Ultrasound-guided intra-muscular botulinum toxin A in athletes with chronic adductor-related groin-pain: A retrospective observational study
Introduction: Chronic adductor-related groin pain (AP) is a frequent and disabling sport condition. Intra-muscular injection of botulinum toxin A may have positive effects on pain in some chronic tendinitis. We aimed to describe the short-term evolution of pain, activity limitations and quality of l...
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2025-06-01
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| author | Julien Orhan Romain Garofoli Émilie Alperin Fabien Ladauge Jennifer Zauderer Guillaume Paris François Rannou Christelle Nguyen Marie-Martine Lefèvre-Colau |
| author_facet | Julien Orhan Romain Garofoli Émilie Alperin Fabien Ladauge Jennifer Zauderer Guillaume Paris François Rannou Christelle Nguyen Marie-Martine Lefèvre-Colau |
| author_sort | Julien Orhan |
| collection | DOAJ |
| description | Introduction: Chronic adductor-related groin pain (AP) is a frequent and disabling sport condition. Intra-muscular injection of botulinum toxin A may have positive effects on pain in some chronic tendinitis. We aimed to describe the short-term evolution of pain, activity limitations and quality of life, after an injection of the adductor longus with botulinum toxin A, as an add-on therapy to standard of care in patients with chronic AP. Method: We conducted a retrospective observational single-centered study. We included individuals with clinical and MRI chronic AP, for whom medical and/or surgical treatments have failed and who were treated with an intra-muscular injection of botulinum toxin A (100 units of botulinum toxin A in the adductor longus) under ultrasound guidance. Participants were assessed 50 days after injection for pain using a numerical rating scale (NRS) and for activity limitations and quality of life using the Copenhagen Hip and Groin Outcome Score (HAGOS). Participants were also asked to self-report adverse events. Results: We included 20 participants. Mean age was 34.3 (11.7) years and mean symptom duration was 48.9 (61.6) months. Mean pain decreased from 55.3 (SD [22.4] before injection to 38.3 [21.7], 50 days after injection (p = 0.027). Each of the 6 HAGOS subscales improved before and after injection. No serious adverse events were self-reported by the patients included in the main analysis. Conclusion: In this retrospective uncontrolled trial, we observed a numerical decrease in pain intensity in individuals with chronic AP 50 days after intra-muscular botulinum toxin A injection in the adductor longus. |
| format | Article |
| id | doaj-art-13cd2f3da3224ef48bf980cabac64e8b |
| institution | DOAJ |
| issn | 2772-6967 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSAMS Plus |
| spelling | doaj-art-13cd2f3da3224ef48bf980cabac64e8b2025-08-20T03:20:01ZengElsevierJSAMS Plus2772-69672025-06-01510010510.1016/j.jsampl.2025.100105Ultrasound-guided intra-muscular botulinum toxin A in athletes with chronic adductor-related groin-pain: A retrospective observational studyJulien Orhan0Romain Garofoli1Émilie Alperin2Fabien Ladauge3Jennifer Zauderer4Guillaume Paris5François Rannou6Christelle Nguyen7Marie-Martine Lefèvre-Colau8AP-HP.Centre-Université Paris Cité, Service de Rééducation et de Réadaptation de l’Appareil Locomoteur et des Pathologies du Rachis, Hôpital Cochin, 75014, Paris, FranceAP-HP.Centre-Université Paris Cité, Service de Rééducation et de Réadaptation de l’Appareil Locomoteur et des Pathologies du Rachis, Hôpital Cochin, 75014, Paris, FranceAP-HP.Centre-Université Paris Cité, Service de Radiologie Ostéo-Articulaire, Hôpital Cochin, 75014, Paris, FranceAP-HP.Centre-Université Paris Cité, Service de Rééducation et de Réadaptation de l’Appareil Locomoteur et des Pathologies du Rachis, Hôpital Cochin, 75014, Paris, FranceAP-HP.Centre-Université Paris Cité, Service de Rééducation et de Réadaptation de l’Appareil Locomoteur et des Pathologies du Rachis, Hôpital Cochin, 75014, Paris, FranceAP-HP.Centre-Université Paris Cité, Service de Rééducation et de Réadaptation de l’Appareil Locomoteur et des Pathologies du Rachis, Hôpital Cochin, 75014, Paris, FranceAP-HP.Centre-Université Paris Cité, Service de Rééducation et de Réadaptation de l’Appareil Locomoteur et des Pathologies du Rachis, Hôpital Cochin, 75014, Paris, France; Université Paris Cité, Faculté de Santé, UFR de Médecine, 75006, Paris, France; INSERM UMR-S 1124, Toxicité Environnementale, Cibles Thérapeutiques, Signalisation Cellulaire et Biomarqueurs (T3S), Campus Saint-Germain-des-Prés, 75006, Paris, FranceAP-HP.Centre-Université Paris Cité, Service de Rééducation et de Réadaptation de l’Appareil Locomoteur et des Pathologies du Rachis, Hôpital Cochin, 75014, Paris, France; Université Paris Cité, Faculté de Santé, UFR de Médecine, 75006, Paris, France; INSERM UMR-S 1124, Toxicité Environnementale, Cibles Thérapeutiques, Signalisation Cellulaire et Biomarqueurs (T3S), Campus Saint-Germain-des-Prés, 75006, Paris, France; Corresponding author. Assistance Publique-Hôpitaux de Paris, Rééducation et Réadaptation de l’Appareil Locomoteur et des Pathologies du Rachis, Groupe Hospitalier AP-HP.Centre-Université de Paris, 27, Rue du Faubourg Saint-Jacques, 75014, Paris, France.AP-HP.Centre-Université Paris Cité, Service de Rééducation et de Réadaptation de l’Appareil Locomoteur et des Pathologies du Rachis, Hôpital Cochin, 75014, Paris, France; Université Paris Cité, Faculté de Santé, UFR de Médecine, 75006, Paris, France; ECaMO Team, INSERM UMR-S 1153, 75004, Paris, FranceIntroduction: Chronic adductor-related groin pain (AP) is a frequent and disabling sport condition. Intra-muscular injection of botulinum toxin A may have positive effects on pain in some chronic tendinitis. We aimed to describe the short-term evolution of pain, activity limitations and quality of life, after an injection of the adductor longus with botulinum toxin A, as an add-on therapy to standard of care in patients with chronic AP. Method: We conducted a retrospective observational single-centered study. We included individuals with clinical and MRI chronic AP, for whom medical and/or surgical treatments have failed and who were treated with an intra-muscular injection of botulinum toxin A (100 units of botulinum toxin A in the adductor longus) under ultrasound guidance. Participants were assessed 50 days after injection for pain using a numerical rating scale (NRS) and for activity limitations and quality of life using the Copenhagen Hip and Groin Outcome Score (HAGOS). Participants were also asked to self-report adverse events. Results: We included 20 participants. Mean age was 34.3 (11.7) years and mean symptom duration was 48.9 (61.6) months. Mean pain decreased from 55.3 (SD [22.4] before injection to 38.3 [21.7], 50 days after injection (p = 0.027). Each of the 6 HAGOS subscales improved before and after injection. No serious adverse events were self-reported by the patients included in the main analysis. Conclusion: In this retrospective uncontrolled trial, we observed a numerical decrease in pain intensity in individuals with chronic AP 50 days after intra-muscular botulinum toxin A injection in the adductor longus.http://www.sciencedirect.com/science/article/pii/S2772696725000195Chronic athletic pubalgiaBotulinum toxinGroin painAdductor enthesopathy |
| spellingShingle | Julien Orhan Romain Garofoli Émilie Alperin Fabien Ladauge Jennifer Zauderer Guillaume Paris François Rannou Christelle Nguyen Marie-Martine Lefèvre-Colau Ultrasound-guided intra-muscular botulinum toxin A in athletes with chronic adductor-related groin-pain: A retrospective observational study JSAMS Plus Chronic athletic pubalgia Botulinum toxin Groin pain Adductor enthesopathy |
| title | Ultrasound-guided intra-muscular botulinum toxin A in athletes with chronic adductor-related groin-pain: A retrospective observational study |
| title_full | Ultrasound-guided intra-muscular botulinum toxin A in athletes with chronic adductor-related groin-pain: A retrospective observational study |
| title_fullStr | Ultrasound-guided intra-muscular botulinum toxin A in athletes with chronic adductor-related groin-pain: A retrospective observational study |
| title_full_unstemmed | Ultrasound-guided intra-muscular botulinum toxin A in athletes with chronic adductor-related groin-pain: A retrospective observational study |
| title_short | Ultrasound-guided intra-muscular botulinum toxin A in athletes with chronic adductor-related groin-pain: A retrospective observational study |
| title_sort | ultrasound guided intra muscular botulinum toxin a in athletes with chronic adductor related groin pain a retrospective observational study |
| topic | Chronic athletic pubalgia Botulinum toxin Groin pain Adductor enthesopathy |
| url | http://www.sciencedirect.com/science/article/pii/S2772696725000195 |
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