title: MRI in patients with chronic pubalgia: Is precise useful information provided to the surgeon? A case-control study.
abstract: Recent studies described that MRI is a good examination to assess damage in chronic athletic pubalgia (AP). However, to our knowledge, no studies focus on systematic correlation of precise tendon or parietal lesion in MRI with surgery and histological assessment. Therefore, we performed a case-control study to determine if MRI can precisely assess Adductor longus (AL) tendinopathy and parietal lesion, compared with surgery and histology.
  
  
  
  MRI can determine if AP comes from pubis symphysis, musculotendinous or inguinal orifice structures.
  
  
  
  Eighteen consecutive patients were enrolled from November 2011 to April 2013 for chronic AP. To constitute a control group, we also enrolled 18 asymptomatic men. All MRI were reviewed in consensus by 2 skeletal radiologists for pubic symphysis, musculotendinous, abdominal wall assessment and compared to surgery and histology findings.
  
  
  
  Regarding pubis symphysis, we found 4 symmetric bone marrow oedema (14%), 2 secondary cleft (7%) and 2 superior ligaments lesions (7%). For AL tendon, we mainly found 13 asymmetric bone marrow oedema (46%), 15 hyperaemia (54%). Regarding abdominal wall, the deep inguinal orifice size in the group of symptomatic athletes and the control group was respectively 27.3±6.4mm and 23.8±6.3mm. The correlation between MRI and surgery/histology was low: 20% for the AL tendon and 9% for the abdominal wall. If we chose the criteria "affected versus unaffected", this correlation became higher: 100% for AL tendon and 73% for the abdominal wall.
  
  
  
  MRI chronic athletic pubalgia concerns preferentially AL tendinopathy and deep inguinal canal dehiscence with high correlation to surgery/histology when only considering the item "affected versus unaffected" despite low correlation when we try to precisely grade these lesions.
  
  
  
  III: case-control study.
authors: Department of radiology, cliniques universitaires Saint-Luc, 10, Hippocrate avenue, Brusssels, Belgium.
authors: A
authors: A
authors: Larbi
authors: Centre d'imagerie ostéo-articulaire, clinique du sport de Bordeaux-Mérignac, 2, rue Négrevergne, 33700 Mérignac, France.
authors: L
authors: L
authors: Pesquer
authors: Centre d'imagerie ostéo-articulaire, clinique du sport de Bordeaux-Mérignac, 2, rue Négrevergne, 33700 Mérignac, France.
authors: G
authors: G
authors: Reboul
authors: Department of diagnostic and interventional radiology, Bugnon 46, 1011 Lausanne, Switzerland.
authors: P
authors: P
authors: Omoumi
authors: Laboratoire de biostatistiques, université Paris Diderot, 46, rue Henri-Huchard, 75018 Paris, France.
authors: A
authors: A
authors: Perozziello
authors: Centre d'imagerie ostéo-articulaire, clinique du sport de Bordeaux-Mérignac, 2, rue Négrevergne, 33700 Mérignac, France.
authors: P
authors: P
authors: Abadie
authors: Service de radiologie, CHU Bichat, AP-HP, 46, rue Henri-Huchard, 75018 Paris, France.
authors: P
authors: P
authors: Loriaut
authors: Service de radiologie, CHU Bichat, AP-HP, 46, rue Henri-Huchard, 75018 Paris, France.
authors: P
authors: P
authors: Copin
authors: Département de radiologie, CHU Dupuytren, avenue Martin-Luther-King, 87000 Limoges, France.
authors: E
authors: E
authors: Ducouret
authors: Centre d'imagerie ostéo-articulaire, clinique du sport de Bordeaux-Mérignac, 2, rue Négrevergne, 33700 Mérignac, France. Electronic address: Benjamin.dallaudiere@gmail.com.
authors: B
authors: B
authors: Dallaudière
mesh_terms: D000328:Adult; D001265:Athletic Injuries / Q000503:physiopathology*; D001855:Bone Marrow Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology; D016022:Case-Control Studies; D059350:Chronic Pain / Q000503:physiopathology*; D004487:Edema / Q000000981:diagnostic imaging / Q000503:physiopathology; D005260:Female; D006801:Humans; D008023:Ligaments, Articular / Q000000981:diagnostic imaging / Q000503:physiopathology; D008279:Magnetic Resonance Imaging; D008297:Male; D010384:Pelvic Bones / Q000000981:diagnostic imaging* / Q000503:physiopathology; D017699:Pelvic Pain / Q000503:physiopathology*; D052256:Tendinopathy / Q000000981:diagnostic imaging / Q000503:physiopathology
keywords: Adductor longus; MRI; Pubalgia; Surgery; Tendon