Learning objectives
To illustrate the imaging findings in different acute and chronic injuries occurring at the pelvic girdle and thigh: muscles, tendons, bones, and joints in football players.
Background
Football is a worldwide popular game that requires continuous training and sometimes intense practice. Footballer’s pelvis, hips and thigh muscles are subjected to a great deal of strain with turning, quick acceleration and deceleration, and of course kicking [1, 2]. Injuries in these players are common and so frequent. Many cases are managed conservatively, like in low grade muscle strain or tendon sprain, and imaging might not be needed. In more serious and sometimes chronic injuries, physiotherapists and surgeons have difficulties in diagnosis and in...
Findings and procedure details
I-Acute avulsion fracture:
Pelvic apophyseal injuries are common in young football players. Apophyses, bony attachments of the tendons, are a common site of acute avulsion secondary to forceful muscle contraction. This might affect the anterior superior iliac spine, anterior inferior iliac spine (fig.1), ischial tuberosity (fig. 2), iliac crest and pubic bones, as well as the greater and lesser trochanters of the femur. A displaced avulsed bone fragment is diagnostic at plain X-ray or CT images. These injuries are usually managed conservatively with a good...
Conclusion
Avulsion fracture, apophyseal stress injuries, muscle injuries, heterotopic ossification and hip labrum and chondral injuries are examples of common injuries encountered in football players. Radiographs, US, CT and MRI are helpful in the diagnosis of different patterns of acute and chronic injuries.
Personal information and conflict of interest
C. Furtado:
Nothing to disclose
S. Yousry Gamal Bakr:
Nothing to disclose
R. A. Zeitoun:
Nothing to disclose
References
Santos TRT, Andrade JA de, Silva BL da, et al (2014) Active control stabilization of pelvic position in the transverse plane: an evaluation of soccer players’ performance. Phys Ther Sport 15:189–193. https://doi.org/10.1016/j.ptsp.2013.11.003
Todeschini K, Daruge P, Bordalo-Rodrigues M, et al (2019) >Imaging Assessment of the Pubis in Soccer Players. Rev Bras Ortop (Sao Paulo) 54:118–127. https://doi.org/10.1016/j.rbo.2017.12.012
Branci S, Thorborg K, Bech BH, et al (2015) MRI findings in soccer players with long-standing adductor-related groin pain and asymptomatic controls. Br J Sports Med 49:681–691. https://doi.org/10.1136/bjsports-2014-093710
Sherman...