Abstract
Athletic pubalgia results from a pathologic distribution of forces across the abdominopelvic musculature. Inguinal neuralgia is the result of damage to the nerves that traverse the groin region. Both share a common clinical presentation of refractory groin pain, and surgical management frequently results in satisfactory patient outcomes.
The original version of this book was revised. An erratum to this chapter can be found at DOI 10.1007/978-3-319-41406-5_28
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References
Meyers WC, McKechnie A, Philippon MJ. Experience with “sports hernia” spanning two decades. Ann Surg. 2008;248:656–64.
Meyers WC, Foley DP, Garrett WE, et al. Management of severe lower abdominal or inguinal pain in high-performance athletes. PAIN (Performing Athletes with Abdominal or Inguinal Neuromuscular Pain Study Group). Am J Sports Med. 2000;28:2–8.
Larson CM. Sports hernia/athletic pubalgia: evaluation and management. Sports Health. 2014;6:139–44.
Gilmore J. Groin pain in the soccer athlete: fact, fiction, and treatment. Clin Sports Med. 1998;17:787–93.
Irshad K, Feldman LS, Lavoie C, et al. Operative management of “hockey groin syndrome: 12 years experience in National Hockey League players. Surgery. 2001;130:759–64.
Minnich JM, Hanks JB, Muschaweck U, et al. Sports hernia: diagnosis and treatment highlighting a minimal repair surgical technique. Am J Sports Med. 2011;39:1341–9.
Zoga AC, Kavanagh EC, Omar IM, et al. Athletic pubalgia and the “sports hernia”: MRI imaging findings. Radiology. 2008;247:797–807.
Meyers WC, Yoo E, Devon ON, et al. Understanding “sports hernia” (athletic pubalgia): the anatomic and pathophysiologic basis for abdominal and groin pain in athletes. Oper Tech Sports Med. 2012;20:33–45.
Hammoud S, Bedi A, Magennis E, et al. High incidence of athletic pubalgia symptoms in professional athletes with symptomatic femoroacetabular impingement. Arthroscopy. 2012;28:1388–95.
Larson CM, Pierce BR, Giveans MR. Treatment of athletes with symptomatic intra-articular hip pathology and athletic pubalgia/sports hernia: a case series. Arthroscopy. 2011;27:768–75.
Farber AJ, Wilckens JH. Sports hernia: diagnostic and therapeutic approach. J Am Acad Orthop Surg. 2007;15:507–14.
Williams PR, Thomas DP, Downes EM. Osteitis pubis and instability of the pubic symphysis. When nonoperative measures fail. Am J Sports Med. 2000;28:350–5.
Martin RL, Enseki KR, Draovitch P, et al. Acetabular labral tears of the hip: examination and diagnostic challenges. J Orthop Sports Phys Ther. 2006;36:503–15.
Khan W, Zoga AC, Meyers WC. Magnetic resonance imaging of athletic pubalgia and the sports hernia: current understanding and practice. Magn Reson Imaging Clin N Am. 2013;21:97–110.
Silvis ML, Mosher TJ, Smetana BS, et al. High prevalence of pelvic and hip magnetic resonance imaging findings in asymptomatic collegiate and professional hockey players. Am J Sports Med. 2011;39:715–21.
Brannigan AE, Kerin MJ, McEntee GP. Gilmore’s groin repair in athletes. J Orthop Sports Phys Ther. 2000;30:329–32.
Gilmore OJ. Gilmore’s groin: ten years experience of groin disruption–a previously unsolved problem in sportsmen. Sports Med Soft Tissue Trauma. 1991;1:12–4.
Hackney RG. The sports hernia: a cause of chronic groin pain. Br J Sports Med. 1993;27:58–62.
Brown RA, Mascia A, Kinnear DG, et al. An 18-year review of sports groin injuries in the elite hockey player: clinical presentation, new diagnostic imaging, treatment and results. Clin J Sports Med. 2008;18:221–6.
Kluin J, den Hoed PT, Van Linschoten R, et al. Endoscopic evaluation and treatment of groin pain in the athlete. Am J Sports Med. 2004;32:944–9.
Gentisaris M, Goulimaris I, Sikas N. Laparoscopic repair of groin pain in athletes. Am J Sports Med. 2004;32:1238–42.
Muschaweck U, Berger L. Minimal repair technique of sportsmen’s groin: an innovative open suture repair technique to treat chronic inguinal pain. Hernia. 2010;14:27–33.
Jakoi A, O’Neill C, Damsgaard C, et al. Sports hernia in National Hockey League players: does surgery affect performance? Am J Sports Med. 2013;41:107–10.
Ingoldby CJ. Laparoscopic and conventional repair of groin disruption in sportsmen. Br J Surg. 1997;84:213–5.
Madura JA, Madura II JA, Copper CM, et al. Inguinal neurectomy for inguinal nerve entrapment: an experience with 100 patients. Am JSurg. 2005;189:283–7.
Kim DH, Murovic JA, Tiel RL, et al. Surgical management of 33 ilioinguinal and iliohypogastric neuralgias at Louisiana State University Health Sciences Center. Neurosurgery. 2005;56:1013–20.
Kennedy EM, Harms BA, Starling JR. Absence of maladaptive neuronal plasticity after genitofemoral-ilioinguinal neurectomy. Surgery. 1994;116:665–71.
Salama J, Sarfati E, Chevrel JP. The anatomical basis of nerve lesions arising during the reduction of inguinal hernia. Clin Anat. 1983;5:75–81.
Stulz P, Pfeiffer KM. Peripheral nerve injuries resulting from common surgical procedures in the lower portion of the abdomen. Arch Surg. 1982;117:324–7.
Lee CH, Dellon AL. Surgical management of groin pain of neural origin. J Am Coll Surg. 2000;191:137–42.
Liszka TG, Dellon AL, Manson PN. Iliohypogastric nerve entrapment following abdominoplasty. Plast Reconstr Surg. 1994;93:181–3.
Hp K, Thompson WA, Postel AH. Entrapment neuropathy of the ilioinguinal nerve. New England J Med. 1962;266:16–9.
Rab M, Ebmer J, Dellon AL. Anatomic variability of the ilioinguinal and genitofemoral nerve: implications for the treatment of groin pain. Plast Reconstr Surg. 2001;108:1618–23.
Starling JR, Harms BA, Schroeder ME, et al. Diagnosis and treatment of genitofemoral and ilioinguinal entrapment neuralgia. Surgery. 1987;102:581–6.
Starling JR, Harms BA. Diagnosis and treatment of genitofemoral and ilioinguinal neuralgia. World J Surg. 1989;13:586–91.
Harms BA, Dehaas Jr DR, Starling JR. Diagnosis and management of genitofemoral neuralgia. Arch Surg. 1984;119:339–41.
Hahn L. Treatment of ilioinguinal nerve entrapment–a randomized controlled trial. Acta Obstet Gynecol Scand. 2011;90:955–60.
Arcocha guirrezabal J, Irimia Sieira P, Soto O. Ilioinguinal neuropathy: usefulness of conduction studies. Neurologia. 2004;19:24–6.
Benito-Leon J, Picardo A, Garrido A, et al. Gabapentin therapy for genitofemoral and ilioinguinal neuralgia. J Neurol. 2001;248:907–8.
AMid PJ. A 1-stage surgical treatment for postherniorrhaphy neuropathic pain: triple neurectomy and proximal end implantation without mobilization of the cord. Arch Surg. 2002;137:100–4.
Aszmann OC, Korak KF, Rab M, et al. Neuroma prevention by end-to-side neurorrhaphy: an experimental study in rats. J Hand Surg. 2003;28:1022–8.
Yuksel F, Kislaoglu E, Durak N, et al. Prevention of painful neuromas by epineural ligatures, flaps and grafts. Br J Surg. 1997;50:182–5.
Martini A, Fromm B. A new operation for the prevention and treatment of amputation neuromas. J Bone Joint Surg Br. 1989;71:379–82.
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Saad, A., Pontell, M. (2017). Inguinal Pathology. In: Elkwood, A., Kaufman, M., Schneider, L. (eds) Rehabilitative Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-41406-5_20
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