Nicholas Morley MD, Presenter: Nothing to Disclose

Thomas Howard Grant DO, Abstract Co-Author: Nothing to Disclose

Kevin John Blount MD, Abstract Co-Author: Nothing to Disclose

Imran Muhammad Omar MD, Abstract Co-Author: Nothing to Disclose

1. Describe the anatomy of the pubic symphysis and its ultrasound appearance 2. Discuss the scanning techniques and protocol for a tailored athletic pubalgia exam at ultrasound 3. Describe the findings seen in athletic pubalgia and its differential diagnosis at ultrasound

Athletic pubalgia, also commonly called “sports hernia,” is a painful groin condition usually seen in athletic patients performing quick acceleration and side to side cutting. It represents a spectrum of injuries around the pubic symphysis, often resulting from a rectus abdominis-adductor longus aponeurosis tear. Previous studies have described the MRI appearance of athletic pubalgia, however, advantages of diagnosis at ultrasound include high resolution imaging and ability to direct imaging to the exact area of patient pain. The aim of this educational exhibit is to detail our institutional experience diagnosing athletic pubalgia at ultrasound. This includes an overview of the complex songraphic appearance of pubic symphysis anatomy, our institutional scanning protocol for an athletic pubalgia exam, and to detail the findings of athletic pubalgia and its differential diagnoses. Suggestions for optimizing image acquisition while maintaining patient comfort are also included.  

http://abstract.rsna.org/uploads/2014/14002708/14002708_vxfa.pdf

Morley, N, Grant, T, Blount, K, Omar, I, Ultrasound Evaluation of Athletic Pubalgia.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14002708.html