Understanding sports hernia (athletic pubalgia) - The anatomic and pathophysiologic basis for abdominal and groin pain in athletes

Recent publicity and some scientific reports suggest increasing success in treating an entity called “sports hernia” - more accurately named athletic pubalgia. The primary purpose of this article is to portray what we believe to be the key concept for understanding this wide variety of abdominal and groin injuries that afflict high performance athletes. These injuries have been plaguing athletes for a long time, and past treatments, based on concepts of occult hernia or simple strains, have generally failed. The former concepts do not take into account the likely mechanisms of injury or various patterns of pain that these athletes exhibit. The authors believe that the concept of a pubic joint or pubic dynamic complex is fundamental to understanding the anatomy and pertinent pathophysiology in these patients. Many injuries can now be treated successfully. Some of the injuries require surgery and others do not. In most cases, decisions regarding treatment and timing for return to full play require proper identification of the problems and consideration of a wide variety of medical, social, and business factors

Misplaced Focus: Assumptions about Sex Hormones and ACL Injury in Female Athletes

Explaining Anterior cruciate ligament {ACL} injury rate differences between female athletes and male athletes by the role of female hormones is misplaced. We are not in 19.th.century to think, that a woman is “unable” because of her hormonal prepositions and to see this as a “women’s problem”. These injuries require further exploration before they can be labeled as “sex-specific” and as having intrinsic or biological causation. There are different sport opportunities (girls are supposed to be focused on some “feminine” sports and are becoming involved in athletic later than boys) and expected results, which are measured in the same age of boys and girls. Also experience with training of sportsmen has a long history and practice compared to women’s training. The body as a physiological entity is produced throughout the life course of an individual and is not some a priory that can be understood or measured independently of the social life that constructs it

Inter-rater reliability, internal consistency and common technique flaws of the tuck jump assessment in elite female football players

Injury rates between elite female and male players are comparable, although female players are more likely to sustain an anterior cruciate ligament (ACL) injury. The common mechanism of ACL injury is non-contact trauma sustained when landing from a jump. The Tuck Jump Assessment (TJA) is commonly used in football to assess jump landing technique. The aims of this study were to determine inter-rater agreement and internal consistency of the TJA and to identify commonly occurring technique flaws. Sixty elite female football players (mean (SD): age = 20.27 ± 3.44yrs) were video recorded whilst undertaking the TJA and independently assessed by four raters. Clinically acceptable levels of agreement were reached for ‘Lower extremity valgus at landing’ k = .83 (95% CI, .72 – .93); ‘Thighs do not reach parallel’ k = .84 (95% CI, .74 - .94); ‘Thighs not equal side to side’ k = .86 (95% CI, .75 - .96). The level of agreement for the composite score of all 10 criteria ranged from kw = .62 (95% CI, .48 – .76) to kw = .80 (95% CI, .70 – .90) suggesting a ‘fair-to-very good’ level of inter-rater agreement. The most common technique flaws were found for criterion 2 ‘Thighs do not reach parallel’ (N=147/665) and criterion 1 ‘Knee valgus on landing’ (N=80/665). However, internal consistency results suggest that the TJA is not unidimensional. We suggest ‘Knee valgus on landing’ may have clinical utility although further research is needed

Spartan Daily, November 21, 2017

Volume 149, Issue 38https://scholarworks.sjsu.edu/spartan_daily_2017/1079/thumbnail.jp

Sports, Inc. Volume 7, Issue 1

The ILR Cornell Sports Business Society magazine is a semester publication titled Sports, Inc. This publication serves as a space for our membership to publish and feature in-depth research and well-thought out ideas to advance the world of sport. The magazine can be found in the Office of Student Services and is distributed to alumni who come visit us on campus. Issues are reproduced here with permission of the ILR Cornell Sports Business Society.https://digitalcommons.ilr.cornell.edu/sportsinc/1008/thumbnail.jp