title: Successful treatment of athletic pubalgia in a lacrosse player with ultrasound-guided needle tenotomy and platelet-rich plasma injection: a case report.
abstract: Athletic pubalgia is a syndrome of persistent groin pain due to chronic repetitive trauma or stress involving the pelvic joints and many musculotendinous structures that cross the anterior pelvis. As a result, the differential diagnosis can be complex, but insertional tendinopathies are the most common. This case report describes a novel approach to the treatment of distal rectus abdominis tendinopathies with ultrasound-guided needle tenotomy and platelet-rich plasma (PRP) injection. After injection, the patient returned to pain-free play at his previous level of intensity. This suggests that PRP may be a useful treatment for this diagnosis.
authors.affiliation: Department of Rehabilitation Medicine, New York-Presbyterian Hospital-Columbia and Cornell, Harkness Pavilion 1st Floor, Rm 180, 180 Fort Washington Ave, New York, NY 10032∗. Electronic address: paul.scholten@gmail.com.
authors.forename: Paul M
authors.initials: PM
authors.lastname: Scholten
authors.affiliation: Department of Physiatry, Hospital for Special Surgery, 75th Street Campus, New York, NY(†).
authors.forename: Stephen
authors.initials: S
authors.lastname: Massimi
authors.affiliation: Department of Athletics, St. John's University, Queens, NY(‡).
authors.forename: Nick
authors.initials: N
authors.lastname: Dahmen
authors.affiliation: Department of Physiatry, Hospital for Special Surgery, 75th Street Campus, New York, NY(§).
authors.forename: Joanne
authors.initials: J
authors.lastname: Diamond
authors.affiliation: Department of Physiatry, Hospital for Special Surgery, 75th Street Campus, New York, NY(||).
authors.forename: James
authors.initials: J
authors.lastname: Wyss
mesh_terms: D001265:Athletic Injuries / Q000150:complications / Q000628:therapy*; D006801:Humans; D008297:Male; D009339:Needles; D017699:Pelvic Pain / Q000000981:diagnostic imaging / Q000628:therapy*; D053657:Platelet-Rich Plasma; D011631:Pubic Symphysis / Q000000981:diagnostic imaging / Q000293:injuries*; D015865:Racquet Sports / Q000331:legislation & jurisprudence*; D058971:Tenotomy / Q000379:methods*; D014463:Ultrasonography; D055815:Young Adult