The inguinal release procedure for groin pain: initial experience in 73 sportsmen/women

Mann, Christopher D.; Sutton, Christopher; Garcea, Giuseppe; Lloyd, David M.

doi:10.1136/bjsm.2008.053132

Cited by 32 publications

(31 citation statements)

References 31 publications

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“…The weakness of the posterior wall is the most common finding as previously reported with up to 85% of athletes showing evidence of this phenomenon 18–20. This was noted as either tears evident in the aponeurosis on the anterior or open approach as well as inguinal ligament damage or tears seen at laparoscopy 21. The pathology was not always evident in the athletes in every case and care was taken to emphasise that other pathology such as dilation of the external ring, conjoint tendon tears and inguinal ligament dehiscence might also be present.…”

Section: Introductionmentioning

confidence: 80%

“…No operation to date has been shown to be superior with the open and laparoscopic techniques providing benefit in experienced hands 18 21 31–33. The role of surgery is to release the abnormal tension in the inguinal canal and reconstruct the weakness in the posterior wall with a mesh.…”

Section: Radiological Intervention Techniquesmentioning

confidence: 99%

“…In terms of the tension in the groin it was understood that this analysis was based on experience and therefore subjective rather than based on any scientific test or measurable finding. The third surgeon favoured a laparoscopic transabdominal preperitoneal (TAPP) approach, where ‘damage’ or ‘disruption’ to the inguinal ligament was described 21. The damage caused by the tension in the inguinal ligament attachment was ‘released’ or divided and the posterior inguinal canal reinforced using a mesh.…”

Section: Radiological Intervention Techniquesmentioning

confidence: 99%

“…In the surgeons’ experience there was a consensus that footballers, ice-hockey players, rugby players, fast bowlers in cricket and middle-distant runners are most likely to be affected by this condition with swimmers, cyclists and especially boxers less likely to experience the symptoms 18 21 32 33…”

Section: Radiological Intervention Techniquesmentioning

confidence: 99%

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‘Treatment of the Sportsman's groin’: British Hernia Society's 2014 position statement based on the Manchester Consensus Conference

et al. 2013

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IntroductionThe aim was to produce a multidisciplinary consensus to determine the current position on the nomenclature, definition, diagnosis, imaging modalities and management of Sportsman's groin (SG).MethodsExperts in the diagnosis and management of SG were invited to participate in a consensus conference held by the British Hernia Society in Manchester, UK on 11–12 October 2012. Experts included a physiotherapist, a musculoskeletal radiologist and surgeons with a proven track record of expertise in this field. Presentations detailing scientific as well as outcome data from their own experiences were given. Records were made of the presentations with specific areas debated openly.ResultsThe term ‘inguinal disruption’ (ID) was agreed as the preferred nomenclature with the term ‘Sportsman's hernia’ or ‘groin’ rejected, as no true hernia exists. There was an overwhelming agreement of opinion that there was abnormal tension in the groin, particularly around the inguinal ligament attachment. Other common findings included the possibility of external oblique disruption with consequent small tears noted as well as some oedema of the tissues. A multidisciplinary approach with tailored physiotherapy as the initial treatment was recommended with any surgery involving releasing the tension in the inguinal canal by various techniques and reinforcing it with a mesh or suture repair. A national registry should be developed for all athletes undergoing surgery.ConclusionsID is a common condition where no true hernia exists. It should be managed through a multidisciplinary approach to ensure consistent standards and outcomes are achieved.

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Section: Introductionmentioning

confidence: 80%

Section: Radiological Intervention Techniquesmentioning

confidence: 99%

Section: Radiological Intervention Techniquesmentioning

confidence: 99%

Section: Radiological Intervention Techniquesmentioning

confidence: 99%

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‘Treatment of the Sportsman's groin’: British Hernia Society's 2014 position statement based on the Manchester Consensus Conference

et al. 2013

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“…See Chris Smith’s paper on the biomechanical causes that may underlie labral tears 2. And because hip region pain can arise from other structures this issue includes a large outcome study of groin pain surgeries 3. Also, hip muscle function is increasingly recognized as contributing to ‘distal’ pain (ie, knee pain) as Cowan and colleagues remind us 4.…”

Section: The Sporting Hipmentioning

confidence: 99%

Hip labral tears, economics in sports medicine and guidelines for NSAID use

Khan¹

2009

Br J Sports Med

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Groin Pain Syndrome Known as Sports Hernia

2020

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he incidence of groin pain among athletes is estimated to be from 2% to 20%; however, the incidence in the general population is unknown. Groin hernias and hip joint pathologic findings are common and often considered; once ruled out by physical examination with or without imaging, the differential diagnoses and workup of groin pain is confounding to many practitioners. This ambiguous nature of nonhernia, nonhip groin pain is understandable because routine physical examination often only reveals groin tenderness, and imaging may or may not have abnormalities. Most of the literature written about the subject are case series or opinions. Many of these case series only involve professional male athletes, and the reported end points are often: return to sport, time to return to sport, or level of sport. Thus, the level of evidence of the studies is low quality, and the findings may not be applicable to the general population. In the past 2 decades, treating practitioners have attempted to better classify and describe the common pattern of symptoms, examination and imaging findings, and noted anatomic abnormalities at the time of operative management. Common lexicon is necessary so that meaningful comparisons can be made. 1 The literature search for this narrative review is highlighted in the eFigure in the Supplement.Various nomenclature has been used for nonhernia, nonhip groin pain including athletic pubalgia, sports hernia, core muscle injury, Gilmore groin, sportsman groin, inguinal disruption, and several others. [2][3][4][5] Inclusion of the word hernia in the jargon is misrepresentative. We prefer the broad but descriptive term groin pain syndrome.

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The inguinal release procedure for groin pain: initial experience in 73 sportsmen/women

Abstract: This study shows that the laparoscopic inguinal release procedure may be effective in the treatment of a subgroup of athletes with groin pain.

Cited by 32 publications

References 31 publications

‘Treatment of the Sportsman's groin’: British Hernia Society's 2014 position statement based on the Manchester Consensus Conference

‘Treatment of the Sportsman's groin’: British Hernia Society's 2014 position statement based on the Manchester Consensus Conference

Hip labral tears, economics in sports medicine and guidelines for NSAID use

Groin Pain Syndrome Known as Sports Hernia

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