Surgical or conservative treatment in ARGP syndrome? A systematic review

Surgical or conservative treatment in ARGP syndrome? A systematic review

Authors

  • Paolo Bastia Orthopaedics and Traumatologic Clinic, Department of Medicine and Surgery, University of Parma, Parma, Italy
  • Paolo Ghirarduzzi Orthopaedics and Traumatologic Clinic, Department of Medicine and Surgery, University of Parma, Parma, Italy
  • Paolo Schiavi Orthopaedics and Traumatologic Clinic, Department of Medicine and Surgery, University of Parma, Parma, Italy
  • Davide Donelli Rheumatology Unit, University of Modena and Reggio Emilia, Modena, Italy
  • Alessio Pedrazzini Orthopaedic Unit, Oglio Po Hospital, Via Staffolo 51 - 26041 Vicomoscano (CR), Italy
  • Massimiliano Leigheb Orthopaedics and Traumatology Unit, Department of Health Sciences, “Maggiore della Carità” Hospital, Piemonte Orientale University, Novara, Italy
  • Francesco Ceccarelli Orthopaedics and Traumatologic Clinic, Department of Medicine and Surgery, University of Parma, Parma, Italy
  • Francesco Pogliacomi PARMA UNIVERSITY DEPARTMENT OF SURGICAL SCIENCES ORTHOPAEDIC AND TRAUMATOLOGY SECTION

Keywords:

rectus-adductor syndrome, groin pain, athletes, return to play

Abstract

Background and aim of the work: The rectus-adductor syndrome is a common cause of groin pain. In literature the adductor longus is reported as the most frequent site of injury so that the syndrome can be fitted into the adductor related groin pain (ARGP) group. The aim of this study was to define what is the best treatment between surgical and conservative in athletes affected by ARGP in terms of healing and return to play (RTP) time. Methods: A systematic review was performed searching for articles describing studies on RTP time for surgical or conservative interventions for ARGP. A qualitative synthesis was performed. Only 10 out 7607 articles were included in this systematic review. An exploratory meta-analysis was carried out. Due to high heterogeneity of the included studies, raw means of surgery and conservative treatment groups were pooled separately. A random effects model was used. Results: The results showed quicker RTP time for surgery when pooled raw means were compared to conservative treatments: 11,23 weeks (CI 95%, 8.18,14.28, p<0.0001, I^2=99%) vs 14,9 weeks (CI 95%, 13.05,16.76, p<0.0001, I^2 = 77%). The pooled results showed high statistical heterogeneity (I^2), especially in the surgical group. Conclusions: Surgical interventions are associated with quicker RTP time in athletes affected by ARGP, but due to the high heterogeneity of the available studies and the lack of dedicated RCTs this topic needs to be investigated with dedicated high quality RCT studies.

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05-12-2019

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1.
Surgical or conservative treatment in ARGP syndrome? A systematic review . Acta Biomed [Internet]. 2019 Dec. 5 [cited 2024 Mar. 29];90(12-S):14-2. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/8962