{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T18:37:38Z","timestamp":1792521458134,"version":"4.5.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2020,1,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Despite being one of the most common sports injuries, there are no criteria-based rehabilitation programs published for acute adductor injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate return-to-sport (RTS) outcomes and reinjuries after criteria-based rehabilitation for athletes with acute adductor injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Cohort study; Level of evidence, 2.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Male adult athletes with an acute adductor injury underwent a supervised, standardized criteria-based exercise rehabilitation program. Magnetic resonance imaging (MRI) was used to grade the injury extent from 0 (negative finding) to 3 (complete tear\/avulsion). There were 3 milestones used to evaluate the RTS continuum: (1) clinically pain-free, (2) completion of controlled sports training, and (3) return to full team training. Subsequent injuries were registered within the first year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We included 81 athletes with an acute adductor injury (MRI grade 0: n = 14; grade 1: n = 20; grade 2: n = 30; grade 3: n = 17). Of these, 61 (75%) athletes achieved RTS milestone 1, 50 (62%) achieved RTS milestone 2, and 75 (93%) achieved RTS milestone 3. There were no statistical differences in the RTS duration between MRI grade 0, 1, and 2 at any RTS milestone; thus, these were grouped together as grade 0-2. The median time (interquartile range [IQR]) for athletes with grade 0-2 injuries to become clinically pain-free was 13 days (IQR, 11-21 days), to complete controlled sports training was 17 days (IQR, 15-27 days), and to return to full team training was 18 days (IQR, 14-27 days). For athletes with a grade 3 injury, median times were 55 days (IQR, 31-75 days), 68 days (IQR, 51-84 days), and 78 days (IQR, 68-98 days), respectively. The overall 1-year reinjury rate was 8%. Athletes who achieved RTS milestone 1 had a statistically significantly lower reinjury rate than athletes who did not (5% vs 21%, respectively; \u03d5 = \u20130.233; P = .048). Athletes who achieved RTS milestone 2 had a nonstatistically significantly lower reinjury rate than athletes who did not (6% vs 13%, respectively; \u03d5 = \u20130.107; P = .366).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>We analyzed the results of a criteria-based rehabilitation protocol for athletes with acute adductor injuries. Athletes with an MRI grade 0-2 adductor injury were clinically pain-free after approximately 2 weeks and returned to full team training after approximately 3 weeks. Most athletes with an MRI grade 3 adductor injury were pain-free and returned to full team training within 3 months. Meeting the clinically pain-free criteria resulted in fewer reinjuries compared with not meeting the criteria.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2325967119897247","type":"journal-article","created":{"date-parts":[[2020,1,29]],"date-time":"2020-01-29T11:02:48Z","timestamp":1580295768000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":63,"title":["Return to Sport After Criteria-Based Rehabilitation of Acute Adductor Injuries in Male Athletes: A Prospective Cohort Study"],"prefix":"10.1177","volume":"8","author":[{"given":"Andreas","family":"Serner","sequence":"first","affiliation":[{"name":"Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Weir","sequence":"additional","affiliation":[{"name":"Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar."},{"name":"Center for Groin Injuries, Department of Orthopaedics, Erasmus University Medical Center, Rotterdam, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes L.","family":"Tol","sequence":"additional","affiliation":[{"name":"Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar."},{"name":"Amsterdam Movement Sciences, Academic Center for Evidence-Based Sports Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristian","family":"Thorborg","sequence":"additional","affiliation":[{"name":"Sports Orthopedic Research Center\u2013Copenhagen, Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Denmark."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean","family":"Lanzinger","sequence":"additional","affiliation":[{"name":"Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roald","family":"Otten","sequence":"additional","affiliation":[{"name":"Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar."},{"name":"Roald Otten Sportsrehab, J&C Sportsrehab, Amstelveen, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Per","family":"H\u00f6lmich","sequence":"additional","affiliation":[{"name":"Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar."},{"name":"Sports Orthopedic Research Center\u2013Copenhagen, Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Denmark."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,1,29]]},"reference":[{"key":"bibr1-2325967119897247","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-096278"},{"key":"bibr2-2325967119897247","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc1708134"},{"key":"bibr3-2325967119897247","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118784898"},{"key":"bibr4-2325967119897247","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0b013e3181f3c0fe"},{"key":"bibr5-2325967119897247","doi-asserted-by":"publisher","DOI":"10.1123\/JSR.2012-0046"},{"key":"bibr6-2325967119897247","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2014-093737"},{"key":"bibr7-2325967119897247","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510395879"},{"key":"bibr8-2325967119897247","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2012-091729"},{"key":"bibr9-2325967119897247","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0838.2006.00528.x"},{"key":"bibr10-2325967119897247","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(98)03340-6"},{"key":"bibr11-2325967119897247","doi-asserted-by":"publisher","DOI":"10.1111\/sms.12585"},{"key":"bibr12-2325967119897247","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2012-091095"},{"key":"bibr13-2325967119897247","doi-asserted-by":"publisher","DOI":"10.5395\/rde.2017.42.2.152"},{"key":"bibr14-2325967119897247","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-097089"},{"issue":"3","key":"bibr15-2325967119897247","first-page":"371","volume":"12","author":"Krommes 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