title: Multidisciplinary approach to non-surgical management of inguinal disruption in a professional hockey player treated with platelet-rich plasma, manual therapy and exercise: a case report.
abstract: OBJECTIVE
  To present the clinical management of inguinal disruption in a professional hockey player and highlight the importance of a multidisciplinary approach to diagnosis and management.
  
  
  METHODS
  A professional hockey player with recurrent groin pain presented to the clinic after an acute exacerbation of pain while playing hockey.
  
  
  METHODS
  The patient received a clinical diagnosis of inguinal disruption. Imaging revealed a tear in the rectus abdominis. Management included two platelet-rich plasma (PRP) injections to the injured tissue, and subsequent manual therapy and exercise. The patient returned to his prior level of performance in 3.5 weeks.
  
  
  CONCLUSIONS
  This case demonstrated the importance of a multidisciplinary team and the need for advanced imaging in athletes with groin pain.
  
  
  CONCLUSIONS
  Research quality concerning the non-surgical management of inguinal disruption remains low. This case adds evidence that PRP, with the addition of manual therapy and exercise may serve as a relatively quick and effective non-surgical management strategy.
authors.affiliation: Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Ontario, M2H 3J1; Sports Sciences Resident, Division of Graduate Studies.
authors.forename: Eric
authors.initials: E
authors.lastname: St-Onge
authors.affiliation: Private practice, Etobicoke, Ontario, Canada.
authors.forename: Ian G
authors.initials: IG
authors.lastname: MacIntyre
authors.affiliation: Private practice, Etobicoke, Ontario, Canada.
authors.forename: Anthony M
authors.initials: AM
authors.lastname: Galea
keywords: PRP; athletic pubalgia; chiropractic; inguinal disruption; platelet-rich plasma; sports hernia
references.citation: Am J Sports Med. 2015 Aug;43(8):1857-64
references.pmid: 25977522
references.citation: Br J Sports Med. 2014 Jul;48(14 ):1079-87
references.pmid: 24149096
references.citation: J Bodyw Mov Ther. 2012 Oct;16(4):540-8
references.pmid: 23036885
references.citation: Sports Health. 2014 Mar;6(2):139-44
references.pmid: 24587864
references.citation: PM R. 2015 Jan;7(1):79-83
references.pmid: 25134854
references.citation: Surgery. 2011 Jul;150(1):99-107
references.pmid: 21549403
references.citation: Int J Sports Phys Ther. 2012 Feb;7(1):85-100
references.pmid: 22319682
references.citation: Clin Orthop Relat Res. 2007 Feb;455:78-87
references.pmid: 17146362
references.citation: Br J Sports Med. 1998 Jun;32(2):134-9
references.pmid: 9631220
references.citation: Clin Podiatr Med Surg. 2015 Jan;32(1):99-107
references.pmid: 25440421
references.citation: Am J Sports Med. 2000 Jan-Feb;28(1):2-8
references.pmid: 10653536
references.citation: Br J Sports Med. 2015 Jun;49(12):813
references.pmid: 25633830
references.citation: Int J Sports Phys Ther. 2014 Nov;9(6):774-84
references.pmid: 25383246
references.citation: Br J Sports Med. 2008 Dec;42(12):954-64
references.pmid: 18603584
references.citation: J Am Acad Orthop Surg. 2007 Aug;15(8):507-14
references.pmid: 17664370
references.citation: Radiographics. 2008 Sep-Oct;28(5):1415-38
references.pmid: 18794316
references.citation: Br J Sports Med. 2009 Apr;43(4):247-52
references.pmid: 19244270
references.citation: Hernia. 2010 Feb;14(1):17-25
references.pmid: 20066552
references.citation: Phys Ther Sport. 2014 May;15(2):124-9
references.pmid: 24529632
references.citation: Hernia. 2010 Feb;14(1):1-4
references.pmid: 20052510
references.citation: PLoS One. 2014 Feb 28;9(2):e90538
references.pmid: 24587389
references.citation: Injury. 2014 Oct;45 Suppl 4:S7-14
references.pmid: 25384475
references.citation: Sports Health. 2010 May;2(3):231-6
references.pmid: 23015943
references.citation: Cochrane Database Syst Rev. 2014 Apr 29;(4):CD010071
references.pmid: 24782334
references.citation: Phys Ther Sport. 2013 Feb;14(1):3-16
references.pmid: 23312727
references.citation: J Orthop Sports Phys Ther. 2008 Dec;38(12):768-81
references.pmid: 19047766