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Sports Hernia

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101. Hip pain in young adults

trochanter, buttock or lateral thigh can suggest trochanteric bursitis, a tear of the gluteus medius muscle or a snapping hip. 3 Patients with FAI most commonly report groin (88%), lateral hip (67%) and anterior thigh (35%) pain but may also complain of buttock (29%), knee (27%) and lower back (23%) pain. 4 Other conditions that present predominantly with groin pain (eg. osteitis pubis, incipient inguinal hernia, adductor tendinopathies) have been the focus of a previous review article 5 (...) (OA). 1,2 This understanding raises the prospect of identifying and treating young adults with pre-arthritic symptoms. Assessment Patients typically present when their hip pain impairs activities such as work, exercise or sport. Symptoms suggestive of hip pathology include localised symptoms (such as catching sensations), symptoms related to activity or when going up and down stairs, or symptoms related to prolonged sitting or standing. Miguel Fernandez Peter Wall John O’Donnell Damian GriffinHip

2014 Clinical Practice Guidelines Portal

104. Chronic Effect of Individualized Core Stability Programs in Recreational Athletes.

Criteria Inclusion Criteria: - Healthy recreative male athletes between 18 and 35 years old Exclusion Criteria: Inguinal hernia or urinary incontinence Pathologies that contraindicate physical exercise practice Low back pain in the last six months prior to testing Pathologies related with Central Nervous System that affect balance Professional athletes of sports modalities with high core stability demands Contacts and Locations Go to Information from the National Library of Medicine To learn more about (...) . The quantification of the load intensity is fundamental to analyze the dose-response relationships between training and CS adaptations. Therefore, the main aim of this study is to evaluate the effectiveness of two individualized CS training programs using smartphone accelerometers placed on the pelvis to quantify the intensity of several of the most common CS exercises employed in fitness, sports and rehabilitation. The expected effect is that the experimental groups will improve CS significantly. Condition

2018 Clinical Trials

106. Autologous Adult Adipose-Derived Regenerative Cell Injection Into Chronic Partial-Thickness Rotator Cuff Tears

in the next 12 months. Subjects with clinically significant abnormal Lab tests (i.e. basic metabolic panel (BMP) or equivalent (e.g. CHEM-7), complete blood count (CBC), Liver function tests (LFTs), and prothrombin time/international normalized ratio (PT/INR)) as interpreted by the Investigator. Subjects with clinical evidence of an abdominal hernia or a history of abdominal mesh placement. Subjects with a history of a bleeding diathesis or coagulopathy Subject is, in the opinion of the Investigator (...) information Principal Investigator: Jason Hurd, MD Sanford Orthopedics & Sports Medicine More Information Go to Layout table for additonal information Responsible Party: InGeneron, Inc. ClinicalTrials.gov Identifier: Other Study ID Numbers: RC-002 First Posted: November 26, 2018 Last Update Posted: March 6, 2019 Last Verified: March 2019 Individual Participant Data (IPD) Sharing Statement: Plan to Share IPD: No Layout table for additional information Studies a U.S. FDA-regulated Drug Product: No Studies

2018 Clinical Trials

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

6 0 2018 7 24 6 0 2018 7 24 6 1 epublish 30035112 10.3389/fsurg.2018.00045 PMC6043792 Clin J Sport Med. 2018 Jul;28(4):364-369 28654441 Surgery. 2011 Jul;150(1):99-107 21549403 Hernia. 2010 Feb;14(1):27-33 20063110 Lancet. 1999 Feb 6;353(9151):439-43 9989713 Br J Sports Med. 2014 Jul;48(14):1079-87 24149096 Man Ther. 2011 Apr;16(2):148-54 20952244 Scand J Med Sci Sports. 1999 Apr;9(2):98-103 10220844 Br J Sports Med. 2009 Aug;43(8):579-83 19158131 Br J Sports Med. 2008 Dec;42(12):954-64 18603584 (...) J Am Acad Orthop Surg. 2007 Aug;15(8):507-14 17664370 Med Sci Monit. 2004 Feb;10(2):CR52-4 14737043 Br J Sports Med. 2015 Jun;49(12):814-8 26031647 J Hip Preserv Surg. 2016 Feb 24;3(1):16-22 27026822 Hernia. 2014;18(6):803-10 24249070 Eur Radiol. 2017 Apr;27(4):1486-1495 27380903 Br J Sports Med. 2015 Jun;49(12):768-74 26031643 Am J Sports Med. 2004 Jul-Aug;32(5):1238-42 15262648 Am J Sports Med. 2013 Mar;41(3):603-7 23408590

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2018 Frontiers in surgery

108. Neuromodulation in Patients With Hamstring Shortening

Vidal, Universidad de Murcia Study Details Study Description Go to Brief Summary: The flexibility of the hamstrings is a very important component both for general health and when exercising. The lack of hamstring flexibility has been related to the increase in the likelihood of suffering a large number of musculoskeletal pathologies, due to the possibility of causing important muscle imbalances, which include lumbar spine pathologies, such as disc hernias or spondyloarthrosis. In addition (...) in close proximity to the nerve or motor point of the muscle with ultrasound guidance. At the clinical level, the PES is always used with the therapeutic aim of relieving chronic pain and neuropathic pain. Similarly, in sports, PES is used with the aim of improving muscular activity. Therefore, according to the characteristics and the therapeutic benefits of this technique, further research is needed to discover multiple clinical indications. The aim of this study was to examine the effects

2018 Clinical Trials

109. Long-term Follow up of Patients With Longstanding Hip and Groin Pain

will electronically complete the following questionnaires. The same questionnaires were included at baseline, i.e., in the cross-sectional study. Copenhagen Hip and Groin Outcome Score (HAGOS) HSAS - Hip Sports Activity Scale (HSAS) Patient Specific Functional Scale Medical Outcomes Study short form 36 (SF-36) K-10 questionnaire Self-Presentation in Exercise Questionnaire (SPEQ) Multidimensional Scale of Perceived Social Support (MSPSS) Additional questions about treatment, medication, patient satisfaction (...) baseline (cross-sectional study) ] Patient reported outcome regarding hip dysfunction, which includes six subscales; pain, symptoms, physical function in daily living, physical function in sport and recreation, participation in physical activity, and quality of life. The score for each subscale ranges from 0-100, where 0 indicates extreme problems and 100 no problems. Secondary Outcome Measures : HSAS - Hip Sports Activity Scale (HSAS) [ Time Frame: 3 and 5 years after baseline (cross-sectional study

2018 Clinical Trials

110. Reliability of the Doha Agreement Classification of Groin Pain

Collaborator: University College Dublin Information provided by (Responsible Party): Andreas Serner, Aspetar Study Details Study Description Go to Brief Summary: This study will investigate the reproducibility of a clinical diagnostic classification system for groin pain between two different examiners, and will be performed with similar populations in two different countries. Condition or disease Intervention/treatment Groin Injury Hip Pain Chronic Adductor Tendinitis Inguinal Hernia Iliopsoas Syndrome (...) Diagnostic Test: Clinical examination Detailed Description: Groin pain is prevalent in field and court sport athletes. It is particularly prevalent in soccer, Gaelic football and rugby union. The wide variety of possible injuries in numerous anatomical structures and high prevalence of "abnormal imaging findings" in asymptomatic athletes contribute to the complexity. Heterogeneous taxonomy of groin injuries in athletes adds further to the confusion. Clinical practice is challenging with clinicians using

2018 Clinical Trials

111. Athletic Pubalgia Secondary to Rectus Abdominis–Adductor Longus Aponeurotic Plate Injury: Diagnosis, Management, and Operative Treatment of 100 Competitive Athletes (PubMed)

Athletic Pubalgia Secondary to Rectus Abdominis–Adductor Longus Aponeurotic Plate Injury: Diagnosis, Management, and Operative Treatment of 100 Competitive Athletes A rectus abdominis-adductor longus (RA-AL) aponeurotic plate injury, commonly associated with athletic pubalgia, sports hernia, or a core muscle injury, causes significant dysfunction in athletes. Increased recognition of this specific injury distinct from inguinal hernia abnormalities has led to better management (...) function as 92% of normal. Factors associated with negative outcomes were multiple procedures, prior inguinal hernia repair, and female sex. Negative outcomes were demonstrated by decreased HOS scores and decreased sports function. The overall complication rate was 7%.RA-AL aponeurotic plate repair by the method of an adductor-to-rectus abdominis turn-up flap is a safe procedure with high return-to-play success. Patients who had previously undergone inguinal hernia repair or other hip/pelvic-related

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2018 Orthopaedic journal of sports medicine

112. This is how your vote affects children’s health

insurance lite,” when their baby needs the hospital and they realize nothing is truly covered. These plans don’t cover hernia surgery — a frequent condition in premature infants — so parents pay their premium and for the entire cost of their infant’s surgery. How about a child who breaks an arm playing soccer? Not covered in these junk plans, since injuries from sports or playgrounds are often excluded. The administration’s decision not to defend the Affordable Care Act in federal court against

2018 KevinMD blog

113. Current practice patterns for postoperative activity restrictions in children. (PubMed)

appendectomy, and inguinal hernia repair. Information on type and duration of clinical practice was also collected for each surgeon. Descriptive and bivariate analyses were performed.The survey was completed by 293 pediatric surgeons for a response rate of 28.9%. There was wide national variability in the recommended activity restrictions for children <12 years old among pediatric surgeons. Following laparoscopic appendectomy, 30.7%, 51.9% and 47.8% of surgeons recommends restriction of gym, contact sports (...) , and heavy lifting for 2-3 weeks respectively, but 26.7%, 19.8%, and 22.2% do not recommend any restriction whatsoever of these three activities. Following inguinal hernia repair, 31.7%, 49.1% and 44.4% of surgeons recommend restriction of gym, contact sports, and heavy lifting for 2-3 weeks, but 30.8%, 30.8%, and 29.2% do not recommend any restriction of these three activities. Only 22% of surgeons change their activity restriction recommendations for children ≥12 years old, this decision

2018 Journal of Pediatric Surgery

114. Case report: Osteitis/osteomyelitis pubis simulating acute appendicitis (PubMed)

Case report: Osteitis/osteomyelitis pubis simulating acute appendicitis There is a continuum between Athletic (Sports) Hernia, Osteitis Pubis, and Osteomyelitis Pubis. The pubis is the site of attachment of many "core" muscles. A lay term used to describe a hernia is "rupture". Athletic hernia denotes a tear. Chronic musculotendinous strain may cause inflammation (osteitis pubis). An inflammatory focus may become a nidus for infection (osteomyelitis pubis). The symptoms caused by these three

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2018 International journal of surgery case reports

115. The dangerous precedent of Alfie Evans

. Is this rationale discriminatory against the poor? Yes, undoubtedly so. But the reality of a two-tier medical system is already here — the U.K. has a private medical system that the rich can access to get significantly faster hernia repairs and knee operations but not notably emergency surgeries. This is capitalism: we don’t restrict the rich from buying more books, sports lessons or toys for their children, even though it creates profound advantages for those children later in life. But instead of saying (...) for the population of the United Kingdom from cradle to grave. Like all health systems, it does not have infinite resources, but instead has . Caring for Alfie Evans indefinitely with no hope of recovery would have cost the NHS millions that . How then to balance caring for Alfie Evans against the 50-year-old man who can’t work because of a hernia (cost of surgery to repair: $5000), or against the 75-year-old woman considering a fourth round of chemotherapy that may extend her life by one month (cost of drug

2018 KevinMD blog

116. Patient Modesty: Volume 87

be interested in a thread I put up in November 2009 titled and where I had a back-and-forth with a physician on the subject. ..Maurice. At , said... Dr. Bernstein, the very last comment to the 2009 blog link you posted last speaks to the issue that many of us here object to. In advance of a procedure we are told the medical basics of what will occur (for example we're going to repair an inguinal hernia) and the hospital or doctor take that to have been informed consent. We are never told about how many

2018 Bioethics Discussion Blog

117. Pelvic Girdle Pain in the Antepartum Population: Physical Therapy Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Section on Women's Health and the Orthopaedic Section of the America

therapy academic education * Women's health physical therapy education Comments from these reviewers were utilized by the authors to edit this CPG prior to submission to the Journal of Women's Health Physical Therapy and the Journal of Orthopaedic & Sports Physical Therapy. In addition, several physical therapists practicing in antepartum and PGP rehabilitation physical therapy practices were sent initial drafts of this CPG for assessment. Reviewers Joseph J. Godges, DPT, MA—Orthopedic Section, CPG

2017 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

119. Antenatal care - uncomplicated pregnancy

moderate exercise during pregnancy but should avoid scuba diving and sports that may cause abdominal trauma, falls, or excessive joint stress. Working — most women can continue working during pregnancy. To allow a pregnant woman to continue working after 33 weeks, her GP or midwife must inform her employer that she may continue to do so. The law states that a women is not allowed to return to employment in the 2 weeks following childbirth. Maternity benefits — including information on entitlement (...) pregnancy is associated with adverse outcomes. To avoid sports that may cause abdominal trauma (for example vigorous racquet sports), falls, or excessive joint stress. Scuba diving should be avoided as it has been associated with an increased risk of birth defects and fetal decompression disease. Medicines and complimentary therapies What advice can I give regarding use of medicines and complementary therapies during pregnancy? Advise the woman to check with her GP or pharmacist before taking any: Over

2016 NICE Clinical Knowledge Summaries

120. Greater trochanteric pain syndrome (trochanteric bursitis)

pain syndrome is made on clinical grounds. Core clinical features include lateral hip pain, point tenderness adjacent to the greater trochanter, and a positive Trendelenburg test. The location, radiation, nature, and onset of pain, and what aggravates or relieves it should be determined. Point tenderness and evidence of pain when muscles and tendons attached to the greater trochanter are put under tension should be assessed on examination. Alternative diagnoses, for example sports hernia (...) snapping sensations in the anterior hip. Examination: tenderness on deep palpation over the femoral triangle (upper inner thigh). Sports hernia/athletic pubalgia/Gilmore's groin (tear of the muscles, tendons, or aponeurosis around the inguinal canal) History: chronic pain in the groin, which is brought on by participating in a vigorous sport such as football; the pain slowly resolves after exercise. Examination: symptoms can be reproduced by hip extension and rotation; the superficial ring

2016 NICE Clinical Knowledge Summaries

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