Novel Use of Botulinum Toxin in Long-Standing Adductor-Related Groin Pain: A Case Series.
Journal
Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine
ISSN: 1536-3724
Titre abrégé: Clin J Sport Med
Pays: United States
ID NLM: 9103300
Informations de publication
Date de publication:
01 11 2022
01 11 2022
Historique:
received:
01
09
2021
accepted:
28
07
2022
pubmed:
8
9
2022
medline:
3
11
2022
entrez:
7
9
2022
Statut:
ppublish
Résumé
Adductor-related groin pain (ARGP) is the most common groin injury in athletes. If conservative treatment fails, then adductor tenotomy to relieve tension can be considered. The use of botulinum toxin A (BoNT-A) has shown good results in other musculoskeletal pathologies. Assess the effectiveness of BoNT-A injections in ARGP in cases where usual treatment has failed. Retrospective cohort study. Orthopedic Medicine and Rehabilitation Unit, University of Bordeaux. Fifty patients treated by BoNT-A injection in ARGP after failure of medical and/or surgical treatment were included in this study. One or several adductor muscles were injected with BoNT-A, according to clinical evaluation using ultrasound and electrical stimulation guidance. Patients were followed up at 1, 3, 6, and 12 months. The primary assessment criterion was the improvement of Hip and Groin Outcome Score subscales at day 30. Secondary outcomes included pain intensity and impact on sport, work, and quality of life (QoL), the Blazina scale, and side effects. All the first 50 injected patients (45 male and 5 female patients) were included. A significant improvement was noted regarding the majority of Hip and Groin Outcome Score subscales at day 30 ( P < 0.05). Pain intensity and its impacts were both significantly reduced ( P < 0.001): less sport and professional disability and lower impact on QoL. Severity of symptoms assessed by the Blazina scale was significantly reduced ( P < 0.001). The improvements remained significant until 1-year postinjection. BoNT-A is promising as a new treatment for ARGP but should be fully assessed in a randomized controlled trial.
Sections du résumé
BACKGROUND
Adductor-related groin pain (ARGP) is the most common groin injury in athletes. If conservative treatment fails, then adductor tenotomy to relieve tension can be considered. The use of botulinum toxin A (BoNT-A) has shown good results in other musculoskeletal pathologies.
OBJECTIVE
Assess the effectiveness of BoNT-A injections in ARGP in cases where usual treatment has failed.
DESIGN
Retrospective cohort study.
SETTING
Orthopedic Medicine and Rehabilitation Unit, University of Bordeaux.
PARTICIPANTS
Fifty patients treated by BoNT-A injection in ARGP after failure of medical and/or surgical treatment were included in this study.
INTERVENTIONS
One or several adductor muscles were injected with BoNT-A, according to clinical evaluation using ultrasound and electrical stimulation guidance. Patients were followed up at 1, 3, 6, and 12 months.
MAIN OUTCOME MEASURES
The primary assessment criterion was the improvement of Hip and Groin Outcome Score subscales at day 30. Secondary outcomes included pain intensity and impact on sport, work, and quality of life (QoL), the Blazina scale, and side effects.
RESULTS
All the first 50 injected patients (45 male and 5 female patients) were included. A significant improvement was noted regarding the majority of Hip and Groin Outcome Score subscales at day 30 ( P < 0.05). Pain intensity and its impacts were both significantly reduced ( P < 0.001): less sport and professional disability and lower impact on QoL. Severity of symptoms assessed by the Blazina scale was significantly reduced ( P < 0.001). The improvements remained significant until 1-year postinjection.
CONCLUSIONS
BoNT-A is promising as a new treatment for ARGP but should be fully assessed in a randomized controlled trial.
Identifiants
pubmed: 36070357
doi: 10.1097/JSM.0000000000001066
pii: 00042752-202211000-00003
doi:
Substances chimiques
Botulinum Toxins, Type A
EC 3.4.24.69
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
567-573Informations de copyright
Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest.
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