Athlete Health Risk Factors Quiz

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Questions and Answers

What is a red flag that may indicate the need for further investigation in an athlete with groin pain?

History of high-intensity exercise

History of fever (correct)

History of recreational sports participation

History of stretching exercises

Why are adolescent athletes more at risk of avulsion fractures?

Due to their lack of stretching exercises

Due to their high-intensity training

Due to their low body mass index

Due to their open epiphyseal growth plates (correct)

What is included in the physical evaluation of the groin?

Only joint ROM assessment and muscular strength

Only palpation and pain provocation

Palpation, pain provocation, joint ROM assessment, muscular strength, and sport-specific function (correct)

Only sport-specific function and joint ROM assessment

What is the purpose of the Doha agreement meeting?

To provide a framework for assessing and diagnosing groin pain based on location of pain on palpation or provocation Signup and view all the answers

What may indicate movement restrictions in an athlete with groin pain?

Side-to-side comparison Signup and view all the answers

What should be included in the objective assessment of an athlete with groin pain?

Passive range of motion and hip special tests Signup and view all the answers

What is the limitation of clinical hip testing?

Good specificity but poor sensitivity Signup and view all the answers

What is challenging to diagnose using only clinical tests?

Hip joint pathology Signup and view all the answers

What is the main challenge in managing groin pain in athletes?

All of the above Signup and view all the answers

What is the recommended approach to rehabilitation in athletic groin pain (AGP)?

Supervised physical training and exercise interventions Signup and view all the answers

During subjective assessment, what should practitioners identify?

Red flags Signup and view all the answers

What is the goal of exercise therapy in managing AGP?

To direct therapy to deficits identified during physical assessment Signup and view all the answers

What is a limitation of current research on exercise interventions for AGP?

Poor research methodology Signup and view all the answers

What is the main reason for the complexity of groin pain management?

All of the above Signup and view all the answers

What is the expected outcome of an active approach to rehabilitation in AGP?

Higher successful return to play (RTP) Signup and view all the answers

What is essential in the development of a treatment plan for AGP?

Conducting a thorough physical assessment Signup and view all the answers

What is the primary purpose of the lumbar spine and SIJ screening tests in assessing groin pain?

To rule out discogenic or radiculopathy pathology of the lumbar spine Signup and view all the answers

What is a common characteristic of groin pain?

It is often multifactorial Signup and view all the answers

What is the most appropriate imaging modality for investigating inguinal-related groin pain?

Ultrasonography Signup and view all the answers

What is the purpose of the thigh thrust test in assessing groin pain?

To rule out SIJ pathology Signup and view all the answers

What is a limitation of using Computed Tomography (CT) in assessing youth athletes with groin pain?

High doses of radiation Signup and view all the answers

What is the name of the clinical test described as a 5-m sprint with 75° cut and 5-m sprint finish?

Timed 10-m cutting sprint Signup and view all the answers

Study Notes

Red Flags and Referral

Red flags include history of fever, trauma, unexplained weight loss, night pain, painful urination, and prolonged corticosteroid use
Red flags coupled with a history of prostate or reproductive organ cancer and abdominal and pelvic organ disorders warrant referral to relevant specialists for further investigation

Assessment

Physical evaluation of the groin requires a thorough clinical examination, including palpation, pain provocation, joint ROM assessment, muscular strength, and sport-specific function
The Doha agreement meeting provides a framework to assess and diagnose groin pain according to the location of pain on palpation or provocation
Objective assessment should include passive range of motion and hip special tests, such as flexion-abduction-external rotation (FABER) and flexion-adduction-internal rotation (FADIR) test

Groin pain remains a challenging sports injury to manage due to complex regional anatomy and limited consensus among researchers
Clinicians consider the groin the ‘Bermuda Triangle’ of sports medicine due to the complexity of the underlying pathology and intricate regional anatomy

Conservative Management

Practitioners approach conservative AGP management with massage, mobilization, electrotherapy, and exercise interventions
An active approach to rehabilitation, including supervised physical training, results in a higher successful return to play (RTP)

Assessment (continued)

Subjective assessment should identify red flags, and timed 10-m cutting sprint or T-agility test can be used to assess groin pain
Lumbar spine and SIJ screening tests, such as the thigh thrust test, can rule out discogenic or radiculopathy pathology of the lumbar spine and SIJ pathology

Differential Diagnosis

Groin pain can be multifactorial, including strains of muscles attaching to the pelvic girdle, bony injury to the pelvic girdle, the inguinal canal or hip, and lumbar spine pathology
Imaging may be helpful for acute groin pain, with MRI being slightly more sensitive than ultrasound for acute groin injuries and indicated for adductor-, pubic-, and hip-related groin pain

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Description

Identify red flags and health risks in athletes, including cancer, trauma, and steroid use. Know when to refer to specialists and consider age, sport, and level of participation.