{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T21:33:25Z","timestamp":1789594405393,"version":"build-2803163510"},"reference-count":22,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"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":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Many athletes experience pubalgia. Although much is known about ligament injuries in other joints, the importance of ligament injuries in the pubic joint remains understudied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To determine the frequency of an inferior pubic ligament (IPL) injury on magnetic resonance imaging (MRI) in a population of athletes with isolated pubic-related groin pain and to compare this group with a control group of athletes with adductor-related groin pain to assess the clinical relevance and association of an IPL injury with pubic-related groin pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Cross-sectional study; Level of evidence, 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Inclusion criteria consisted of athletes with pubic-related groin pain. All included participants were given a standardized questionnaire, a clinical examination, and a MRI examination of the pelvis. All MRI scans were reviewed to assess the IPL and other pubic-related pathologies, including pubic bone marrow edema and adductor injuries. The prevalence of an IPL lesion in patients with pubic-related groin pain is reported with the 95% confidence interval (95% CI). A control group with adductor-related groin pain was retrospectively included for comparison. Group characteristics were compared using the Pearson \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      test, Fisher exact test, and Mann-Whitney-Wilcoxon test. Risk factors of IPL injury were analyzed by logistic regression.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 60 athletes were included (56 male, 4 female); 18% showed definite MRI signs of IPL injury. In addition, 15% showed an equivocal IPL abnormality. This resulted in an IPL lesion prevalence of 33% (95% CI, 23%-46%) in this group. Of the 20 athletes with an IPL injury, 18 were soccer players and 2 were track and field athletes. All were men. The median age was 30 years (IQR, 26-36). The risk of IPL lesion was significantly higher in patients with trauma (odds ratio, 8.76; 95% CI, 2.56-29.91;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). No IPL lesions were observed in the control group of 28 athletes with adductor-related groin pain (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>On the basis of MRI analysis, there is a relatively high frequency of IPL injuries (33%) in athletes with pubic-related groin pain in addition to pubic bone and adductor pathology. No IPL injuries (0%) were observed in a control group of athletes with adductor-related groin pain. Our findings support the consideration of IPL injury in the diagnostic workup of pubic-related groin pain, particularly in posttraumatic cases. Further research is needed to refine the diagnostic process and to better understand the implications of IPL injury for rehabilitation and return-to-play outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671251380879","type":"journal-article","created":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T17:12:36Z","timestamp":1759252356000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Inferior Pubic Ligament Injury: Magnetic Resonance Imaging Assessment in Athletes With Pubic-Related Groin Pain"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5016-7445","authenticated-orcid":false,"given":"Thomas","family":"Mathieu","sequence":"first","affiliation":[{"name":"Research Group of ASTARC (Antwerp Surgical Training, Anatomy and Research Centre), Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium"},{"name":"Department of Physical and Rehabilitative Medicine, AZ Rivierenland, Rumst, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis","family":"Van Glabbeek","sequence":"additional","affiliation":[{"name":"Research Group of ASTARC (Antwerp Surgical Training, Anatomy and Research Centre), Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium"},{"name":"Department of Orthopaedic Surgery and Traumatology, Antwerp University Hospital, Edegem, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luc","family":"Van Nassauw","sequence":"additional","affiliation":[{"name":"Research Group of ASTARC (Antwerp Surgical Training, Anatomy and Research Centre), Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lenie","family":"Denteneer","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences and Physiotherapy, Research Group MOVANT, University of Antwerp, Wilrijk, Belgium"},{"name":"Education Department, Horacio Oduber Hospital, Oranjestad, Aruba"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Bouziotis","sequence":"additional","affiliation":[{"name":"Clinical Trial Center, CRC Antwerp, Antwerp University Hospital, University of Antwerp, Edegem, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pieter","family":"Van Dyck","sequence":"additional","affiliation":[{"name":"Department of Radiology, Antwerp University Hospital, Edegem, Belgium"},{"name":"Research Group of MIRA (Molecular Imaging and Radiology), Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,30]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7580.2010.01300.x"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics14080814"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1214\/ss\/1009213286"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198602000-00033"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/ca.22348"},{"issue":"67","key":"e_1_3_2_7_2","first-page":"53","article-title":"On the influence of mechanical and physiological rest in the treatment of accidents and surgical diseases, and the diagnostic value of pain","volume":"34","author":"Hilton J.","year":"1864","unstructured":"Hilton J. On the influence of mechanical and physiological rest in the treatment of accidents and surgical diseases, and the diagnostic value of pain. Br Foreign Med Chir Rev. 1864;34(67):53-58.","journal-title":"Br Foreign Med Chir Rev"},{"issue":"12","key":"e_1_3_2_8_2","article-title":"Groin injuries in athletes\u2014development of clinical entities, treatment, and prevention","volume":"62","author":"H\u00f6lmich P.","year":"2015","unstructured":"H\u00f6lmich P. Groin injuries in athletes\u2014development of clinical entities, treatment, and prevention. Dan Med J. 2015;62(12):B5184.","journal-title":"Dan Med J"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1576\/toag.8.3.153.27250"},{"key":"e_1_3_2_10_2","volume-title":"A System of Human Anatomy: On the Basis of the \u201cTraite d'anatomie descriptive\u201d of M.H. Cloquet","author":"Knox R.","year":"1831","unstructured":"Knox R. A System of Human Anatomy: On the Basis of the \u201cTraite d'anatomie descriptive\u201d of M.H. Cloquet. 2nd ed. MacLachlan and Stewart; 1831.","edition":"2"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-002-0105-x"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000771"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.aanat.2024.152238"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.aanat.2022.151959"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1148\/rg.285075217"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.aanat.2021.151698"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.06.1238"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.radi.2021.11.006"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4688-2"},{"key":"e_1_3_2_20_2","volume-title":"Traite d\u2019Anatomie Humaine","author":"Testut J","year":"1928","unstructured":"Testut J, Latarjet A. Traite d\u2019Anatomie Humaine. 8th ed. Gaston Doin & C; 1928.","edition":"8"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/1941738110366820"},{"issue":"12","key":"e_1_3_2_22_2","article-title":"Doha agreement meeting on terminology and definitions in groin pain in athletes","volume":"49","author":"Weir A","year":"2015","unstructured":"Weir A, Brukner P, Delahunt E, et al. Doha agreement meeting on terminology and definitions in groin pain in athletes. Br J Sports Med. 2015;49(12):768-74.","journal-title":"Br J Sports Med"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.281053"}],"container-title":["Orthopaedic Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259671251380879","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23259671251380879","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259671251380879","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:29:55Z","timestamp":1777595395000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23259671251380879"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":22,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1177\/23259671251380879"],"URL":"https:\/\/doi.org\/10.1177\/23259671251380879","relation":{},"ISSN":["2325-9671","2325-9671"],"issn-type":[{"value":"2325-9671","type":"print"},{"value":"2325-9671","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9]]},"article-number":"23259671251380879"}}