External oblique aponeurosis nerve entrapment as a cause of groin pain in the athlete

Abstract

Athletes' groin pain may be due to nerve entrapment in the external oblique aponeurosis. An awareness of this injury may reduce delays in operating leading to an earlier return to sport.

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].…”