Blonskyi R. Clinical findings, diagnostics and complex orthopedic treatment of groin pain syndrome in athletes

The dissertation solves the actual scientific problem, diagnostics and orthopedic treatment of the groin pain syndrome in athletes. The results of examination and treatment of 454 patients with groin pain syndrome of athletes was carried out in this work. As a result of the conducted clinical, ultrasonographic, magnetic resonance, histomorphological, biomechanical, and statistical research, profound knowledge of the causes of development and features of the course, as well as diagnostic features of the inguinal pain in athletes syndrome have been established, while the groin pain syndrome classification is proposed on the basis of the obtained data on the localization and duration of the pathological process, which allows to systematize and timely detect this pathological process. Different approaches to treatment of groin pain syndrome with the use of new methods of conservative and operative treatment with help of arthroscopic techniques and achievements of modern biotechnologies, in particular the use of autologous plasma rich in growth factors, have been developed, which makes it possible to increase the effectiveness of treatment of professional athletes with groin pain syndrome and accelerate their return to sports activities. As a result of an experimental study in 75 sexually mature male rats, it has been established that the local administration of cryopreserved autologous multipotent mesenchymal stromal cells most effectively contributes to the reparative regeneration of the structural organization of the tendon tissue, while the generalized cells administration is characterized by a less pronounced regenerative effect. The pathological process tended to progress in the control group of animals. Thus, the obtained data can be used to substantiate and develop the new methods of degenerative damages of the tendons treatment.