Abstract
From the general surgical perspective, the diagnosis and management of chronic groin pain and sports hernia in specific are challenging. Sports hernia is not a true hernia, and it does not present with a bulge in the inguinal area. Imaging methods are helpful to exclude other pathologies which are not related to general surgery. The management is nonsurgical initially. The patients deserve exploration and repair if they do not respond to a 6–8-week conservative treatment. Surgery can be performed with open or laparoscopic approach. The aim of surgical treatment is restoring the normal anatomy.
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References
Bradshaw CJ, Bundy M, Falvey E (2008) Diagnosis of longstanding groin pain. Br J Sports Med 42:851–854
Farber AJ, Wilckens JH (2007) Sports hernia: diagnosis and therapeutic approach. J Am Acad Orthop Surg 15:507–514
Hachem MI, Saunders MP, Rix TE, Anderson HJ (2009) Herniography: a reliable investigation avoiding needless groin exploration-a retrospective study. Hernia 13:57–60
Harmon KG (2007) Evaluation of groin pain in athletes. Curr Sports Med Rep 6:354–361
Jansen JACG, Mens JMA, Backx FJG et al (2008) Treatment of longstanding groin pain in athletes: a systematic review. Scand J Med Sci Sports 18:263–274
Koulouris G (2008) Imaging review of groin pain in elite athletes: an anatomic approach to imaging findings. Am J Roentgenol 191:962–972
Litwin DE, Sneider EB, McEnaney PM, Busconi BD (2011) Athletic pubalgia (sports hernia). Clin Sports Med 30:417–434
McCormack K, Scott NW, Go PM et al (2003) Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev 1:CD001785
Minnich JM, Hanks JB, Muschaweck U et al (2011) Sports hernia: diagnosis and treatment highlighting a minimal repair surgical technique. Am J Sports Med 39:1341–1349
Morelli V, Smith V (2001) Groin injuries in athletes. Am Fam Physician 64:1405–1414
Muschaweck U, Berger L (2010) Minimal repair technique of sportsmen’s hernia: an innovative open-suture repair to treat chronic inguinal pain. Hernia 14:27–33
Nam A, Brody F (2008) Management and therapy of sports hernia. J Am Coll Surg 206:154–164
Paajanen H, Brinck T, Hermunen H, Airo I (2011) Laparoscopic surgery for chronic groin pain in athletes is more effective than non-operative treatment: a randomized controlled trial with magnetic resonance imaging of 60 patients with sportsman’s hernia (athletic pubalgia). Surgery 150:99–107
Verrall GM, Slavotinek JP, Barnes PG, Fon GT (2005) Description of pain provocation tests used for diagnosis of sports related chronic groin pain: relationship of tests defined clinical (pain and tenderness) and MRI (bone marrow oedema) criteria. Scand J Med Sci Sports 15:36–42
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© 2014 Springer-Verlag Berlin Heidelberg
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Sayek, I. (2014). Differential Diagnosis in Groin Pain: Perspective from the General Surgeon. In: Doral, M., Karlsson, J. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36801-1_59-1
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DOI: https://doi.org/10.1007/978-3-642-36801-1_59-1
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Publisher Name: Springer, Berlin, Heidelberg
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