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Bone and Joint Problems Related to Groin Pain

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Sports Injuries

Abstract

Groin pain is one of the most common and debilitating injuries faced by athletes. The more common causes of groin pain include nerve entrapment, stress fractures, bony abnormalities, chondrolabral defects, abdominal hernias, tendinopathies, tumors, capsuloligamentous tears, synovial proliferative disorders, and referred pain. This chapter specifically focuses on bone- and joint-related etiologies of groin pain, which include femoroacetabular impingement, acetabular labral tears, articular cartilage defects, loose bodies, ligamentum teres rupture, femoral neck stress fractures, synovial proliferative disorders, and tumors of the pelvis and proximal femur. Background information, history and physical exam, imaging modalities, and treatment of each of these aforementioned conditions are explained. An athlete with groin pain can be a diagnostic challenge due to the wide variety of etiologies that oftentimes have a similar presentation. This issue is compounded by the fact that frequently the pain is due to multiple concurrent lesions such as femoroacetabular impingement with chondral damage and a labral tear. This must be kept in mind because treatment should encompass both primary and secondary injuries; otherwise further injury may continue because the underlying pathology was not addressed.

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Authors and Affiliations

  1. Department of Biomedical Engineering, Steadman Philippon Research Institute (SPRI), Vail, CO, USA

    Max Michalski

  2. Department of Sports Medicine and Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Oslo, Norway

    Lars Engebretsen

  3. IOC Medical & Scientific Department, Lausanne, Switzerland

    Lars Engebretsen

  4. Department of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway

    Lars Engebretsen

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  1. Max Michalski
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  2. Lars Engebretsen
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Correspondence to Lars Engebretsen .

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Editors and Affiliations

  1. Department of Orthopaedics and Traumatology and Department of Sports Medicine, Hacettepe University, Istanbul, Turkey

    Mahmut Nedim Doral

  2. Department of Orthopaedic Surgery, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden

    Jon Karlsson

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Michalski, M., Engebretsen, L. (2015). Bone and Joint Problems Related to Groin Pain. In: Doral, M.N., Karlsson, J. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36569-0_62

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