Artikel
Conservative treatment of pubic overload in amateur football player
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Autoren
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Daniel Popp
- Universitätsklinikum Regensburg, Klinik und Poliklinik für Unfallchirurgie, Regensburg, Germany
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Manuel Schoeberl
- Universitätsklinikum Regensburg, Klinik und Poliklinik für Unfallchirurgie, Regensburg, Germany
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Peter Angele
- Klinikum der Universität Regensburg, Unfallchirurgie, Regensburg, Germany
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Michael Nerlich
- Universitätsklinikum Regensburg, Klinik und Poliklinik für Unfallchirurgie, Regensburg, Germany
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Lukas Prantl
- Universitätsklinikum Regensburg, Plastische, Hand- und Wiederherstellunsgchirurgie, Regensburg, Germany
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Werner Krutsch
- Universitätsklinikum Regensburg, Klinik und Poliklinik für Unfallchirurgie, Regensburg, Germany
| Veröffentlicht: | 5. Oktober 2015 |
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Gliederung
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Objectives: The incidence of groin pain in athletes in the last years is still increasing. Pubic overload with groin pain and aseptic osteitis pubis in MRI is well known in athletes and frequently misdiagnosed. The purpose of this study was the detection of pubic overload, identifying influencing factors and analyzing conservative treatment options in football players.
Methods: In a prospective controlled double-blinded study, amateur football players with groin pain were analyzed over one year. 60 players presented next to acute groin pain radiological signs and clinical symptoms of pubic overload. The randomized study group received conservative treatment with specific intensive physical rehab program and shock wave therapy. The control group received only intensive physical rehab. The follow up examinations were performed 1 day, 4 weeks, 3 months and 1 year after begin of therapy, as well as the time of return to sport.
Results: 44 of 60 athletes with groin pain and radiological aseptic osteitis pubis were included in this study. 26 athletes were included in the study group, 18 athletes in the control group. Recognized as influencing factor for pubic overload in football players overall were unsystematic trunk muscle exercises (78%). Clinical examination showed the pubic overload as a multi-located disease.
42 of all 44 football players returned to football within 3 months after start of intensive conservative therapy. None football player became recurrent groin pain within 1 year after return to sports. The players with shock wave therapy returned to football significant earlier than players without shock wave therapy (p=0.048). Players of the study group presented significant earlier recovery of groin pain and other complaints compared to the control group.
Conclusion: Conservative treatment is successful to treat pubic overload and co-existing osteits pubis in athletes. Amateur football players return to football within 3 months after treatment. Additional shock wave therapy as local treatment accelerated return to play football.
