[Comparison of core stability between male soccer players with and without hip adductors strain]

More recently, attention has turned to the role of proximal structures in function of lower limb. Decreased lumbo-pelvic [or core] stability has been suggested to contribute to the etiology of lower extremity sport injuries. This is largely due to the closed chain nature of athletic activities. Groin pain is a common complaint for athletes participating in sports such as soccer. Adductor-related groin pain was the most common primary entity in soccer players. Therefore, the aim of this study was to compare of core stability between male soccer players with and without hip adductors strain. Various studies have been done for treatment and prevention of recurrent of this lesion and the most important thing in these studies was to keep the integrity of the core stability. Fifty professional soccer players [25 healthy and 25 with adductors strain. mean age: 21.32 +/- 2.73] was studied. Core stability was compared among them by 5 endurance and functional tests. Endurance of back extensors, trunk flexors and lateral flexors were tested by Modified Biering-Sorensen and Mc.Gilltests. In current research, the Double Leg Lowering test is applied to measure the function of the oblique abdominals muscles and the Single Leg Squat test is applied to measure the function of hip abductor and external rotators muscles. Endurance of back extensors, flexors and lateral flexors were significantly lower in the injured soccer players in comparison with the healthy players. Significant decrease in the function of oblique abdominal muscles, hip abductor and external rotator muscles were founded in the injured players [p<0.05]. Decrease of endurance and function in the trunk muscles is probably an important risk factor for hip adductors strain injuries in the soccer players. Increasing the endurance of the core muscles can be reduced the occurrence of hip addactors strain

Hernias deportivas: experiencia con atletas / Sports hernia: experience in athletes

El dolor inguinal es poco frecuente en el deporte con una mayor incidencia en hockey sobre hielo y fútbol con cerca del 20 por ciento de las lesiones. Presentamos nuestra experiencia en el diagnóstico y tratamiento de lesiones como hernias deportivas, pubalgias y otras patologías relacionadas. Presentamos 316 pacientes con dolor inguinal de los cuales el 26 por ciento tuvieron una hernia deportiva. Revisamos el tratamiento conservador, los resultados, estudios complementarios, el manejo y la técnica quirúrgica con un cirujano general.

Videolaparoscopia para la pubalgia del deportista / Laparoscopy for chronic groin pain in athlete

Antecedentes: La pubalgia en deportistas hace referencia a la patología dolorosa de una amplia topografía que abarca toda la región inguinogenitocrural. El dolor puede ser ocasionado por diversas alteraciones musculoesqueléticas. El diagnóstico de hernia oculta o hernia del deportista debe ser considerado en aquellos casos que no responden al tratamiento conservador dirigido hacia esas patologías. Material y Método: Cuarenta y cinco deportistas fueron evaluados por pubalgia crónica con diagnóstico presuntivo de hernias ocultas desde enero de 2001 hasta diciembre de 2004. Se realizó videolaparoscopía y hernioplastía transabdominopreperitoneal. Resultados: Se confirmó el diagnóstico de hernia en el 100% de los casos. Con una recuperación satisfactoria antes de los treinta días en el 95% de los casos. El seguimiento a largo plazo no detectó secuelas adversas ni recurrencia de los síntomas. Conclusión: La videolaparoscopía con eventual hernioplastia debe ser considerada como una opción de diagnóstico y tratamiento en la pubalgia del deportista. Diseño: Estudio descriptivo. Objetivo: Analizar los resultados de la videolaparoscopía como método de diagnóstico y tratamiento de la pubalgia de origen desconocido en deportistas.

Empalamiento inguinal: presentación de dos casos clínicos / Inguinal impalement: report of two cases

BACKGROUND: Traumatic inguinal lesions in children are relatively unusual and those caused by impalement are less common. The purpose of this paper is to demonstrate the clinical course of two similar cases. CLINICAL CASES: A 13-year-old male and a 7-year-old female are presented in this report. During an accidental fall, they sustained an inguinal wound. In the emergency room, a wooden stake and a metallic bar were seen in the inguinal region. The surgical procedure shows absence of vascular, neurological, visceral and testicular damage. Both wounds caused by foreign bodies were subcutaneous and removed without complications. CONCLUSIONS: These types of accidents are uncommon and the absence of damage is the most relevant issue.

Peritoneal penetrating pencil injury.

An 8 year old school going boy sustained an accidental peritoneal penetrating injury while playing with a pencil in his trouser pocket. Surgical exploration revealed intact intraperitoneal and retroperitoneal viscera and the pencil could be successfully removed. In addition to the acute injuries there are numerous late sequlae of pencil injuries that cause concern.

Groin dressing after cardiac catheterization. Comparison between light dressing with thin transparent tape (Tegaderm) and conventional tight/pressure dressing with an elastic adhesive bandage (Tensoplast).

Post cardiac catheterization puncture site care is usually done with a tight pressure dressing by an elastic adhesive bandage (Tensoplast) due to the belief that it should prevent bleeding. The practice is uncomfortable to the patients. The authors compared a new way of dressing using light transparent tape (Tegaderm) to the conventional tight pressure one. 126 post coronary angiography patients were randomized to have their groins dressed either with Tensoplast or with Tegaderm. Patients ambulated 8 hours after the procedures. The groin was evaluated for pain, discomfort and bleeding complications. 49 per cent in the Tensoplast vs 26.9 per cent in the Tegaderm group experienced pain (p value of 0.01). 55.5 per cent in the Tensoplast group vs 11.1 per cent in the Tegaderm group reported discomfort. 4.7 per cent in the Tensoplast vs 1.6 per cent in the Tegaderm group developed bleeding or hematoma. Dressing of the puncture site after cardiac catheterization with Tegaderm was more comfortable than the conventional Tensoplast without any difference in bleeding complications.