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PURPOSE: To determine the correlation of MR findings with clinical features of osteitis pubis and to look for associating injuries complicating chronic cases. MATERIALS AND METHODS: Pelvic MR images of the 22 elite athletes with groin pain were taken. Correlation analysis between the MR findings and clinical properties was carried out. RESULTS: Six of the MR findings had strong correlation with duration of symptoms. Subchondral bone marrow edema, fluid in symphysis pubis joint, and periarticular edema had significant correlation with acuity of the case. On the contrary, subchondral sclerosis, subchondral resorption and bony margin irregularities, and osteophytes correlated with the chronicity of the case. Associated tendon injuries correlated with the duration of symptoms; i.e., all tendon injuries were in chronic cases. CONCLUSION: Subchondral bone marrow edema, fluid in symphysis pubis joint, and periarticular edema are the most reliable MRI findings of osteitis pubis that has a history of less than six months. Subchondral sclerosis, subchondral resorption and bony margin irregularities, and osteophytes (or pubic beaking) are the most reliable MRI findings of the chronic disease that has been present for more than six months. Associated pathologies, especially adductor or other tendon injuries, underlie more than half of the chronic cases of osteitis pubis.

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The purpose of this study was to examine the running velocities and heart rates at fixed lactate concentrations of young soccer players according to playing position and age. A total of 223 young male soccer players participated in this study. Each player performed incremental exercise tests on a treadmill. Running velocities and heart rates at 2 mmol/L-1, 2.5 mmol/L-1, 3 mmol/L-1, and 4 mmol/L-1 blood lactate concentrations were calculated with use of the spline function. Data were analyzed through analysis of variance to examine differences among various playing positions (ie, defenders, midfielders, and forwards) and 3 age groups (U17, under 17 y; U19, under 19 y; and U21, under 21 y). No significant differences were discerned between defenders, midfielders, and forwards in terms of running velocities and heart rates in accordance with specified lactate concentrations. Running velocities corresponding to all lactate concentrations showed no significant differences at all age groups, but heart rates in soccer players in the U21 and U19 age groups were significantly lower than in the U17 age group. Following a 3-y trial of 20 players, running velocities increased and heart rates decreased at all corresponding lactate concentrations. Results of this study suggest that (1) the endurance performance level of young soccer players is similar for all positions, and (2) heart rates are lowered with age and with training.

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OBJECTIVE: Histological examination of proliferative therapy effects on the healing process of muscular injury. METHODS: We performed this study between March and August 2002 at Ankara University, School of Medicine, Laboratory of Animal Experiments, Ankara, Turkey. We used an experimental animal model by conducting a standardized cut injury of the gastrocnemius muscle in 30 adult male albino rats, which we divided into 2 groups; proliferative therapy group and control group. We evaluated the injured rat muscles by light microscopy on the fifth, eight, and twelfth day of injury. RESULTS: The muscular regeneration process began at day 5 in both the control and proliferative therapy groups. The proliferative therapy group revealed a prominent inflammatory reaction, fibroblast migration, and necrosis with accompanying regeneration and excessive connective tissue formation. CONCLUSION: We cannot consider proliferative therapy an appropriate treatment modality for muscular injuries, unless there is evidence of normal muscle physiology and biomechanics post traumatically.

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OBJECTIVE: To investigate the effects of joint laxity on proprioceptive functions of the knee joints of soccer players. METHODS: In this study, we measured anterior tibial displacements and thresholds to detect the knee joint passive motion of 20 healthy soccer players (18.1+/-1.6 years of age). We performed all the measurements in Autumn 2000 in Ankara, Turkey. We applied the Mann-Whitney U test to analyze the relationship between the anterior tibial displacement and threshold to detect the passive motion (TDPM). RESULTS: There were no statistically significant differences between the TDPM values of the knee joints with insignificant laxity differences at different angles, and direction of motion (p>0.05). At 45 degrees of knee flexion and externally directed motion, we found the TDPM of looser knees to be significantly greater (p<0.05). CONCLUSION: Increased knee laxities without any clinical pathologic findings, have negative effects on knee joint proprioception. This is possibly due to the overuse degeneration of the anterior cruciate ligaments, which are the main stabilizers of knee joints.

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This study was undertaken to examine the endurance performance of elite soccer players, according to age and playing position. A total of 197 male soccer players participated in this study. Each player performed exercise tests on the treadmill that included 3-minute runs and 30-second blood sampling intervals. During these tests, running speeds at the first and second stages were 10 km/hr -1 and 12 km/hr -1, respectively. When these tests were completed, running speed was increased by 1 km/hr every 3 minutes until the runner reached exhaustion. Blood samples were analyzed immediately by means of an automated lactate analyzer. Heart rate was monitored continuously at 5-second intervals. Running velocities and heart rates at 2-mmol/L -1, 2.5-mmol/L -1, 3-mmol/L -1, and 4-mmol/L -1 blood lactate concentrations were calculated with use of the spline function. Analysis of variance was used to analyze data to determine the differences between playing positions (goalkeepers, defenders, midfielders, and forwards) and age groups (older than 30 years of age, between 25 and 29 years old, between 20 and 24 years old, and 19 years old and younger). Statistical significance was set at P<.01. No significant differences were revealed between defenders, midfielders, and forwards regarding running velocities and heart rates and their correlation with specified lactate concentrations. Goalkeepers demonstrated lower endurance performance than players in the other playing positions (P<.001). Running velocities corresponding to all lactate concentrations showed no significant differences in all age groups, but heart rates in soccer players older than 30 years of age were significantly lower than those of players in other age groups (P<.01). Results of this study suggest that the endurance performance level of professional players is similar for players in all positions, except for goalkeepers, and that endurance performance is not adversely affected when a person's age increases beyond 30 years of age.

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