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Query: UMLS:C0599766 (functional recovery)
 13,441 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A case of bilateral groin pain of sudden onset in a 14-yr-old boy is presented. The patient reported sudden onset of pain in both inguinal regions during a 100-m dash. He presented a week later to the clinic where physical examination revealed a shuffling gait, bilateral hip flexion contractures, limited active and passive hip extension, and bilateral weakness of hip flexion and knee extension. Plain radiographs of the pelvis revealed avulsion fragments minimally displaced from both anterior inferior iliac spines (AIIS). Pain relief in the acute phase was achieved by limiting ambulation until weight bearing was painless. The patient was treated conservatively and returned to full speed running in 10 wk. Only one case of bilateral AIIS avulsion fractures has previously been reported. AIIS avulsion fractures that are not widely displaced may be treated conservatively. Following a careful program of rehabilitation, full functional recovery following AIIS avulsion fractures may be achieved in 4-6 wk.
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PMID:Bilateral anterior inferior iliac spine avulsion fractures. 877 48

Groin pain is a difficult clinical problem because of the variety of conditions that are potentially responsible. Much of the "theory" of groin pain is just that, theory, and much needs to be done to document the pathomechanics and symptomatology of this anatomical region. Notwithstanding the above, clinicians should be comfortable in the knowledge that they can provide relief in most cases and a cure in more than a few. The recommended diagnostic approach is anatomical, supported by judicious selection of diagnostic imaging techniques. Management then comprises a considered approach to functional recovery, allowing time to heal, regain strength, and restore mobility. Patients should be reminded that there are no short cuts and precipitate return to sport is not worth the risk in most cases.
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PMID:Management of groin pain in athletes. 919 20