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Hernia

, Volume 7, Issue 2, pp 68–71 | Cite as

Groin pain in athletes

  • Kim Edward LeBlanc
  • Karl A. LeBlanc
Review

Abstract

Groin pain in athletes is not infrequently a cause of frustration and aggravation to both doctor and patient. Complaints in the groin region can prove difficult to diagnose, particularly when they are of a chronic nature. These injuries are seen more commonly in sports that require specific use (or overuse) of the proximal musculature of the thigh and lower abdominal muscles. Some of the more common sports would be soccer, skiing, hurdling, and hockey. The differential diagnosis can cover a rather broad area of possibilities. Most common groin injuries are soft-tissue injuries, such as muscular strains, tendinitis, or contusions. More difficult areas to pinpoint are such entities as osteitis pubis, nerve entrapment, the so-called "sports hernia," or avulsion fractures, to name but a few. The evaluation of such patients includes a familiarity with the sport and possible mechanism of injury (i.e., taking a careful history), meticulous physical examination of the groin, abdomen, hips, spine, and lower extremities. Diagnostic examinations may or may not prove helpful in formulating a final diagnosis. Some patients may be required to undergo procedures, such as laparoscopic evaluation of the region to obtain adequate information that allows a proper diagnosis and treatment plan. This article describes many of the possible causes of groin pain in athletes. The list is quite lengthy, and only the more common problems will be discussed in detail.

Keywords

Groin pain Athletes Hernia 

References

  1. 1.
    Lynch SA, Renström PA (1999) Groin Injuries in Sport. Sports Med 28:137–144CrossRefPubMedGoogle Scholar
  2. 2.
    Holt MA, Keene JS, Graf BK, Helwig DC (1995) Treatment of osteitis pubis in athletes: results of corticosteroid injections. Am J Sports Med 23:601–606CrossRefPubMedGoogle Scholar
  3. 3.
    Vitanzo PC, McShane JM (2001) Osteitis pubis. Phys Sportsmed 29:33–48CrossRefPubMedGoogle Scholar
  4. 4.
    Lovell G (1995) The diagnosis of chronic groin pain in athletes: a review of 189 cases. Aust J Sci Med Sport 27:76–79PubMedGoogle Scholar
  5. 5.
    Anderson K, Strickland SM, Warren R (2001) Hip and Groin Injuries in Athletes. Am J Sports Med 29:521–533PubMedGoogle Scholar
  6. 6.
    Hamlin JA, Kahn AM (1998) Herniography: A review of 333 herniograms. Am Surg 64:965–969PubMedGoogle Scholar
  7. 7.
    Sutcliffe JR, Taylor OM, Ambrose NS, Chapman AH (1999) The use, value and safety of herniography. Clin Radiol 54:468–472CrossRefPubMedGoogle Scholar
  8. 8.
    Ekberg O, Sjoberg S, Westlin N (1996) Sports-related groin pain: Evaluation with MR imaging. Eur Radiol 6:52–55CrossRefPubMedGoogle Scholar
  9. 9.
    Orchard JW, Read JW, Neophyton J, Garlick D (1988) Groin pain associated with ultrasound finding of inguinal canal posterior wall deficiency in Australian rules footballers. Br J Sports Med 32:134–139CrossRefGoogle Scholar
  10. 10.
    Srinivasan A, Schuricht A (2002) Long-Term Follow-up of Laparoscopic Preperitoneal Hernia Repair in Professional Athletes. J Laparoendosc Adv Surg Tech A 12:101–106CrossRefPubMedGoogle Scholar
  11. 11.
    Brannigan AE, Kerin MJ, McEntee GP (2000) Gilmore's Groin Repair in Athletes. J Orthop Sports Phys Ther 30:329–332CrossRefPubMedGoogle Scholar
  12. 12.
    Gilmore OJ (1992) Gilmore's groin. Sportsmed Soft Tissue Trauma 3:12–14Google Scholar
  13. 13.
    Ingoldby CJH (1997) Laparoscopic and conventional repair of groin disruption in sportsmen. Br J Surg 84:213–215CrossRefPubMedGoogle Scholar
  14. 14.
    Williams P, Foster ME (1995) Gilmore's groin or is it? Br J Sports Med 29:206–208CrossRefPubMedCentralPubMedGoogle Scholar
  15. 15.
    Kemp S, Batt ME (1998) The 'Sports Hernia': a common cause of groin pain. Phys Sportsmed 26:36–44CrossRefPubMedGoogle Scholar
  16. 16.
    Lacriox VJ (2000) A Complete Approach to Groin Pain. Phys Sportsmed 28:66–86Google Scholar

Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  1. 1.Department of Family MedicineLouisiana State University Health Sciences CenterNew OrleansUSA
  2. 2.Surgical Specialty Group Inc.Baton RougeUSA

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