Abstract
Groin pain can be disabling for patients, and complex to diagnose and treat for physicians. Various processes can lead to local inflammation, nerve irritation or injury, or referred pain, and present as groin pain. This includes primary processes such as inguinal and femoral hernias, urologic and gynecologic pathology, and hip and lumbar pathology. Secondary groin pain can occur following inguinal hernia repair and lumbar spine surgery.
Keywords
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Dabbas N, Adams K, Pearson K, Royle G. Frequency of abdominal wall hernias: is classical teaching out of date? JRSM Short Rep. 2011;2(1):5.
Russell RC, Williams NS, Bulstrode CJ. Bailey & Love’s short practice of surgery. 23rd ed. London: Hodder Arnold; 2000.
Bay-Nielsen M, Kehlet H, Strand L, Malmstrøm J, Andersen FH, Wara P, Danish Hernia Database Collaboration, et al. Quality assessment of 26,304 herniorrhaphies in Denmark: a prospective nationwide study. Lancet. 2001;358(9288):1124–8.
Diesen DL, Pappas TN. Sports hernias. Adv Surg. 2007;41:177–87.
Laor T. Hip and groin pain in adolescents. Pediatr Radiol. 2010;40(4):461–7.
Gilmore J. Groin pain in the soccer athlete: fact, fiction, and treatment. Clin Sports Med. 1998;17(4):787–93.
Preskitt JT. Sports hernia: the experience of Baylor University Medical Center at Dallas. Proc (Bayl Univ Med Cent). 2011;24(2):89–91.
Cavalli M, Bombini G, Campanelli G. Pubic inguinal pain syndrome: the so-called sports hernia. Surg Technol Int. 2014;24:189–94.
Swan Jr KG, Wolcott M. The athletic hernia: a systematic review. Clin Orthop Relat Res. 2007;455:78–87.
Yukawa Y, Kato F, Kajino G, Nakamura S, Nitta H. Groin pain associated with lower lumbar disc herniation. Spine (Phila Pa 1976). 1997;22(15):1736–9. Discussion 1740.
Oikawa Y, Ohtori S, Koshi T, Takaso M, Inoue G, Orita S, et al. Lumbar disc degeneration induces persistent groin pain. Spine (Phila Pa 1976). 2012;37(2):114–8.
Takahashi Y, Morinaga T, Nakamura S, Suseki K, Takahashi K, Nakajima Y. Neural connection between the ventral portion of the lumbar intervertebral disc and the groin skin. J Neurosurg. 1996;85(2):323–8.
Ben-Chaim J, Leibovitch I, Ramon J, Winberg D, Goldwasser B. Etiology of acute scrotum at surgical exploration in children, adolescents and adults. Eur Urol. 1992;21(1):45–7.
Davis JE, Silverman M. Scrotal emergencies. Emerg Med Clin North Am. 2011;29(3):469–84.
Beni-Israel T, Goldman M, Bar Chaim S, Kozer E. Clinical predictors of testicular torsion as seen in the pediatric ED. Am J Emerg Med. 2010;28(7):786–9.
Lewis AG, Bukowski TP, Jarvis PD, Wacksman J, Sheldon CA. Evaluation of the acute scrotum in the emergency department. J Pediatr Surg. 1995;30(2):277–81. Discussion 281–2.
Sharp VJ, Kieran K, Arlen AM. Testicular torsion: diagnosis, evaluation, and management. Am Fam Physician. 2013;88(12):835–40.
Visser AJ, Heyns CF. Testicular function after torsion of the spermatic cord. BJU Int. 2003;92(33):200–3.
Hatipoglu S, Hatipoglu F, Abdullayev R. Acute right lower abdominal pain in women of reproductive age: clinical clues. World J Gastroenterol. 2014;20(14):4043–9.
Barash JH, Buchanan EM, Hillson C. Diagnosis and management of ectopic pregnancy. Am Fam Physician. 2014;90(1):34–40.
Chang HC, Bhatt S, Dogra VS. Pearls and pitfalls in diagnosis of ovarian torsion. Radiographics. 2008;28(5):1355–68.
Evsen MS, Soydinc HE. Emergent gynecological operations: a report of 105 cases. J Clin Exp Invest. 2010;1(1):12–5.
Callesen T, Bech K, Kehlet H. Prospective study of chronic pain after groin hernia repair. Br J Surg. 1999;86(12):1528–31.
O’Dwyer PJ, Alani A, McConnachie A. Groin hernia repair: postherniorrhaphy pain. World J Surg. 2005;29(8):1062–5.
Ferzli GS, Edwards ED, Khoury GE. Chronic pain after inguinal herniorrhaphy. J Am Coll Surg. 2007;205(2):333–41.
Aasvang E, Kehlet H. Surgical management of chronic pain after inguinal hernia repair. Br J Surg. 2005;92(7):795–801.
Rodgers WB, Gerber EJ, Patterson J. Intraoperative and early postoperative complications in extreme lateral interbody fusion: an analysis of 600 cases. Spine (Phila Pa 1976). 2011;36(1):26–32.
Tohmeh AG, Rodgers WB, Peterson MD. Dynamically evoked, discrete-threshold electromyography in the extreme lateral interbody fusion approach. J Neurosurg Spine. 2011;14(1):31–7.
Lykissas MG, Aichmair A, Sama AA, Hughes AP, Lebl DR, Cammisa FP, Girardi FP. Nerve injury and recovery after lateral lumbar interbody fusion with and without bone morphogenetic protein-2 augmentation: a cohort-controlled study. Spine J. 2014;14(2):217–24.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Ma, C., Ramaswamy, A. (2016). Groin Pain: An Overview of the Broad Differential Diagnosis. In: Jacob, B., Chen, D., Ramshaw, B., Towfigh, S. (eds) The SAGES Manual of Groin Pain. Springer, Cham. https://doi.org/10.1007/978-3-319-21587-7_5
Download citation
DOI: https://doi.org/10.1007/978-3-319-21587-7_5
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-21586-0
Online ISBN: 978-3-319-21587-7
eBook Packages: MedicineMedicine (R0)