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Grading scale of radiographic findings in the pubic bone and symphysis in athletes.

Besjakov, Jack LU ; von Scheele, C; Ekberg, Olle LU ; Gentz, C F and Westlin, N E (2003) In Acta Radiologica 44(1). p.79-83
Abstract
Purpose: Radiographic abnormalities in the pubic bone and symphysis are often seen in athletes with groin pain. The aim was to create a grading scale of such radiologic changes.



Material and Methods: Plain radiography of the pelvic ring including the pubic bone and the symphysis was performed in 20 male athletes, age 19-35, with long-standing uni- or bilateral groin pain. We used two control groups: Control group 1: 20 healthy age-matched men who had undergone radiologic examination of the pelvis due to trauma. Control group 2: 120 adults (66 men and 54 women) in 9 age groups between 15 and 90 years of age. These examinations were also evaluated for interobserver variance.



Results and Conclusion: The... (More)
Purpose: Radiographic abnormalities in the pubic bone and symphysis are often seen in athletes with groin pain. The aim was to create a grading scale of such radiologic changes.



Material and Methods: Plain radiography of the pelvic ring including the pubic bone and the symphysis was performed in 20 male athletes, age 19-35, with long-standing uni- or bilateral groin pain. We used two control groups: Control group 1: 20 healthy age-matched men who had undergone radiologic examination of the pelvis due to trauma. Control group 2: 120 adults (66 men and 54 women) in 9 age groups between 15 and 90 years of age. These examinations were also evaluated for interobserver variance.



Results and Conclusion: The grading scale was based on the type and the amount of the different changes, which were classified as follows: No bone changes (grade 0), slight bone changes (grade 1), intermediate changes (grade 2), and advanced changes (grade 3). The grading scale is easy to interpret and an otherwise troublesome communication between the radiologist and the physician was avoided. There was a high interobserver agreement with a high kappa value (0.8707). Male athletes with long-standing groin pain had abnormal bone changes in the symphysis significantly more frequently and more severely (p>0.001) than their age-matched references. In asymptomatic individuals such abnormalities increased in frequency with age both in men and women. (Less)
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organization
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Contribution to journal
publication status
published
subject
keywords
Sports, Severity of Illness Index, Risk Factors, Radiography: classification, Pubic Symphysis: radiography, Pubic Symphysis: abnormalities, Pain: radiography, Pain Measurement, Pubic Bone: abnormalities, Pubic Bone: radiography, Pain: etiology, Pain: classification, Middle Age, Male, Human, Female, 80 and over, Time Factors, Adult, Aged
in
Acta Radiologica
volume
44
issue
1
pages
79 - 83
publisher
John Wiley & Sons
external identifiers
  • pmid:12631004
  • wos:000181509900016
  • scopus:0037208051
ISSN
1600-0455
DOI
10.1034/j.1600-0455.2003.00010.x
language
English
LU publication?
yes
id
b82c9ce0-2be0-4187-82f9-907f76569bfd (old id 114327)
alternative location
http://www.informaworld.com/smpp/content?content=10.1034/j.1600-0455.2003.00010.x
date added to LUP
2007-07-13 09:23:10
date last changed
2017-01-01 07:23:58
@article{b82c9ce0-2be0-4187-82f9-907f76569bfd,
  abstract     = {Purpose: Radiographic abnormalities in the pubic bone and symphysis are often seen in athletes with groin pain. The aim was to create a grading scale of such radiologic changes.<br/><br>
<br/><br>
Material and Methods: Plain radiography of the pelvic ring including the pubic bone and the symphysis was performed in 20 male athletes, age 19-35, with long-standing uni- or bilateral groin pain. We used two control groups: Control group 1: 20 healthy age-matched men who had undergone radiologic examination of the pelvis due to trauma. Control group 2: 120 adults (66 men and 54 women) in 9 age groups between 15 and 90 years of age. These examinations were also evaluated for interobserver variance.<br/><br>
<br/><br>
Results and Conclusion: The grading scale was based on the type and the amount of the different changes, which were classified as follows: No bone changes (grade 0), slight bone changes (grade 1), intermediate changes (grade 2), and advanced changes (grade 3). The grading scale is easy to interpret and an otherwise troublesome communication between the radiologist and the physician was avoided. There was a high interobserver agreement with a high kappa value (0.8707). Male athletes with long-standing groin pain had abnormal bone changes in the symphysis significantly more frequently and more severely (p&gt;0.001) than their age-matched references. In asymptomatic individuals such abnormalities increased in frequency with age both in men and women.},
  author       = {Besjakov, Jack and von Scheele, C and Ekberg, Olle and Gentz, C F and Westlin, N E},
  issn         = {1600-0455},
  keyword      = {Sports,Severity of Illness Index,Risk Factors,Radiography: classification,Pubic Symphysis: radiography,Pubic Symphysis: abnormalities,Pain: radiography,Pain Measurement,Pubic Bone: abnormalities,Pubic Bone: radiography,Pain: etiology,Pain: classification,Middle Age,Male,Human,Female,80 and over,Time Factors,Adult,Aged},
  language     = {eng},
  number       = {1},
  pages        = {79--83},
  publisher    = {John Wiley & Sons},
  series       = {Acta Radiologica},
  title        = {Grading scale of radiographic findings in the pubic bone and symphysis in athletes.},
  url          = {http://dx.doi.org/10.1034/j.1600-0455.2003.00010.x},
  volume       = {44},
  year         = {2003},
}