Detection of Groin Hernia With Physical Examination, Ultrasound, and MRI Compared With Laparoscopic Findings

Abstract

In patients with clinically uncertain herniations, MRI is a valid diagnostic tool with a high positive predictive value.

Pubic inguinal pain syndrome: the so-called sports hernia

“…The injury results from repetitive avulsive trauma near the pubic symphysis, usually involving the adductor muscles or gracilis. The history may include a direct blow to the symphysis or pelvic instability from a sacroiliac joint injury [1,3,5,8,[21][22][23][24].…”

“…• Stress fracture; pelvic stress fracture is common, especially in long-distance runners [23][24][25].…”

“…• Urological diseases (prostatitis, epididymitis, urethritis and hydrocele) [1,2,4,[23][24][25][26].…”

“…The history must include questions directed at referred lumbar abnormalities, including back pain, radiculopathy and sensory disturbances [1,2,6,16,[22][23][24]27]. Night pain and persistence of pain at the rest may indicate the presence of a neoplasm.…”

“…Night pain and persistence of pain at the rest may indicate the presence of a neoplasm. Urologic information must be gathered, including urinary symptoms and any testicular lumps or masses [3,[22][23][24]28].…”