{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T18:02:50Z","timestamp":1778349770874,"version":"3.51.4"},"reference-count":10,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,4,11]],"date-time":"2023-04-11T00:00:00Z","timestamp":1681171200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2023,5]]},"abstract":"Objective<\/jats:title>Sports related injuries to the anterolateral abdominal wall have been described as side strain injuries or hip pointer. So far, only a few cases of avulsion injuries of the m. obliquus internus abdominis muscle from the iliac crest have been described. All were treated conservatively. The aim of this study is to present the surgical technique.<\/jats:p><\/jats:sec>Methods<\/jats:title>This report presents three cases of professional soccer players who were treated surgically with transosseous reattachment to the iliac crest. These male players were 23, 25, and 29\u2009years old. Two of them suffered a direct contusion and one an indirect injury. The diagnosis was suspected based on the patient's history and clinical examination and confirmed by MRI. In each case, the fibrocartilaginous layer of the m. obliquus internus was separated 2\u00a0cm from the iliac crest. All three players were operated by aponeurotic m. obliquus internus refixation to the lateral iliac crest (three transosseous drill holes). Return to play was 55, 60, and 122\u2009days postoperatively. Functional limitations, symptoms, sports\/recreational activities, and quality of life in terms of occupational, social, emotional, and lifestyle concerns were measured using the iHOT 12 instrument at 11.1 and 9.7\u2009years postoperatively.<\/jats:p><\/jats:sec>Results<\/jats:title>Six weeks postoperatively, sport\u2010specific training was started. After 2 to 4\u2009months, all three patients were fully reintegrated into their elite sports and unrestricted sports ability was achieved. Long\u2010term follow\u2010up was performed using the German version of the iHOT\u201012 questionnaire and 92.7% and 99.9% were calculated for the two German speaking soccer players.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Our cases demonstrate that transosseous suture reattachment was a successful procedure that allowed a safe and predictable return to sport. Full performance and excellent, long lasting treatment results were achieved.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13699","type":"journal-article","created":{"date-parts":[[2023,4,11]],"date-time":"2023-04-11T07:49:10Z","timestamp":1681199350000},"page":"1399-1404","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Successful Repair of M. obliquus Internus Abdominis Avulsion at the Iliac Crest\u2014Operative Technique in Professional Soccer Players"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5949-4867","authenticated-orcid":false,"given":"Heinz","family":"Lohrer","sequence":"first","affiliation":[{"name":"Department for Sports and Sport Science Albert\u2010Ludwigs\u2010Universit\u00e4t Freiburg i. Brsg Freiburg Germany"},{"name":"European SportsCare Network (ESN) Zentrum f\u00fcr Sportorthop\u00e4die Wiesbaden\u2010Nordenstadt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"H\u00f6ferlin","sequence":"additional","affiliation":[{"name":"Hernienpraxis\u2010Mainz Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,4,11]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2015-094869"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-003-0674-5"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/sms.12936"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200706000-00004"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-020-04510-3"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-017-1527-z"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.181.6.1811511"},{"key":"e_1_2_6_9_1","first-page":"1125","article-title":"Acute tearing of the oblique abdominal wall insertion onto the iliac crest in an Australian soccer player: a case report","volume":"11","author":"Murphy M","year":"2016","journal-title":"Int J Sports Phys Ther"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118820507"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-016-0407-9"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.13699","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T23:04:03Z","timestamp":1692659043000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.13699"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,11]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,5]]}},"alternative-id":["10.1111\/os.13699"],"URL":"https:\/\/doi.org\/10.1111\/os.13699","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"value":"1757-7853","type":"print"},{"value":"1757-7861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,11]]},"assertion":[{"value":"2022-12-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-02-14","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}