Sports hernia
Section snippets
Data analysis
The patients that had surgical treatment from 1998 to 2003 served as our database for the study. All 96 patients were followed by office visits, contact with team trainers, or by personal interviews with the athletes and were followed until the athletes returned to previous levels of competition. Only 25 of the patients (26%) were interviewed after surgery by the authors. Patients operated on after December 2000 were not included in this database because of incomplete follow-up. Successful
Results
Ninety-three patients (97%) returned to preinjury levels of performance with little or no pain. One patient had adductor release surgery 4 months after laparoscopic repair. Two patients had little relief of their symptoms at 6 months after surgical repair. It is of interest that both failures were soccer players who returned to play and complained of similar pain and restriction of activity as before their surgical correction. Two patients had a previous open repair for their sports hernia,
Discussion
Athletic pubalgia syndrome consists of lower abdominal or groin pain often associated with adductor tendon complaints. It was first described in the European literature3 and followed in the American literature in the early 1990s.4 The treatment of sports hernias is surgical repair of the inguinal floor. No repair should be attempted until conservative measures have failed. The earliest repair should not be attempted before 6 to 8 weeks of conservative treatment. All of the repairs in this study
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Cited by (16)
Rehabilitation and Return to Play Following Surgery for Inguinal-Related Groin Pain
2017, Operative Techniques in Sports MedicineCitation Excerpt :There are several studies on surgical treatment of IRGP; however, these generally do not provide detailed reproducible information regarding the postoperative rehabilitation. In general, studies range from an omission of a rehabilitation protocol description,14,19-36 general brief advice on the immediate postop days, recommended time to resumption of daily activities, exercise or sports, or all of these7,10,37-44; to some more specific general guidelines including description of exercises in phases from immediate postop until return to sport, based on either timelines12,45,46 or individual tolerance levels.47 In addition to these, the British Hernia Society has published a consensus statement including a proposed rehabilitation regime.1
Athletic Pubalgia (Sports Hernia)
2011, Clinics in Sports MedicineCitation Excerpt :Athletes typically present with the complaint of exercise-related lower abdomen and groin pain that may radiate to the perineum, inner thigh, and scrotum.3,48 The pain is typically relieved with rest but returns on resumption of physical activity.5,22,27,52,53 Often the athlete describes the pain as a deep and intense pain that is unilateral.5,54,55
Groin pain syndrome Italian consensus conference on terminology, clinical evaluation and imaging assessment in groin pain in athlete
2016, BMJ Open Sport and Exercise MedicineAthletic groin pain: A systematic review of surgical diagnoses, investigations and treatment
2016, British Journal of Sports MedicineCurrent concepts of inguinal-related and adductorrelated groin pain
2016, HIP International