scholarly journals MRI AND ULTRASOUND CRITERIA FOR THE DIAGNOSIS OF A SPORTS HERNIA IN FOOTBALL PLAYERS

2020 ◽  
Vol 73 (4) ◽  
pp. 755-760
Author(s):  
Oleksandr Yu. Ioffe ◽  
Natalia M. Negria ◽  
Anastasiia V. Omelchenko ◽  
Oleksandr P. Stetsenko ◽  
Yuri A. Dibrova ◽  
...  
Keyword(s):  
Signal Intensity ◽  
Groin Pain ◽  
Inguinal Canal ◽  
Posterior Wall ◽  
Football Player ◽  
Pubic Bone ◽  
Football Players ◽  
Sports Hernia ◽  
Two Factors ◽  
Sports Activities

The aim of the study is to specify diagnostic MRI and ultrasound criteria for a sports hernia in order to verify its diagnosis in football players. Materials and methods: The study included 50 professional and amateur football players aged 15 to 34 from 2016 to 2019. The criteria for inclusion in the study were: the presence of groin pain in football players, which prevented them from continuing to actively participate in sports activities. Results: The findings of the study revealed that during MRI the two factors, which had the strongest influence, were “increased MR signal intensity on PDfs observed from the structures of the inguinal canal” and “increased MR signal intensity on PDfs observed from bone marrow of superior ramus of the pubic bone”. During ultrasound of the inguinal area, the main criterion for a sports hernia diagnosis was “increased size of the inguinal canal”. The verification of the diagnosis was carried out on the basis of the presence of a protrusion in the posterior wall of the inguinal canal. For a sports hernia diagnosis the MRI sensitivity is 91.67% (95% CI 77.5 – 98.2), specificity –78.57% (95% CI 49.2 – 95.3) and the sensitivity of ultrasound is 88.89% (95% CI 73.9 – 96.9), the specificity – 50% (95% CI 23.0 – 77). Conclusions: The combination of MRI and ultrasound makes it possible to accurately detect the presence of a sports hernia in the football player. Based on the findings of our study, we formulated MRI and ultrasound criteria for a sports hernia diagnosis.

scholarly journals THE FEATURES OF THE DIAGNOSIS AND TREATMENT OF A SPORTS HERNIA: A LITERATURE REVIEW

2020 ◽  
Vol 116 (2) ◽  
pp. 58-66
Author(s):  
Anastasiia Omelchenko
Keyword(s):  
Magnetic Resonance Imaging ◽  
Comparative Analysis ◽  
Groin Pain ◽  
Inguinal Canal ◽  
Family Physicians ◽  
Posterior Wall ◽  
Football Players ◽  
Resonance Imaging ◽  
Sports Hernia ◽  
General Surgeons

Sports hernia is an important problem in professional and amateur sports. The article systematizes the literature and approaches to solving the groin pain during exercises, which is the main manifestation of sports hernia in football players. The presented research results show that a characteristic feature of a sports hernia is the presence of weakness of the posterior wall of the inguinal canal without anatomical signs of a typical hernia. For verification, the diagnosis is ultrasound and magnetic resonance imaging of the groin. The study conducted a comparative analysis of the results of surgical treatment of sports hernia. This research can be useful for general surgeons, sports physicians, family physicians, orthopedists and traumatologists.

scholarly journals THE FEATURES OF THE BIOMECHANICS IN FOOTBALL PLAYERS ON THE ANATOMICAL STRUCTURES OF THE GROIN

2021 ◽  
Vol 121 (1) ◽  
pp. 94-105
Author(s):  
Anastasia Omelchenko ◽  
Oleksandr Ioffe ◽  
Oleksandr Kovalchuk ◽  
Natalia Nehria ◽  
Boris Reznychenko ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Groin Pain ◽  
Rectus Abdominis ◽  
Football Players ◽  
Abdominal Muscles ◽  
Return To Sports ◽  
City Hospital ◽  
Sports Hernia ◽  
The Third ◽  
Adductor Muscles

Pain in the lower abdomen and groin can occur in athletes who perform sharp lower extremity movement during training or sports, make sharp turns and change direction of the trunk movement as well as lower extremity acceleration/deceleration. An excessive load during the sports game can disturb the biomechanics of the player's movements. A precise localization of damaged tissues can improve for the diagnosis, determining treatment and forecasting the time of return to sports. The aim was to estimate the importance of the football biomechanics movement for the anatomy of the groin and to determine the anatomical features of the groin in football players with sports hernia. We analysed the thickness and length measurements on MRI of the rectus abdominis muscle in 51 football players of professional and amateur clubs aged 17 to 33 years with groin pain who were treated at the Kyiv Clinical City Hospital №3 for the period 2014-2020. In the second stage of the study, we investigated the peak force of the abdominal muscles (rectus abdominis, external oblique abdominal muscles) and the adductor muscles of both lower extremities using the microFET2 dynamometer for 4 groups of football players. The first group of the study includes 15 football players of professional clubs with sports hernia who had received conservative treatment, the partipants of the second group are 36 football players after laparoscopic hernioplasty, the third group consisted of 54 healthy young football players and 11 teenage footballers. In the third stage of the study, a formula was substantiated, according to which we calculated the acceleration of the lower extremity when kicking the ball. The results of the study demostrate that the disruption of the lower extremity biomechanics during kicking the ball cause the appearance of sports hernia in football players. An axial MRI scan of groin areas of football players with sports hernia represented changes in the lateral edge of the rectus abdominis. The groin pain syndrome of football players with sports hernia includes three pathogenetic mechanisms of development: disruption of the biomechanics, muscle imbalance and microtrauma and inflammation.

scholarly journals Sportsmen’s Groin—Diagnostic Approach and Treatment With the Minimal Repair Technique: A Single-Center Uncontrolled Clinical Review

2010 ◽  
Vol 2 (3) ◽  
pp. 216-221 ◽  
Author(s):  
Ulrike Muschaweck ◽  
Luise Masami Berger
Keyword(s):  
Groin Pain ◽  
Sports Injuries ◽  
Inguinal Canal ◽  
Posterior Wall ◽  
Professional Athletes ◽  
Chronic Groin Pain ◽  
Suture Repair ◽  
Minimal Repair ◽  
Repair Technique ◽  
Sportsmen’S Groin

Context: Sportsmen’s groin, also called sports hernia and Gilmore groin, is one of the most frequent sports injuries in athletes and may place an athletic career at risk. It presents with acute or chronic groin pain exacerbated with physical activity. So far, there is little consensus regarding pathogenesis, diagnostic criteria, or treatment. There have been various attempts to explain the cause of the groin pain. The assumption is that a circumscribed weakness in the posterior wall of the inguinal canal, which leads to a localized bulge, induces a compression of the genital branch of the genitofemoral nerve, considered responsible for the symptoms. Methods: The authors developed an innovative open suture repair—the Minimal Repair technique—to fit the needs of professional athletes. With this technique, the circumscribed weakness of the posterior wall of the inguinal canal is repaired by an elastic suture; the compression on the nerve is abolished, and the cause of the pain is removed. In contrast with that of common open suture repairs, the defect of the posterior wall is not enlarged, the suture is nearly tension free, and the patient can return to full training and athletic activity within a shorter time. The outcome of patients undergoing operations with the Minimal Repair technique was compared with that of commonly used surgical procedures. Results: The following advantages of the Minimal Repair technique were found: no insertion of prosthetic mesh, no general anesthesia required, less traumatization, and lower risk of severe complications with equal or even faster convalescence. In 2009, a prospective cohort of 129 patients resumed training in 7 days and experienced complete pain relief in an average of 14 days. Professional athletes (67%) returned to full activity in 14 days (median). Conclusion: The Minimal Repair technique is an effective and safe way to treat sportsmen’s groin.

Grading scale of radiographic findings in the public bone and symphysis in athletes

2003 ◽  
Vol 44 (1) ◽  
pp. 79-83
Author(s):  
J. Besjakov ◽  
C. von Scheele ◽  
O. Ekberg ◽  
C. F. Gentz ◽  
N. E. Westlin
Keyword(s):  
Groin Pain ◽  
Pelvic Ring ◽  
Age Groups ◽  
Pubic Bone ◽  
Control Group ◽  
Male Athletes ◽  
Radiographic Findings ◽  
Bone Changes ◽  
Grading Scale ◽  
Group 2

Purpose: Radiographic abnormalities in the pubic bone and symphysis are often seen in athletes with groin pain. The aim was to create a grading scale of such radiologic changes. Material and Methods: Plain radiography of the pelvic ring including the pubic bone and the symphysis was performed in 20 male athletes, age 19–35, with long-standing uni- or bilateral groin pain. We used two control groups: Control group 1: 20 healthy age-matched men who had undergone radiologic examination of the pelvis due to trauma. Control group 2: 120 adults (66 men and 54 women) in 9 age groups between 15 and 90 years of age. These examinations were also evaluated for interobserver variance. Results and Conclusion: The grading scale was based on the type and the amount of the different changes, which were classified as follows: No bone changes (grade 0), slight bone changes (grade 1), intermediate changes (grade 2), and advanced changes (grade 3). The grading scale is easy to interpret and an otherwise troublesome communication between the radiologist and the physician was avoided. There was a high interobserver agreement with a high kappa value (0.8707). Male athletes with long-standing groin pain had abnormal bone changes in the symphysis significantly more frequently and more severely ( p>0.001) than their age-matched references. In asymptomatic individuals such abnormalities increased in frequency with age both in men and women.

9 CASES OF AMYAND’S HERNIA IN CHILDREN

2021 ◽  
pp. 118-123
Author(s):  
M.KH. MALIKOV ◽  
◽  
F.SH. RASHIDOV ◽  
F.B. BOKIEV ◽  
F.M. KHAMIDOV ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Postoperative Period ◽  
Inguinal Canal ◽  
Posterior Wall ◽  
Vermiform Appendix ◽  
Greater Omentum ◽  
Amyand’S Hernia ◽  
Inguinoscrotal Hernia ◽  
Hernial Sac

9 children aged 4 to 14 years underwent a right-sided inguinal hernia repair, at the same time, a vermiform appendix was found in the hernial sac. All patients were hospitalized with a diagnosis of «Congenital right-sided inguinoscrotal hernia», bilateral hernias were not observed. Objectively, there were all signs of the disease, all hernias were reducible. The presence of the appendix in the hernial sac before the operation was not diagnosed either clinically or by ultrasound. The contents of the hernial sac had a thickened and long vermiform appendix, a greater omentum, and in two cases – a cecum of the type of sliding hernia. The children were operated on under general anesthesia: appendectomy and plastic surgery of posterior wall of inguinal canal were performed. No complications were observed in the postoperative period.

Analisis Image Comment To Video Comment Rasio Instagram Pada 5 Pemain Sepak Bola Termahal Di Dunia

2021 ◽  
Author(s):  
Farah hafilda
Keyword(s):  
Social Media ◽  
Total Population ◽  
Football Player ◽  
Soccer Players ◽  
Football Players ◽  
A Value ◽  
Good Account ◽  
The World ◽  
A Company ◽  
Windows Phone

Instagram is a social media application based on android for smartphones, Ios for ipPhone, Blackbarry, Windows Phone and now it can also be run on a computer or pc. Instagram also provides various interesting features such as filters, instagram stories, IGTV and other network features. Instagram was founded by a company called Burbn inc. And led in 2010 by two CEOs Mike Krieger and Kevin Systrom but on April 9, 2012 Instagram has been taken over by Facebook with a value of around $1M. Instagram users in Indonesia are 86.6% of the total population. The increasing number of active Instagram users in Indonesia who use Instagram as a marketing platform. There are 5 football players in the world who use Instagram as a marketing platform, namely: Neymar, Kylian Mbappe, Philippe Coutinho, Ousmane Dambelle, Paul Pogpa. The purpose of this study is to calculate the credibility of the Instagram account performance of the 5 most expensive soccer players in the world. The method used for this research is quantitative exploratory method. The results of this study indicate that football player Kylian Mbappe gets first place and has good account performance credibility.

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