Argentina is one of the most important sport powers in the region, ending at the top of the medal count at the South American Games since 1978, with exceptions in 2002 and 2010. In the all-time medal table of the Pan American Games, Argentina holds first place among South American countries and fourth place in the Americas, behind the United States, Canada and Cuba. Despite a relative lack of success at the Olympic level in more traditional sports like athletics, swimming, and gymnastics, Argentina has had successful participations in other sports like association football, basketball, field hockey, roller hockey, padel tennis, polo and rugby union.