastric artery in 82% and the common trunk of the superficial epigastric and circumflex iliac

2015 Journal of Vascular Surgery

14. A Trial to Evaluate Negative Pressure Incision Management System for Groin Wounds in Vascular Surgery Patients

prolonged hospital stay to limb loss. Increased incidence of SSIs in patients is related to systemic factors like Diabetes, hypertension (HTN), history of smoking, chronic obstructive pulmonary disease (COPD), and local factors like disruption of lymphatics, groin proximity to the perineum, previous surgery at the same site and the use of prosthetic graft material. Prophylactic systemic antibiotics have been routinely used in all vascular surgery procedures, and despite of gentle tissue handling, proper (...) A Trial to Evaluate Negative Pressure Incision Management System for Groin Wounds in Vascular Surgery Patients A Trial to Evaluate Negative Pressure Incision Management System for Groin Wounds in Vascular Surgery Patients - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved

2015 Clinical Trials

15. TEP Versus Open Minimal Suture Repair for the Sportsman's Groin

such as soccer, ice hockey, and rugby that require sudden muscle contraction around the hip and lower abdomen, repetitive kicking and side-to-side motion. Common causes for chronic groin pain in such sports include adductor tendonitis, musculus rectus abdominis tendopathy, osteitis pubis (edema on MRI scans at pubic symphysis) or disruption of the posterior wall of inguinal canal, which are all referred to as athletic pubalgia (1-3). No exact pathophysiological mechanism for pain has so far been identified (...) indicating sportsman's hernia/athletic pubalgia pain above inguinal ligament in the deep inguinal ring, may radiate inner thigh, scrotum or pubic bone minor radiating pain can be at adductor origin or symphysis pubis grade I-II edema at pubic symphysis on MRI scan is allowed (can be secondary after groin disruption) Exclusion Criteria: patients not willing to participate inguinal or femoral hernia MRI reveals other major pathology (bursitis, hip injury, stress fracture etc) isolated adductor tendonitis

2014 Clinical Trials

16. Groin Injury (Diagnosis)

of the thigh. The injury is usually focused at the musculotendinous junction and involves disruption of the fibers to various degrees and, occasionally, hematoma formation, which may delay healing. These weakened areas are repaired by fibroblasts, but they continue to be susceptible to repeat injury for a long time. [ ] In fact, in a review of 1292 National Hockey League players, those with a previous groin injury had twice the risk of repeat injuries as that of athletes without a previous injury (...) in the National Hockey League. Clin J Sport Med . 1999 Jul. 9(3):151-6. . Fricker PA. Management of groin pain in athletes. Br J Sports Med . 1997 Jun. 31(2):97-101. . Stoker DL, Spiegelhalter DJ, Singh R, Wellwood JM. Laparoscopic versus open inguinal hernia repair: randomised prospective trial. Lancet . 1994 May 21. 343(8908):1243-5. . Gilmore OJ. Gilmore's groin--ten years experience of groin disruption. Sportsmed Soft Tissue Trauma . 1992. 3(3):12-4. Brooks DC. Sports-related groin pain or 'sports hernia

2014 eMedicine.com

17. Groin Injury (Overview)

of the thigh. The injury is usually focused at the musculotendinous junction and involves disruption of the fibers to various degrees and, occasionally, hematoma formation, which may delay healing. These weakened areas are repaired by fibroblasts, but they continue to be susceptible to repeat injury for a long time. [ ] In fact, in a review of 1292 National Hockey League players, those with a previous groin injury had twice the risk of repeat injuries as that of athletes without a previous injury (...) in the National Hockey League. Clin J Sport Med . 1999 Jul. 9(3):151-6. . Fricker PA. Management of groin pain in athletes. Br J Sports Med . 1997 Jun. 31(2):97-101. . Stoker DL, Spiegelhalter DJ, Singh R, Wellwood JM. Laparoscopic versus open inguinal hernia repair: randomised prospective trial. Lancet . 1994 May 21. 343(8908):1243-5. . Gilmore OJ. Gilmore's groin--ten years experience of groin disruption. Sportsmed Soft Tissue Trauma . 1992. 3(3):12-4. Brooks DC. Sports-related groin pain or 'sports hernia

2014 eMedicine.com

18. Groin Injury (Follow-up)

of the thigh. The injury is usually focused at the musculotendinous junction and involves disruption of the fibers to various degrees and, occasionally, hematoma formation, which may delay healing. These weakened areas are repaired by fibroblasts, but they continue to be susceptible to repeat injury for a long time. [ ] In fact, in a review of 1292 National Hockey League players, those with a previous groin injury had twice the risk of repeat injuries as that of athletes without a previous injury (...) in the National Hockey League. Clin J Sport Med . 1999 Jul. 9(3):151-6. . Fricker PA. Management of groin pain in athletes. Br J Sports Med . 1997 Jun. 31(2):97-101. . Stoker DL, Spiegelhalter DJ, Singh R, Wellwood JM. Laparoscopic versus open inguinal hernia repair: randomised prospective trial. Lancet . 1994 May 21. 343(8908):1243-5. . Gilmore OJ. Gilmore's groin--ten years experience of groin disruption. Sportsmed Soft Tissue Trauma . 1992. 3(3):12-4. Brooks DC. Sports-related groin pain or 'sports hernia

2014 eMedicine.com

19. Groin Injury (Treatment)

of the thigh. The injury is usually focused at the musculotendinous junction and involves disruption of the fibers to various degrees and, occasionally, hematoma formation, which may delay healing. These weakened areas are repaired by fibroblasts, but they continue to be susceptible to repeat injury for a long time. [ ] In fact, in a review of 1292 National Hockey League players, those with a previous groin injury had twice the risk of repeat injuries as that of athletes without a previous injury (...) in the National Hockey League. Clin J Sport Med . 1999 Jul. 9(3):151-6. . Fricker PA. Management of groin pain in athletes. Br J Sports Med . 1997 Jun. 31(2):97-101. . Stoker DL, Spiegelhalter DJ, Singh R, Wellwood JM. Laparoscopic versus open inguinal hernia repair: randomised prospective trial. Lancet . 1994 May 21. 343(8908):1243-5. . Gilmore OJ. Gilmore's groin--ten years experience of groin disruption. Sportsmed Soft Tissue Trauma . 1992. 3(3):12-4. Brooks DC. Sports-related groin pain or 'sports hernia

2014 eMedicine.com

20. Multidisciplinary approach to non-surgical management of inguinal disruption in a professional hockey player treated with platelet-rich plasma, manual therapy and exercise: a case report (PubMed)

Multidisciplinary approach to non-surgical management of inguinal disruption in a professional hockey player treated with platelet-rich plasma, manual therapy and exercise: a case report To present the clinical management of inguinal disruption in a professional hockey player and highlight the importance of a multidisciplinary approach to diagnosis and management.A professional hockey player with recurrent groin pain presented to the clinic after an acute exacerbation of pain while playing (...) hockey.The patient received a clinical diagnosis of inguinal disruption. Imaging revealed a tear in the rectus abdominis. Management included two platelet-rich plasma (PRP) injections to the injured tissue, and subsequent manual therapy and exercise. The patient returned to his prior level of performance in 3.5 weeks.This case demonstrated the importance of a multidisciplinary team and the need for advanced imaging in athletes with groin pain.Research quality concerning the non-surgical management

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2015 The Journal of the Canadian Chiropractic Association

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