EFSMA european federation of sports medicine associations
Newsletter Medicina Sportiva

Romanian Society for Sports Medicine

Home       • Contact        • Sport Medicine Journal      • International Events Calendar     • Information

"Medicina Sportiva" No.14 - 2008 The 15-th Sports Medicine Balkan Congress


Ovricenco Madalina
Dinamo Sport Club, Bucharest, Romania

INTRODUCTION. As a major weight-bearing joint, normal hip function is crucial to favourable sporting participation being important in running, jumping and kicking based activities. Although athletic injuries of the hip and groin occur less commonly than injuries of the extremities, they represent a challenge for sports medicine practitioners because clinical assessment of the athletes is often difficult, because of the complex regional anatomy and of multiple differential diagnostic possibilities. Moreover, many of the soft tissue complaints in this area become chronic resulting in extensive rehabilitation time.
The aim of this study was to examine the incidence of posttraumatic injuries of the hip and groin in athletes registered at Dinamo Sports Club between  2005-2007.
METHODS: We have examined 109 posttraumatic hip and groin injuries (88 males and 21 female, aged between 8-35 years), representing 2,1% of all the medical exams. The athletes were assessed clinically and imagistically( X ray, ultrasound, CT scan and MRI).
RESULTS: Most of the injuries involved the extra-articular soft tissue of the hip – 99 (90,8%) cases followed by a few cases of referred pain -9 (8,2%) cases (radiculopathyes and sacroiliac dysfunctions) and only one intraarticular problem, a pincer-type femoroacetabular impingement. The distribution on sports discipline placed on top handball (23 cases) and rugby (29 cases) followed by athletics (15 cases), basketball and water-polo (9cases each), martial arts (5 cases), gymnastics and volleyball (4 cases each) and weight-lifting (2 cases).
CONCLUSIONS: 1. Extraarticular disorders of the hip far outnumber intraarticular disorders. 2. As expected, the most common injuries about the hip and groin were muscle strains, especially at the superior insertion of the adductor muscles and in athletes who participate in sports that require repetitive twisting and turning movements at speed (handball and rugby). 3. Often referred pain was responsible for hip and groin pain requering a comprehensive medical exam. 4. Although intraarticular disorders of the hip are less common, they put problems in establishing the diagnosis and they severely hinder athletic performance. 5. Most of the cases of groin pain appeared/reappeared in a team in the same time during the competitive season meaning that the athletes were all subjected to inadequate trainings. 6. Preventive training, with specially designed strength and flexibility exercises, is essential and should be included in every training programme as an integral part of the warm-up.
KEY WORDS: hip injuries, groin injuries, top athletes.

Web creator - Gabriel Panait M.D. Information belongs to S.Ro.M.S -  contact person Mirela Vasilescu M.D.

S.Ro.M.S 's web section is freely created and hosted on   www.medicinasportiva.ro  -  according to Terms & Conditions

Online since
March, 23 2006
www  www.medicinasportiva.ro

Website Statistics
Copyright© MedicinaSportiva.Ro & Partners. All rights reserved.

Back ↑ top