Successful treatment of athletic pubalgia in a lacrosse player with ultrasound-guided needle tenotomy and platelet-rich plasma injection: a case report

PM R. 2015 Jan;7(1):79-83. doi: 10.1016/j.pmrj.2014.08.943. Epub 2014 Aug 16.

Abstract

Athletic pubalgia is a syndrome of persistent groin pain due to chronic repetitive trauma or stress involving the pelvic joints and many musculotendinous structures that cross the anterior pelvis. As a result, the differential diagnosis can be complex, but insertional tendinopathies are the most common. This case report describes a novel approach to the treatment of distal rectus abdominis tendinopathies with ultrasound-guided needle tenotomy and platelet-rich plasma (PRP) injection. After injection, the patient returned to pain-free play at his previous level of intensity. This suggests that PRP may be a useful treatment for this diagnosis.

Publication types

  • Case Reports

MeSH terms

  • Athletic Injuries / complications
  • Athletic Injuries / therapy*
  • Humans
  • Male
  • Needles
  • Pelvic Pain / diagnostic imaging
  • Pelvic Pain / therapy*
  • Platelet-Rich Plasma*
  • Pubic Symphysis / diagnostic imaging
  • Pubic Symphysis / injuries*
  • Racquet Sports / legislation & jurisprudence*
  • Tenotomy / methods*
  • Ultrasonography
  • Young Adult