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Clin J Sport Med. 2003 Sep;13(5):278-84.

Symphysis syndrome in athletes: surgical treatment for chronic lower abdominal, groin, and adductor pain in athletes.

Author information

  • 1Institute of Sport Sciences, Orthopaedics and Sport Traumatology, Magglingen, Switzerland. roland.biedert@baspo.admin.ch

Abstract

OBJECTIVE:

To investigate the results of surgical treatment on athletes presenting with chronic symphysis syndrome (lower abdominal, groin, and adductor pain).

DESIGN:

Retrospective nonrandomized study.

SETTING:

Swiss Olympic Medical Center associated with Institute of Sports Sciences.

PATIENTS:

Twenty-four athletes who were treated for chronic symphysis syndrome, a combination of abdominal, groin, and adductor pain, were evaluated for an average of 6.6 years after surgery. All athletes were males, with a mean age of 25.8 years. The average duration of chronic symptoms was 17 months.

INTERVENTIONS:

Of patients, 20 underwent spreading of the lateral border of the sheath of the rectus abdominis muscle together with an epimysial adductor release, and 4 had only the reconstruction of the rectus abdominis muscle.

MAIN OUTCOME MEASURES:

Subjective (questionnaire) and objective (clinical examination) follow-up data using point scores were obtained at a mean of 6.6 years posttreatment.

RESULTS:

The mean point score in the subjective overall rating was 10.2 (maximum 12) and in the objective rating was 12.0 (maximum 13). Of athletes, 21 were very content, 2 were content, and 1 was not content. Full sports activity was noted in 23 of 24 athletes.

CONCLUSIONS:

Surgical treatment of chronic symphysis syndrome is successful and can salvage the career of athletes.

PMID:
14501310
[PubMed - indexed for MEDLINE]
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