{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T22:19:52Z","timestamp":1789597192894,"version":"build-2803163510"},"reference-count":42,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T00:00:00Z","timestamp":1747094400000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100009459","name":"Hvidovre Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009459","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100014553","name":"Simon Spies Fonden","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100014553","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004928","name":"Danske Fysioterapeuter","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004928","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003035","name":"Aase og Ejnar Danielsens Fond","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003035","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Med Sci Sports"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    The Aspetar pubic symphysis radiographic scoring protocol is reliable in male football players, but its clinical significance is unclear. We investigated the prevalence of pubic\u2010related radiographic findings and their association with groin pain and disability in male football players and asymptomatic controls. We included 39 symptomatic male football players with long\u2010standing groin pain, 18 asymptomatic male football players, and 20 asymptomatic male non\u2010football athletes. Standing anteroposterior pelvic radiographs were analyzed by two radiologists for pubic\u2010related bone lucency, proliferation, sclerosis, fragmentation, and joint space width (JSW, millimeters). Findings were combined into a Pubic Symphysis Radiographic Severity Score (PSRS Score, 0\u20138). Groin pain and disability were measured using the Five\u2010Second Squeeze Test (5SST, 0\u201310) and the Hip and Groin Outcome Score (HAGOS, 100\u20130). For symptomatic football players, asymptomatic football players, and asymptomatic non\u2010football athletes, the pubic\u2010related radiographic findings prevalence's were, respectively: bone lucency: 87%, 83%, and 40%; proliferation: 67%, 61%, and 25%; sclerosis: 64%, 50%, and 15%; and fragmentations: 15%, 6%, and 0%, while the mean JSW was 3\u2009mm in all three groups. There were no differences between symptomatic and asymptomatic football players in any findings (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009\u2265\u20090.39). Bone lucency, proliferation, and sclerosis were more frequent in football players than non\u2010football athletes (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.002). PSRS Score showed poor correlation with 5SST and HAGOS. In conclusion, pubic\u2010related radiographic findings are not associated with groin pain or disability. Pubic\u2010related radiographic findings are more common in male football players than male non\u2010football athletes.\n                  <\/jats:p>","DOI":"10.1111\/sms.70068","type":"journal-article","created":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T04:34:41Z","timestamp":1747110881000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Pubic\u2010Related Radiographic Findings in Male Football Players With Long\u2010Standing Groin Pain, and Asymptomatic Controls \u2014 Are They Clinically Relevant?"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4211-3516","authenticated-orcid":false,"given":"Mathias Fabricius","family":"Nielsen","sequence":"first","affiliation":[{"name":"Sports Orthopedic Research Center \u2013 Copenhagen (SORC\u2010C), Department of Orthopedic Surgery Copenhagen University Hospital \u2010 Amager\u2010Hvidovre  Hvidovre 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