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Prevalence of Surgical Repair for Athletic Pubalgia and Impact on Performance in Football Athletes Participating in the National Football League Combine
- Source :
- Arthroscopy: The Journal of Arthroscopic & Related Surgery. 33:1044-1049
- Publication Year :
- 2017
- Publisher :
- Elsevier BV, 2017.
-
Abstract
- Purpose To examine the prevalence and impact of athletic pubalgia (AP) surgery in elite American football athletes participating in the National Football League (NFL) Combine. Methods Results from 1,311 athletes participating in the Combine from 2012 to 2015 were evaluated. Athletes with a history of AP repair were identified using the NFL Combine Database. Athlete history and available imaging was reviewed. NFL performance based on draft status, games played, games started, and current status in the NFL was gathered using publicly available databases. Statistical analysis was performed to detect for significant associations between athlete history and NFL performance in the presence of AP repair and pelvic pathology on postsurgical magnetic resonance imaging (MRI). Results AP repair was identified in 4.2% (n = 55) of athletes. MRI was performed in 35% (n = 19 of 55) with AP repair, of which 53% (n = 10 of 19) had positive pathology. Athletes with repair were not at risk of playing ( P = .87) or starting ( P = .45) fewer regular season games, going undrafted ( P = .27), or not being on an active NFL roster ( P = .51). Compared with athletes with negative imaging findings, positive pathology on MRI did not have a significant impact on games played ( P = .74), games started ( P = .48), draft status ( P = .26), or being on an active roster ( P = .74). Offensive linemen ( P = .005) and athletes with a history of repair within 1 year of the Combine ( P = .03) had a significantly higher risk of possessing positive pathology on MRI. Conclusions Athletes with a history of successful AP surgery invited to the NFL Combine and those with persistent pathology on MRI are not at increased risk for diminished performance in the NFL. Offensive linemen and athletes less than 1 year out from surgery have a higher risk for positive MRI findings at the pubic symphysis. Level of Evidence Level IV, prognostic study-case series.
- Subjects :
- Adult
Male
medicine.medical_specialty
Databases, Factual
Athletic pubalgia
Football
American football
Hernia, Inguinal
League
Young Adult
03 medical and health sciences
0302 clinical medicine
Prevalence
Humans
Medicine
Orthopedics and Sports Medicine
Statistical analysis
Herniorrhaphy
Surgical repair
030222 orthopedics
biology
business.industry
Athletes
030229 sport sciences
Prognosis
medicine.disease
biology.organism_classification
Magnetic Resonance Imaging
United States
Return to Sport
Physical therapy
business
Mri findings
Subjects
Details
- ISSN :
- 07498063
- Volume :
- 33
- Database :
- OpenAIRE
- Journal :
- Arthroscopy: The Journal of Arthroscopic & Related Surgery
- Accession number :
- edsair.doi.dedup.....86e7b68cf90a07d5cf4330c218bc8675