Groin Injuries and Groin Pain in Athletes: Part 2

Morelli, Vincent; Espinoza, Luis R.

doi:10.1016/j.pop.2004.11.012

Cited by 61 publications

(24 citation statements)

References 55 publications

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“…Pain radiation across the midline into the scrotum and testicles is present in approximately 30% of symptomatic individuals 16 17 47. Although the signs and symptoms of chronic groin injury are well described, how they contribute to the differential diagnosis of a sports hernia is less clear 5 11 22 35.…”

Section: Characteristics Of Sports Herniamentioning

confidence: 99%

“…The key physical examination finding is pubic tubercle tenderness and an inguinal floor tear that can occasionally be palpated, creating pain inside the external inguinal ring 21. The pain may radiate to a testicle or laterally to the upper thigh 16 17 47. The pain is usually aggravated by sudden movement such as athletic effort, a Valsalva manoeuvre sneezing, coughing or sexual activity, or during a resisted sit-up or hip adduction 11 21 73.…”

Section: Characteristics Of Sports Herniamentioning

confidence: 99%

“…Some authors believe that it is the most common cause of chronic groin pain in athletes, whereas others consider it to be quite rare 12 – 17. Gilmore18 suggested that the incidence of chronic groin injury has increased with the greater intensity of modern athletic play, but others have suggested that the increased injury frequency is attributable to the heightened awareness among athletic trainers and doctors of the condition 5 19…”

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confidence: 99%

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Sports hernias: a systematic literature review

et al. 2008

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This review summarises the existing knowledge about pathogenesis, differential diagnosis, conservative treatment, surgery and post-surgical rehabilitation of sports hernias. Sports hernias occur more often in men, usually during athletic activities that involve cutting, pivoting, kicking and sharp turns, such as those that occur during soccer, ice hockey or football. Sports hernias generally present an insidious onset, but with focused questioning a specific inciting incident may be identified. The likely causative factor is posterior inguinal wall weakening from excessive or high repetition shear forces applied through the pelvic attachments of poorly balanced hip adductor and abdominal muscle activation. There is currently no consensus as to what specifically constitutes this diagnosis. As it can be difficult to make a definitive diagnosis based on conventional physical examination, other methods, such as MRI and diagnostic ultrasonography are often used, primarily to exclude other conditions. Surgery seems to be more effective than conservative treatment, and laparoscopic techniques generally enable a quicker recovery time than open repair. However, in addition to better descriptions of surgical anatomy and procedures and conservative and post-surgical rehabilitation, well-designed research studies are needed, which include more detailed serial patient outcome measurements in addition to basing success solely on return to sports activity timing. Only with this information will we better understand sports hernia pathogenesis, verify superior surgical approaches, develop evidence-based screening and prevention strategies, and more effectively direct both conservative and post-surgical rehabilitation.

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Section: Characteristics Of Sports Herniamentioning

confidence: 99%

Section: Characteristics Of Sports Herniamentioning

confidence: 99%

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confidence: 99%

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Sports hernias: a systematic literature review

et al. 2008

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“…9 It is important to remember that other pathologies might present in a similar fashion, such as osteitis pubis, obturator nerve entrapment and hip pathologies. 10 Ultrasonography may demonstrate a tear in the muscle or tendon (Figure 1). If the diagnosis is equivocal, MRI may be useful.…”

Section: Adductor Strainmentioning

confidence: 99%

Groin Pain in Athletes

Hureibi

McLatchie

2010

Scott Med J

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Groin pain in athletes is a common problem in sport medicine, and remains a diagnostic challenge. It is more common with sports that involve kicking, rapid accelerations and decelerations, and sudden direction changes. There is an extensive differential diagnosis and overlap in signs between possible diagnoses. It is important to appreciate the anatomy of the groin and undertake a careful history and examination. Adductor strain, groin disruption and osteitis pubis are among the common causes. The aim of this article is to briefly review the most common causes of groin pain in athletes. The diagnosis and management of these conditions are briefly discussed.

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“…Other, rare causes of groin pain are osteitis pubis, femoroacetabular impingement, stress fractures, avulsion fractures, bursitis, snapping hip syndrome, traumatic myositis ossificans, hip joint pathology, referred lumbosacral pain, nerve entrapments/irritations, intra-abdominal disorders and genitourinary abnormalities [1,9,17,18].…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment of chronic groin pain in athletes

Dojčinović

Sebecic

Silva

et al. 2012

International Orthopaedics (SICOT)

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Purpose Conservative treatment of chronic groin pain is prolonged and recurrence is quite common. Coexistence of sports hernia and adductor tendinitis/tendinosis in a single patient is noted in the literature. In our study we evaluated our operative treatment that should enable pain elimination and fast return to sports activities. Methods We performed a prospective study over a six-year period. Ninety-nine (99) patients, all male, with chronic groin pain, resistant to conservative treatment, underwent a surgical procedure. Results Seventy athletes with sports hernia returned to sports in an average 4.23 weeks (range three-16). Adductor tendinosis symptoms were present in 24 patients (2 %) with sports hernia. Twenty-four patients that had an additional adductor tenotomy performed returned to sports in an average 11.6 weeks (range ten-15). Five patients with isolated adductor tendinosis (7 %) returned to sports in an average 13.4 weeks (range 12-16). All athletes except two (2.8 %) treated for sports hernia were satisfied with the results of treatment and could continue their previous level of activity. Conclusion Any surgical procedure used for treating chronic groin pain should address the common causes of pain in this region. Adductor tendinosis can be present in up to 24.2 % of cases with sports hernia or may be isolated in 7 % of cases with chronic groin pain and must be treated by tenotomy. Resection of the genital branch of genitofemoral nerve and ilioinguinal nerve neurolysis should also be performed in patients with sports hernia.

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Groin Injuries and Groin Pain in Athletes: Part 2

Cited by 61 publications

References 55 publications

Sports hernias: a systematic literature review

Sports hernias: a systematic literature review

Groin Pain in Athletes

Surgical treatment of chronic groin pain in athletes

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