Joseph Coyle MBBCh, MRCPI, Presenter: Nothing to Disclose

Eanna Falvey MD, Abstract Co-Author: Nothing to Disclose

Andrew Franklyn-Miller MBBCh, Abstract Co-Author: Nothing to Disclose

Jenny Ward, Abstract Co-Author: Nothing to Disclose

Brian A. Hogan MBBCh, Abstract Co-Author: Nothing to Disclose

To correlate MRI imaging findings of Pubic Bone Stress Oedema (PBOS) with clinical examination standardized clinical performance models and return to play in a cohort of 300 patients presenting with exercise induced groin pain.

MRI scans from 300 consecutive patients attending a dedicated groin injury clinic in a large specialist Sports Medicine and Orthopedic hospital were reviewed. A standard 3 tesla MRI groin imaging protocol was performed on all patients. Findings of pubic bone stress oedema were graded and then compared to standardized clinical assessment scores (Copenhagen Hip and Groin Outcome Score, HAGOS) and to time to return to play in all patients. Minimum patient follow up for study inclusion was 12 months.

Volume of pubic bone stress oedema (PBOS) correlated well with patient return to play times. There was poor correlation of volume and location of PBOS with HAGOS standardized clinical assessment scores. Laterality of PBOS (right versus left) did not correlate well with findings on clinical exam. There was no association between secondary cleft sign, common anterior plate rectus abdominus and adductor longus insertional tendonopathy or pubic symphysis joint effusion and return to play.

Volume of Pubic Bone Stress Oedema on MRI can be used to accurately predict return to play times in athletic patients presenting with groin pain.

Groin pain is a common complaint amongst both recreational and elite athletes. Accurate diagnosis and treatment as well as prediction of return to play can be difficult. MRI findings of Pubic Bone Stress Oedema can be used as a useful predictor of return to play in this cohort.

Coyle, J, Falvey, E, Franklyn-Miller, A, Ward, J, Hogan, B, Pubic Bone Stress Oedema as a Predictor of Return to Play in Athletes with Groin Pain.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14017408.html