Multidisciplinary Assessment of 100 Athletes With Groin Pain Using the Doha Agreement: High Prevalence of Adductor-Related Groin Pain in Conjunction With Multiple Causes

TY - JOUR

T1 - Multidisciplinary Assessment of 100 Athletes With Groin Pain Using the Doha Agreement

T2 - High Prevalence of Adductor-Related Groin Pain in Conjunction With Multiple Causes

AU - Taylor, Rachel

AU - Vuckovic, Zarko

AU - Mosler, Andrea

AU - Agricola, Rintje

AU - Otten, Roald

AU - Jacobsen, Philipp

AU - Holmich, Per

AU - Weir, Adam

PY - 2018/7/1

Y1 - 2018/7/1

N2 - OBJECTIVE: To examine the prevalence of different causes of groin pain in athletes using the recent Doha consensus classification of terminology and definitions of groin pain in athletes.DESIGN: Descriptive epidemiological study.SETTING: Multidisciplinary sports groin pain clinic at Aspetar Orthopedic and Sports Medicine Hospital, Doha, Qatar.PATIENTS: The clinical records of 100 consecutive athletes with complaints of groin pain who attended the multidisciplinary sports groin pain clinic between January and December 2014 were analyzed.MAIN OUTCOME MEASURES: The causes of groin pain were categorized according to terminology and definitions agreed upon at the Doha consensus meeting on groin pain classification in athletes. The classification system has 3 main subheadings; defined clinical entities for groin pain (adductor-related, iliopsoas-related, inguinal-related, and pubic-related groin pain), hip-related groin pain, and other causes of groin pain in athletes.RESULTS: The majority of athletes were male (98%) soccer players (60%). Multiple causes for groin pain were found in 44% of the athletes. Adductor-related groin pain was the most prevalent defined clinical entity (61% of athletes), and pubic-related groin pain was the least prevalent (4% of athletes).CONCLUSIONS: Adductor-related groin pain is the most commonly occurring clinical entity in this athlete population in mainly kicking and change of direction sports and frequently, multiple causes are found.CLINICAL RELEVANCE: This is the first study to use the Doha agreement classification system and highlights the prevalence of adductor-related groin pain and that often multiple clinical entities contribute to an athlete's groin pain. Consequently, prevention programs should be implemented with these factors in mind.

AB - OBJECTIVE: To examine the prevalence of different causes of groin pain in athletes using the recent Doha consensus classification of terminology and definitions of groin pain in athletes.DESIGN: Descriptive epidemiological study.SETTING: Multidisciplinary sports groin pain clinic at Aspetar Orthopedic and Sports Medicine Hospital, Doha, Qatar.PATIENTS: The clinical records of 100 consecutive athletes with complaints of groin pain who attended the multidisciplinary sports groin pain clinic between January and December 2014 were analyzed.MAIN OUTCOME MEASURES: The causes of groin pain were categorized according to terminology and definitions agreed upon at the Doha consensus meeting on groin pain classification in athletes. The classification system has 3 main subheadings; defined clinical entities for groin pain (adductor-related, iliopsoas-related, inguinal-related, and pubic-related groin pain), hip-related groin pain, and other causes of groin pain in athletes.RESULTS: The majority of athletes were male (98%) soccer players (60%). Multiple causes for groin pain were found in 44% of the athletes. Adductor-related groin pain was the most prevalent defined clinical entity (61% of athletes), and pubic-related groin pain was the least prevalent (4% of athletes).CONCLUSIONS: Adductor-related groin pain is the most commonly occurring clinical entity in this athlete population in mainly kicking and change of direction sports and frequently, multiple causes are found.CLINICAL RELEVANCE: This is the first study to use the Doha agreement classification system and highlights the prevalence of adductor-related groin pain and that often multiple clinical entities contribute to an athlete's groin pain. Consequently, prevention programs should be implemented with these factors in mind.

KW - Adolescent

KW - Adult

KW - Athletes

KW - Athletic Injuries/classification

KW - Female

KW - Groin/pathology

KW - Humans

KW - Male

KW - Middle Aged

KW - Musculoskeletal Pain/classification

KW - Prevalence

KW - Qatar

KW - Soccer

KW - Sports

KW - Young Adult

U2 - 10.1097/JSM.0000000000000469

DO - 10.1097/JSM.0000000000000469

M3 - Journal article

C2 - 28654441

SN - 1050-642X

VL - 28

SP - 364

EP - 369

JO - Clinical Journal of Sport Medicine

JF - Clinical Journal of Sport Medicine

IS - 4

ER -