{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T10:22:11Z","timestamp":1791973331411,"version":"4.3.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2000,1]]},"abstract":"<jats:p>The purpose of this study was to gain insight into the pathophysiologic processes of severe lower-abdominal or inguinal pain in high-performance athletes. We evaluated 276 patients; 175 underwent pelvic floor repairs. Of the 157 athletes who had not undergone previous surgery, 124 (79%) participated at a professional or other highly competitive level, and 138 patients (88%) had adductor pain that accompanied the lower-abdominal or inguinal pain. More patients underwent related adductor releases during the later operative period in the series. Evaluation revealed 38 other abnormalities, including severe hip problems and malignancies. There were 152 athletes (97%) who returned to previous levels of performance. The syndrome was uncommon in women and the results were less predictable in nonathletes. A distinct syndrome of lower-abdominal\/adductor pain in male athletes appears correctable by a procedure designed to strengthen the anterior pelvic floor. The location and pattern of pain and the operative success suggest the cause to be a combination of abdominal hyperextension and thigh hyperabduction, with the pivot point being the pubic symphysis. Diagnosis of \u201cathletic pubalgia\u201d and surgery should be limited to a select group of high-performance athletes. The consideration of other causes of groin pain in the patient is critical.<\/jats:p>","DOI":"10.1177\/03635465000280011501","type":"journal-article","created":{"date-parts":[[2017,7,19]],"date-time":"2017-07-19T04:51:45Z","timestamp":1500439905000},"page":"2-8","source":"Crossref","is-referenced-by-count":264,"title":["Management of Severe Lower Abdominal or Inguinal Pain in High-Performance Athletes"],"prefix":"10.1177","volume":"28","author":[{"given":"William C.","family":"Meyers","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Massachusetts Medical School, Worcester, Massachusetts"},{"name":"United States Soccer Federation, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David P.","family":"Foley","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Massachusetts Medical School, Worcester, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William E.","family":"Garrett","sequence":"additional","affiliation":[{"name":"Department of Surgery, Duke University Medical Center, Durham, North Carolina"},{"name":"United States Soccer Federation, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John H.","family":"Lohnes","sequence":"additional","affiliation":[{"name":"Department of Surgery, Duke University Medical Center, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bert R.","family":"Mandlebaum","sequence":"additional","affiliation":[{"name":"Santa Monica Orthopaedic and Sports Medicine Group, Santa Monica, California"},{"name":"United States Soccer Federation, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2000,1,1]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354659202000604"},{"key":"e_1_3_2_3_2","first-page":"25","article-title":"La pubalgie: Syndrome \u201cfourre-tout\u201d pur une plus grande riguer diagnostique et therapeutique","volume":"55","author":"Brunet B.","year":"1984","unstructured":"BrunetB., Brunet-GeudjE., GenetryJ., et al: La pubalgie: Syndrome \u201cfourre-tout\u201d pur une plus grande riguer diagnostique et therapeutique. 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