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Groin Pain

Saša Janković
Domagoj Delimar
Damir Hudetz

Puni tekst: hrvatski, pdf (63 KB) str. 421-428 preuzimanja: 5.837* citiraj
APA 6th Edition
Janković, S., Delimar, D. i Hudetz, D. (2001). Sindrom bolne prepone. Arhiv za higijenu rada i toksikologiju, 52 (4), 421-428. Preuzeto s
MLA 8th Edition
Janković, Saša, et al. "Sindrom bolne prepone." Arhiv za higijenu rada i toksikologiju, vol. 52, br. 4, 2001, str. 421-428. Citirano 03.03.2021.
Chicago 17th Edition
Janković, Saša, Domagoj Delimar i Damir Hudetz. "Sindrom bolne prepone." Arhiv za higijenu rada i toksikologiju 52, br. 4 (2001): 421-428.
Janković, S., Delimar, D., i Hudetz, D. (2001). 'Sindrom bolne prepone', Arhiv za higijenu rada i toksikologiju, 52(4), str. 421-428. Preuzeto s: (Datum pristupa: 03.03.2021.)
Janković S, Delimar D, Hudetz D. Sindrom bolne prepone. Arh Hig Rada Toksikol. [Internet]. 2001 [pristupljeno 03.03.2021.];52(4):421-428. Dostupno na:
S. Janković, D. Delimar i D. Hudetz, "Sindrom bolne prepone", Arhiv za higijenu rada i toksikologiju, vol.52, br. 4, str. 421-428, 2001. [Online]. Dostupno na: [Citirano: 03.03.2021.]

Groin pain is defined as tendon enthesitis of adductor longus muscle and/or abdominal muscles that may lead to degenerative arthropathy of pubic symphisis in an advanced stage. Pubic region is a point where kinematic forces cross. The balance between the adductor and abdominal muscles is of great importance, as well as the elasticity of pubic symphisis which enables movement of up to 2 mm and rotation of up to 3 degrees. The weakness of the abdominal muscle wall, known as the sportsman's hernia, is the most common cause of painful groin. Groin pain is the most common in soccer players (6.24% in Croatia). Most authors believe that the main cause of groin pain is the adductor muscle overload. When active, sportsmen start to feel a dull pain in the groin region. The adductor test is of great importance for physical examination; the patient should be lying supine with his hips abducted and flexed at 80 degrees. The test is positive if the patient, while attempting to pull his/her legs against pressing in the opposite direction, feels a sharp pain in the groins. The treatment of groin pain is complex and individual, as its causes may vary from patient to patient. Gradual physical therapy combined with pharmacotherapy should be effective in most cases. The latter includes nonsteroid anti-inflammatory drugs and muscle relaxants. A physical therapy programme usually involves stretching and strengthening of adductor muscles, abdominal wall muscles, iliopsoas muscle, quadriceps, and hamstrings. In case that physical therapy and pharmacotherapy fail, surgery is needed, depending on the cause.

Ključne riječi
enthesitis of abdominal muscles; enthesitis of adductor muscles; football player; injury; physiotherapy

Hrčak ID: 473



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