POSTER ABSTRACTS - ISAKOS

dedicated MR protocols have been tried to
correctly diagnose sports hernia. However, this
condition caused probably by a weakness of the
posterior inguinal wall without a clinically obvious
hernia seems to be the biggest challenge for
imaging, even for the MRI.
A review of imaging different acute and chronic
groin problems will be given in the presentation.
A dedicated MRI protocol will be presented for
imaging a patient with groin pain but doubtful
clinical diagnosis.
E-poster #1005
Complete Ruptures of the Proximal Adductor
Muscles in the Professional Soccer Player
Robert Smigielski, Warsaw, POLAND, Presenter
Urszula Zdanowicz, Warsaw, POLAND
Zbigniew Czyrny, Warsaw, POLAND
Carolina Medical Center, Warsaw, POLAND
Goal: Adductor muscle injuries are one of the
most common injuries in soccer, but there are
only a few cases described in the literature of
complete rupture. The aim of this study is to
present diagnostic, surgical procedure and
rehabilitation in patients, professional soccer
players with complete proximal adductor muscles
rupture.
Material and method: Three professional soccer
player underwent an operation due to complete
rupture of the proximal adductor longus muscle.
In all of the cases there were partial injuries and
degenerative changes of adjacent muscles
(gracilis muscle, adductor brevis muscle and
rectus abdominal muscle). All patients were men,
mean age 29 (26-33). All patients before the main
injury suffered from pain in this area. Mean time
from injury to operation was 2,6 days (2-4). In all
cases we performed reinsertion of the muscle into
the pubic bone. Mean observation time is 7,3
months (5-11). Postoperatively all patients
underwent careful clinical evaluation as well as
USG.
Results: In all cases we obtained very good results
allowing patients caming back into regular
training program.
Conclusion: Operation treatment of complete
ruptures of adductor muscles combined with
intensive rehabilitation and some modifications
in the training program allows soccer player
coming back into professional sport.
E-poster w/ Standard #1006
Relation between Radiological Findings of the
Cervical Spine and Neck Muscle Strength in
American Football Players and Rugby Football
Players
Hitoshi Abe, Shirokane, JAPAN
Hiroomi Kamikura, Tokyo, JAPAN
Hideo Matsumoto, Tokyo, JAPAN
Morio Matsumoto, Shinjyuku, Tokyo JAPAN
Masaki Nagashima, Shibuya, Tokyo JAPAN
Yasunori Tsukimura, JAPAN, Presenter
Kitasato Insutitute Hospital, Shirokane, Tokyo,
JAPAN
The purpose of this study was to investigate the
relation between radiological findings of the
cervical spine and the muscle strength of the
neck.Radiographs of the cervical spine were taken
in the 1st grade of 345 American football
players,which consist of 324 collegiate players and
21 high school players , and 87 high school rugby
football players, and were retrospectively studied.
Radiological findings, all subjects were classified
into 3 groups, normal with anterior bowing(N),
and two groups of abnormal alignment,
characterized by disappearance of anterior
bowing(DAB) or formation of posterior
bowing(PB), based on the findings in plain
radiographs of the lateral view of the cervical
spine in the neutral position. Flexion(F)and
Extension(E)of neck muscle strength were
measured using with Micro FET. F/neck
diameter(F/ND),E/ND, F/body weight(F/BW), E/BW
and percentage of F/E(%F/E) were analyzed
statistically. E, E/ND and %F/E showed
significantly related to radiological findings of the
cervical spine.
E was 284.1N in DAB, 266.2N in PB and 277.2N in
N. E/ND date was 7.5N/cm, 7.1N/cm and 7.3N/cm
in N. %F/E was 90.6% in DAB, 95.4% in PB and
88.9% in N, respectively.
We conclude from this study that relative
decreasing the neck muscle strength of extension
was low, compared with that of flexion in the PB
group.