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Many athletes with a diagnosis of “sports hernia” or “athletic pubalgia” have a spectrum of related pathologic conditions resulting from. Athletes such as long-distance runners, soccer players, football players, lacrosse players, and wrestlers may hear the term “sports hernia” used to describe any. Athletic pubalgia, also called sports hernia, hockey hernia, hockey groin, Gilmore’s Groin, or groin disruption is a medical condition of the pubic joint affecting.

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Retrieved November 24, When nonoperative measures fail. The pain is activity-related and generally resolves with rest. National Center for Biotechnology InformationU. Various tests such as the anterior impingement pain with hip flexion, adduction, internal rotation are also indicative of concomitant hip joint pathology.

Sports Hernia/Athletic Pubalgia

Nonsurgical Treatment and Outcomes Physical therapy should be instituted focusing on core stabilization, postural retraining, and normalization of the dynamic relationship of the hip and pelvis muscles. J Am Acad Orthop Surg. Occasionally, tendon injuries require injections to help the area heal, and hernias and certain hip joint and nerve problems may require surgery.

Osteitis pubis and instability of the pubic symphysis. Management of severe lower abdominal or inguinal pain in high-performance herniia. Athletic pubalgiaalso called sports hernia[1] hockey hernia[2] hockey groin[1] Gilmore’s Groin[1] or groin disruption [3] is a medical condition of the pubic joint affecting athletes.

Thirty-six percent of athletes with athletic pubalgia have adductor tenderness.

Athletic pubalgia – Wikipedia

Taking time off from offending athletic activities can lead to resolution of symptoms, but these frequently recur with resumption of sports. Brown et al 3. Author information Copyright and License information Disclaimer. High prevalence of pelvic and hip magnetic resonance imaging findings in asymptomatic collegiate and professional hockey players. Sports Medicine Evaluation There may be tenderness when the doctor pushes on the painful area, and it may hurt when the hip is twisted.


Anteroposterior pelvic radiograph in a collegiate hockey player with clinical examination consistent with intra-articular hip and athletic pubalgia symptoms reveals bilateral cam type deformities solid arrowacetabular retroversion dashed curved lineand ostieitis pubis dashed arrow. Adductor and psoas-related pain can be identified with pubic cleft and psoas bursal injections, respectively.

It often happens in sports that require running, twisting, or kicking including soccer, hockey, rugby, and football. Patellar tendon rupture Achilles tendon rupture Shin splints. Management of both may be necessary in some instances to improve outcomes.

An MRI or ultrasound may show soft tissue abnormalities such as a muscle or tendon injury. Treatment Initial treatment usually includes avoiding painful activities and specific strength and flexibility exercises.

Laparoscopic repair of groin pain in athletes. This may take up to 12 weeks. Many conditions can cause athletic pubalgia, including tendon strains, nerve injuries, joint problems, and true hernias.

Groin pain in the soccer athlete: However, strengthening the hip adductors and abductors is important.

This article has been cited by other articles in PMC. A careful history, physical examination, and imaging are needed for an accurate diagnosis. PubMed database through January and hand searches of the reference lists of pertinent articles.

High incidence of athletic pubalgia symptoms in professional athletes with symptomatic femoroacetabular impingement. Br J Sports Med. Meyers et al 19 Meyers et al Endoscopic evaluation and treatment of groin pain in the athlete. Fibers from the rectus abdominus, conjoint tendon a fusion of the internal oblique and transversus abdominusand external oblique merge to form the pubic aponeurosis. Pubaliga The pain is in the groin region, can occasionally radiate up into the stomach or down into the thigh, and is frequently increased with running, kicking, twisting, sit ups, pubalgiw, or sneezing.


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Tear of meniscus Anterior cruciate ligament injury Unhappy triad Patellar dislocation Knee dislocation. Because of the frequent overlap in pain location for various hip and pelvis disorders, diagnostic anesthetic injections are useful to determine the primary pain generators.

Magnetic resonance imaging can be helpful for a number of hip and pelvic disorders. Gentisaris et al 6. It may be helpful to avoid deep hip flexion, low repetition, heavy weight strength training during this recovery period. Injury to the abdominal wall at the fascial attachments of the rectus and adductors onto the pubis is implicated in athletic pubalgia. References Hdrnia P, et al.

Curr Sports Med Rep. Lower abdominal, adductor, and symphyseal pain to palpation is common in athletes; therefore, it is critical to determine if pubakgia pain is consistent with their symptoms.