Doha agreement meeting on terminology and definitions in groin pain in athletes

Adam Weir; Peter Brukner; Eamonn Delahunt; Jan Ekstrand; Damian Griffin; Karim M Khan; Greg Lovell; William C Meyers; Ulrike Muschaweck; John Orchard; Hannu Paajanen; Marc Philippon; Gilles Reboul; Philip Robinson; Anthony G Schache; Ernest Schilders; Andreas Serner; Holly Silvers; Kristian Thorborg; Timothy Tyler; Geoffrey Verrall; Robert-Jan de Vos; Zarko Vuckovic; Per Hölmich

doi:10.1136/bjsports-2015-094869

Doha agreement meeting on terminology and definitions in groin pain in athletes

Adam Weir, Peter Brukner, Eamonn Delahunt, Jan Ekstrand, Damian Griffin, Karim M Khan, Greg Lovell, William C Meyers, Ulrike Muschaweck, John Orchard, Hannu Paajanen, Marc Philippon, Gilles Reboul, Philip Robinson, Anthony G Schache, Ernest Schilders, Andreas Serner, Holly Silvers, Kristian Thorborg, Timothy TylerGeoffrey Verrall, Robert-Jan de Vos, Zarko Vuckovic, Per Hölmich

Department of Clinical Medicine

188 Citations (Scopus)

Abstract

Background: Heterogeneous taxonomy of groin injuries in athletes adds confusion to this complicated area. Aim: The 'Doha agreement meeting on terminology and definitions in groin pain in athletes' was convened to attempt to resolve this problem. Our aim was to agree on a standard terminology, along with accompanying definitions. Methods: A one-day agreement meeting was held on 4 November 2014. Twenty-four international experts from 14 different countries participated. Systematic reviews were performed to give an up-to-date synthesis of the current evidence on major topics concerning groin pain in athletes. All members participated in a Delphi questionnaire prior to the meeting. Results: Unanimous agreement was reached on the following terminology. The classification system has three major subheadings of groin pain in athletes: 1. Defined clinical entities for groin pain: Adductor-related, iliopsoas-related, inguinal-related and pubic-related groin pain. 2. Hip-related groin pain. 3. Other causes of groin pain in athletes. The definitions are included in this paper. Conclusions: The Doha agreement meeting on terminology and definitions in groin pain in athletes reached a consensus on a clinically based taxonomy using three major categories. These definitions and terminology are based on history and physical examination to categorise athletes, making it simple and suitable for both clinical practice and research.

Original language	English
Journal	British Journal of Sports Medicine
Volume	49
Issue number	12
Pages (from-to)	768-74
Number of pages	7
ISSN	0306-3674
DOIs	https://doi.org/10.1136/bjsports-2015-094869
Publication status	Published - 1 Jun 2015

Keywords

Abdominal Pain
Athletic Injuries
Consensus
Diagnostic Imaging
Female
Femoracetabular Impingement
Forecasting
Groin
Hip Injuries
Humans
Male
Medical History Taking
Patient Outcome Assessment
Physical Examination
Risk Factors
Sports
Terminology as Topic

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Weir, A., Brukner, P., Delahunt, E., Ekstrand, J., Griffin, D., Khan, K. M., Lovell, G., Meyers, W. C., Muschaweck, U., Orchard, J., Paajanen, H., Philippon, M., Reboul, G., Robinson, P., Schache, A. G., Schilders, E., Serner, A., Silvers, H., Thorborg, K., ... Hölmich, P. (2015). Doha agreement meeting on terminology and definitions in groin pain in athletes. British Journal of Sports Medicine, 49(12), 768-74. https://doi.org/10.1136/bjsports-2015-094869

Weir, A, Brukner, P, Delahunt, E, Ekstrand, J, Griffin, D, Khan, KM, Lovell, G, Meyers, WC, Muschaweck, U, Orchard, J, Paajanen, H, Philippon, M, Reboul, G, Robinson, P, Schache, AG, Schilders, E, Serner, A, Silvers, H, Thorborg, K, Tyler, T, Verrall, G, de Vos, R-J, Vuckovic, Z & Hölmich, P 2015, 'Doha agreement meeting on terminology and definitions in groin pain in athletes', British Journal of Sports Medicine, vol. 49, no. 12, pp. 768-74. https://doi.org/10.1136/bjsports-2015-094869

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title = "Doha agreement meeting on terminology and definitions in groin pain in athletes",

abstract = "Background: Heterogeneous taxonomy of groin injuries in athletes adds confusion to this complicated area. Aim: The 'Doha agreement meeting on terminology and definitions in groin pain in athletes' was convened to attempt to resolve this problem. Our aim was to agree on a standard terminology, along with accompanying definitions. Methods: A one-day agreement meeting was held on 4 November 2014. Twenty-four international experts from 14 different countries participated. Systematic reviews were performed to give an up-to-date synthesis of the current evidence on major topics concerning groin pain in athletes. All members participated in a Delphi questionnaire prior to the meeting. Results: Unanimous agreement was reached on the following terminology. The classification system has three major subheadings of groin pain in athletes: 1. Defined clinical entities for groin pain: Adductor-related, iliopsoas-related, inguinal-related and pubic-related groin pain. 2. Hip-related groin pain. 3. Other causes of groin pain in athletes. The definitions are included in this paper. Conclusions: The Doha agreement meeting on terminology and definitions in groin pain in athletes reached a consensus on a clinically based taxonomy using three major categories. These definitions and terminology are based on history and physical examination to categorise athletes, making it simple and suitable for both clinical practice and research.",

keywords = "Abdominal Pain, Athletic Injuries, Consensus, Diagnostic Imaging, Female, Femoracetabular Impingement, Forecasting, Groin, Hip Injuries, Humans, Male, Medical History Taking, Patient Outcome Assessment, Physical Examination, Risk Factors, Sports, Terminology as Topic",

author = "Adam Weir and Peter Brukner and Eamonn Delahunt and Jan Ekstrand and Damian Griffin and Khan, {Karim M} and Greg Lovell and Meyers, {William C} and Ulrike Muschaweck and John Orchard and Hannu Paajanen and Marc Philippon and Gilles Reboul and Philip Robinson and Schache, {Anthony G} and Ernest Schilders and Andreas Serner and Holly Silvers and Kristian Thorborg and Timothy Tyler and Geoffrey Verrall and {de Vos}, Robert-Jan and Zarko Vuckovic and Per H{\"o}lmich",

note = "Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.",

year = "2015",

month = jun,

day = "1",

doi = "10.1136/bjsports-2015-094869",

language = "English",

volume = "49",

pages = "768--74",

journal = "British Journal of Sports Medicine",

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T1 - Doha agreement meeting on terminology and definitions in groin pain in athletes

AU - Weir, Adam

AU - Brukner, Peter

AU - Delahunt, Eamonn

AU - Ekstrand, Jan

AU - Griffin, Damian

AU - Khan, Karim M

AU - Lovell, Greg

AU - Meyers, William C

AU - Muschaweck, Ulrike

AU - Orchard, John

AU - Paajanen, Hannu

AU - Philippon, Marc

AU - Reboul, Gilles

AU - Robinson, Philip

AU - Schache, Anthony G

AU - Schilders, Ernest

AU - Serner, Andreas

AU - Silvers, Holly

AU - Thorborg, Kristian

AU - Tyler, Timothy

AU - Verrall, Geoffrey

AU - de Vos, Robert-Jan

AU - Vuckovic, Zarko

AU - Hölmich, Per

N1 - Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

PY - 2015/6/1

Y1 - 2015/6/1

N2 - Background: Heterogeneous taxonomy of groin injuries in athletes adds confusion to this complicated area. Aim: The 'Doha agreement meeting on terminology and definitions in groin pain in athletes' was convened to attempt to resolve this problem. Our aim was to agree on a standard terminology, along with accompanying definitions. Methods: A one-day agreement meeting was held on 4 November 2014. Twenty-four international experts from 14 different countries participated. Systematic reviews were performed to give an up-to-date synthesis of the current evidence on major topics concerning groin pain in athletes. All members participated in a Delphi questionnaire prior to the meeting. Results: Unanimous agreement was reached on the following terminology. The classification system has three major subheadings of groin pain in athletes: 1. Defined clinical entities for groin pain: Adductor-related, iliopsoas-related, inguinal-related and pubic-related groin pain. 2. Hip-related groin pain. 3. Other causes of groin pain in athletes. The definitions are included in this paper. Conclusions: The Doha agreement meeting on terminology and definitions in groin pain in athletes reached a consensus on a clinically based taxonomy using three major categories. These definitions and terminology are based on history and physical examination to categorise athletes, making it simple and suitable for both clinical practice and research.

AB - Background: Heterogeneous taxonomy of groin injuries in athletes adds confusion to this complicated area. Aim: The 'Doha agreement meeting on terminology and definitions in groin pain in athletes' was convened to attempt to resolve this problem. Our aim was to agree on a standard terminology, along with accompanying definitions. Methods: A one-day agreement meeting was held on 4 November 2014. Twenty-four international experts from 14 different countries participated. Systematic reviews were performed to give an up-to-date synthesis of the current evidence on major topics concerning groin pain in athletes. All members participated in a Delphi questionnaire prior to the meeting. Results: Unanimous agreement was reached on the following terminology. The classification system has three major subheadings of groin pain in athletes: 1. Defined clinical entities for groin pain: Adductor-related, iliopsoas-related, inguinal-related and pubic-related groin pain. 2. Hip-related groin pain. 3. Other causes of groin pain in athletes. The definitions are included in this paper. Conclusions: The Doha agreement meeting on terminology and definitions in groin pain in athletes reached a consensus on a clinically based taxonomy using three major categories. These definitions and terminology are based on history and physical examination to categorise athletes, making it simple and suitable for both clinical practice and research.

KW - Abdominal Pain

KW - Athletic Injuries

KW - Consensus

KW - Diagnostic Imaging

KW - Female

KW - Femoracetabular Impingement

KW - Forecasting

KW - Groin

KW - Hip Injuries

KW - Humans

KW - Male

KW - Medical History Taking

KW - Patient Outcome Assessment

KW - Physical Examination

KW - Risk Factors

KW - Sports

KW - Terminology as Topic

U2 - 10.1136/bjsports-2015-094869

DO - 10.1136/bjsports-2015-094869

M3 - Journal article

C2 - 26031643

SN - 0306-3674

VL - 49

SP - 768

EP - 774

JO - British Journal of Sports Medicine

JF - British Journal of Sports Medicine

IS - 12

ER -

Doha agreement meeting on terminology and definitions in groin pain in athletes

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Keywords

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