Midseason Screening for Groin Pain, Severity, and Disability in 101 Elite American Youth Soccer Players: A Cross-Sectional Study. Issue 5 (10th September 2022)

• Record Type: Journal Article
• Authors: DeLang, Matthew D.; Garrison, J. Craig; Hannon, Joseph P.; McGovern, Ryan P.; Sheedy, Philip J.; Christoforetti, John J.; Thorborg, Kristian
• Is Part Of: Clinical journal of sport medicine. Volume 32:Issue 5(2022)
• Page Start: 501
• Page End: 507
• Publication Date: 2022-09-10
• Subjects: Doha agreement -- non–time-loss groin pain -- youth soccer; Sports medicine -- Periodicals; 617.1027
• DOI: 10.1097/JSM.0000000000000987
• Languages: English
• ISSNs: 1050-642X

Abstract

Abstract : Objective: To (1) systematically screen for groin pain and type in young elite soccer players and (2) assess whether hip and groin-related severity and disability differed between players with different levels of groin pain and tenderness. Design: Cross-sectional observational. Setting: Elite American soccer academy at midseason. Participants: One hundred one academy soccer players (mean age 14.3 ± 1.8 years). Intervention: All players underwent clinical examinations to classify groin pain by the Doha agreement taxonomy. Main Outcome Measures: Tests for groin-related severity and disability included the Copenhagen 5-second squeeze test, Copenhagen Hip and Groin Outcome Score (HAGOS), and Hip Outcome Score (HOS). Players were stratified into 3 groups: those with groin pain, those with tenderness, and those with no groin pain or tenderness. Results: Twenty-two players (22%) reported groin pain. Adductor-related groin pain was the most common (n = 14), followed by iliopsoas-related (n = 3), and pubic-related (n = 2). Multiple locations were present in 3 players. Thirty-nine players (39%) did not have groin pain but were tender to palpation in 1 or more structures related to the Doha agreement taxonomy. Copenhagen 5-second squeeze test differentiated between players with and without groin pain (groin pain vs tenderness group: P = 0.011; groin pain vs no groin pain group P < 0.001). Four HAGOS subscales (pain, symptoms, sport/recreation, and quality of life) differentiated between players with and without groin pain ( P < 0.05). Conclusions: One in five academy soccer players experiences groin pain with adductor-related most common during a midseason screening. Both Copenhagen 5-second squeeze test and HAGOS subscales can differentiate between players with and without groin pain.