Hip Pain in Athletes: Part 1—How to Work Up, Diagnose, and Manage Core Muscle Injuries (Athletic Pubalgia)

2018 ◽  
Vol 02 (03) ◽  
pp. 135-140
Author(s):  
Johannes Roedl ◽  
Adam Zoga ◽  
William Meyers ◽  
Alexander Poor
Keyword(s):  
Femoroacetabular Impingement ◽  
Skeletal Muscles ◽  
Platelet Rich Plasma ◽  
Special Consideration ◽  
Entire Body ◽  
Muscle Injuries ◽  
Athletic Pubalgia ◽  
The Core ◽  
Common Causes ◽  
Work Up

AbstractLower abdominal and groin injuries are among the most common causes of pain in athletes. Those that involve the skeletal muscles of the core, defined as the entire body from the chest to the midthigh, are called core muscle injuries. In this review, the authors will describe the anatomy and pathophysiology of core muscle injuries in detail, as well as the appropriate work-up and management. Special consideration is given to the important interrelationship between core muscle injuries and intrinsic hip pathology, such as femoroacetabular impingement, and to the drawbacks of treating these injuries with platelet-rich plasma.

Tissue Engineered Successful Reconstruction of a Complex Traumatized Lower Extremity

2021 ◽  
Vol 11 (9) ◽  
Author(s):  
Srinjoy Saha
Keyword(s):  
Minimally Invasive ◽  
Soft Tissues ◽  
Platelet Rich Plasma ◽  
Thigh Muscle ◽  
Muscle Injuries ◽  
Invasive Approach ◽  
Novel Approach ◽  
Duration Of Surgery ◽  
Biomaterial Application ◽  
Split Skin

Introduction: Tissue engineered reconstruction is a minimally invasive approach for healing major complex wounds successfully. It combines accurate, conservative debridement with a specially adapted suction method, platelet-rich plasma (PRP) injections, and biomaterial application to salvage injured tissues and grows new soft tissues over wounds. Case Report: A healthy young man in his early 30s presented to our emergency department with complex knee-thigh injuries following a high-velocity automobile accident. Degloved anterolateral thigh, severe thigh muscle injuries, and ruptured extensor patellar mechanism were observed. Accurate conservative (as opposed to radical) debridement and PRP injections salvaged the injured muscles and tendons. Specially carved reticulated foam wrapped around the injured ischemic muscles, followed by low negative, short intermittent, cyclical suction therapy. Wound exploration 4 days apart revealed progressive improvements with considerable vascularization of the injured soft tissues within 2 weeks. Thereafter, meticulous reconstruction of the salvaged muscles and tendons restored anatomical congruity. An absorbable synthetic biomaterial covered the sizeable open wound with vast areas of exposed tendons. Five weeks later, exuberant granulating tissue ingrowth within the biomaterial filled up the tissue defect. A split-skin graft covered the remaining raw areas, which “took” completely. Early rehabilitation enabled the patient to return to active work, play contact sports, and perform strenuous activities effortlessly. Conclusion: Minimally invasive tissue engineered reconstruction is a novel approach using a series of simple minimally invasive procedures. It lessens the duration of surgery and anesthesia, maximizes soft-tissue salvage, lowers morbidity, minimizes hospitalization, saves costs, and improves the patient’s quality of life significantly. Keywords: Mangled extremity, Limb salvage, Financial, Trauma, Modified negative pres

scholarly journals Platelet-rich plasma in muscle injuries: A possible kind of treatment in regenerative sport traumatology

2018 ◽  
Vol 18 (4) ◽  
Author(s):  
Caforio Marco ◽  
Mantelli Patrizia ◽  
Bisogno Luigi
Keyword(s):  
Platelet Rich Plasma ◽  
Muscle Injuries

scholarly journals Age-related aspects of differential diagnosis of acute cough in children and adults

2018 ◽  
Vol 28 (4) ◽  
pp. 461-468
Author(s):  
I. V. Leshchenko ◽  
S. A. Tsar’kova ◽  
A. D. Zherebtsov
Keyword(s):  
Differential Diagnosis ◽  
Anatomical Location ◽  
Pathological Changes ◽  
Review Of Literature ◽  
Acute Cough ◽  
Age Related ◽  
Common Causes ◽  
Diagnostic Work ◽  
Work Up ◽  
Diagnostic Work Up

Cough is one of the most common causes of seeking the primary medical care, especially during the autumn and the spring. This article is a review of literature  aimed at differential diagnosis of possible causes of acute cough in children and  adults. Given a vast majority of diseases associated with cough, differential diagnosis  have to consider several issues. The key issue is cough duration and possible  anatomical location of the pathological changes. An algorithm of differential diagnosis  of acute cough in children and adults and description of most common diseases  associated with acute cough are given in the review. Further diagnostic work-up  should be driven by the duration of cough as soon as the acute cough could be first  manifestation of a chronic disease.

scholarly journals Aggrecanopathies highlight the need for genetic evaluation of ISS children

2020 ◽  
Vol 183 (2) ◽  
pp. C9-C10
Author(s):  
Ola Nilsson
Keyword(s):  
Short Stature ◽  
Osteochondritis Dissecans ◽  
Early Onset ◽  
Gene Mutations ◽  
Bone Age ◽  
Genetic Evaluation ◽  
Large Cohort ◽  
Growth Disorders ◽  
Common Causes ◽  
Work Up

Short stature is one of the most common causes for referrals to pediatric endocrinologists. However, in a majority of the children, no underlying cause can be identified and the child instead receives the unhelpful diagnosis of idiopathic short stature (ISS), often after extensive work-up and testing. Recent advances in genetic methodology have allowed for the identification of a number of different monogenic conditions within the large cohort of ISS children. Isolated short stature and advanced bone age, with or without early-onset osteoarthritis and/or osteochondritis dissecans (MIM#165800) due to heterozygous aggrecan gene mutations exemplifies how this progress is changing the way we assess, counsel and treat children with non-endocrine growth disorders.

The prevalence of athletic pubalgia imaging findings on MRI in patients with femoroacetabular impingement

2020 ◽  
Vol 49 (8) ◽  
pp. 1249-1258
Author(s):  
Sowmya Varada ◽  
Matthew P. Moy ◽  
Fangbai Wu ◽  
Michael J. Rasiej ◽  
Diego Jaramillo ◽  
...  
Keyword(s):  
Femoroacetabular Impingement ◽  
Imaging Findings ◽  
Athletic Pubalgia

scholarly journals Radiographic Evidence of Femoroacetabular Impingement in Athletes With Athletic Pubalgia

2013 ◽  
Vol 6 (2) ◽  
pp. 171-177 ◽  
Author(s):  
Kostas J. Economopoulos ◽  
Matthew D. Milewski ◽  
John B. Hanks ◽  
Joseph M. Hart ◽  
David R. Diduch
Keyword(s):  
Femoroacetabular Impingement ◽  
Radiographic Evidence ◽  
Athletic Pubalgia

Musculotendinous Disorders of the Abdomen and Pelvis

2017 ◽  
Vol 21 (04) ◽  
pp. 403-414
Author(s):  
William Palmer ◽  
Miriam Bredella ◽  
Arvin Kheterpal
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Groin Pain ◽  
Iliotibial Band ◽  
Normal Anatomy ◽  
Resonance Imaging ◽  
Injury Mechanisms ◽  
Common Causes ◽  
Magnetic Resonance Imaging Mri ◽  
Work Up

AbstractMusculotendinous disorders of the abdomen and pelvis are common causes of pain in both athletes and nonathletes. Magnetic resonance imaging (MRI) is the modality of choice in the work-up of these patients. This article focuses on the MRI appearance of normal anatomy and spectrum of musculotendinous disorders in the abdomen and pelvis including muscle strains and tears, avulsions and apophysitis, muscular contusions, athletic groin pain, and gluteal aponeurotic/proximal iliotibial band injuries. Normal biomechanics and injury mechanisms are discussed.

scholarly journals Tissue Engineered Strategies for Skeletal Muscle Injury

2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
Umile Giuseppe Longo ◽  
Mattia Loppini ◽  
Alessandra Berton ◽  
Filippo Spiezia ◽  
Nicola Maffulli ◽  
...  
Keyword(s):  
Skeletal Muscle ◽  
Stem Cells ◽  
Muscle Injury ◽  
Platelet Rich Plasma ◽  
Residual Effects ◽  
Current Therapy ◽  
Muscle Injuries ◽  
Cell Based Therapy ◽  
Proliferation And Differentiation ◽  
Inflammatory Drugs

Skeletal muscle injuries are common in athletes, occurring with direct and indirect mechanisms and marked residual effects, such as severe long-term pain and physical disability. Current therapy consists of conservative management including RICE protocol (rest, ice, compression, and elevation), nonsteroidal anti-inflammatory drugs, and intramuscular corticosteroids. However, current management of muscle injuries often does not provide optimal restoration to preinjury status. New biological therapies, such as injection of platelet-rich plasma and stem-cell-based therapy, are appealing. Although some studies support PRP application in muscle-injury management, reasons for concern persist, and further research is required for a standardized and safe use of PRP in clinical practice. The role of stem cells needs to be confirmed, as studies are still limited and inconsistent. Further research is needed to identify mechanisms involved in muscle regeneration and in survival, proliferation, and differentiation of stem cells.

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