A Cadaveric Model of Femoroacetabular Impingement: Preliminary Results on Pubic Symphysis Biomechanics

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چکیده

INTRODUCTION: Athletic pubalgia, also known as sports hernia, is a common clinical presentation of localized groin pain, which can affect several locations including: adductor origin, inguinal region, acetabular/hip region and at the pubic symphysis [1]. Femoroacetabular Impingement (FAI) has been suspected as a major cause of groin pain in athletes, but a clear linkage has yet to be established. The linkage between FAI and athletic pubalgia could change the algorithm of diagnosis and treatment of patients with athletic pubalgia. This connection could also be used for early identification of labral lesions and osteoarthritis [2]. Dalstra et al. have shown that a significant portion of the load from the upper body is transferred across the pubic bone during motion. They have also shown that the load is concentrated in the anterior-superior quadrant of the acetabular rim as imparted by the femur [3]. This location on the acetabular rim is consistent with the location where femoroacetabular cam-lesions are most commonly found [3].

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تاریخ انتشار 2011