Abstract
Our purpose was to assess the role of MRI in evaluating themusculoskeletal system in athletes with chronic pain laterally in the groin of unknown etiology. Magnetic resonance imaging (MRI) of the pubic ring was performed in 11 young athletes (soc cer players) with long-standing groin n pain. MR findings were: compared with plain films and isotope examination (bone scan Tc 99M). Abnormal MRI findings included a broadend andirregular symphysis witha characteristics pattern of low signal intensity on T1W and high signal intensity on T2W images localized in the superior pubic ramus at a distance from the symphasis. Positive findings wer also observed on plain films and on nuclear medicine studies. However, the imaging findings in the superior pubic ramus of the symphysis was located considerably more laterally on MRI. MRI is :a valuable method for evaluating discrete and ambiguous pelvic pain in athletes. particularly for identifying concomitant changes in the superior ramus, which may give rise to long-standing localized laterally in the groin.
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Ekberg O, Persson NH, Abrahamsson P-A, Westlin NE, Lilja B (1988) Longstanding groin pain in athletes. Sports Med 6: 56–61
Deutsch AL, Mink JH, Waxman AD (1989) Occult fractures of the proximal femur. MR imaging. Radiology 170: 113–116
Kricun ME (1985) Red-yellow marrow conversion: its effect on the location of some solitary bone lesions. Skeletal Radiol 14: 10–19
Vogler JB, Murphy WA (1988) Bone marrow imaging. Radiology 168: 679–693
Wilson AJ, Murphy WA, Hardy DC et al. (1988) Transient osteoporosis: transient bone marrow edema? Radiology 167: 757–760
Fleckenstein JL, Weatherall PT, Parkey RW, Payne JA, Pesthock RM (1989) Sports-related muscle injuries: evaluation with MR imaging. Radiology 172: 793–798
Heuck F (1983) Röntgen-Morphologie von Sportverletzungen der Apophysen des Beckenskelettes. Radiologe 23: 404–413
Renström P, Peterson L (1980) Groin injuries in athletes. Br J Sports Med 14: 30–36
Dihlmann W (1973) Gelenke-Wirbelverbindungen. Thieme, Stuttgart
Fricker PA, Taunton JE, Ammann W (1991) Osteitis pubis in athletes. Sports Med 12 (4): 266–279
Le Jenne JJ, Rochcongar P, Vazelle F, Bernard AM, Herry JY, Ramée A (1984) Pubic pain syndrome in sportsmen: comparison of radiographic and scintigraphic findings. Eur J Nucl Med 9: 250–253
Wiley JJ (1983) Traumatic osteitis pubis. The gracilis syndrome. Am J Sports Med 11: 360–363
Kapelov SR, Teresi LM, Bradley WG, Bucciarelli NR, Murakami DM, Mullin WJ, Jordan JE (1993) Bone contusions of the knee: increased lesion detection with fast spin-echo MR imaging with spectroscopic fat saturation. Radiology 189: 901–904
Yao L, Lee JK (1988) Occult intraosseous fracture: detection with MR imaging. Radiology 167: 749–751
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Ekberg, O., Sjöberg, S. & Wesdin, N. Sports-related groin pain: evaluation with MR imaging. Eur. Radiol. 6, 52–55 (1996). https://doi.org/10.1007/BF00619952
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DOI: https://doi.org/10.1007/BF00619952