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Sportsman's hernia.

L J Fon1, R A Spence

  • 1General Surgical Unit, Belfast City Hospital, Belfast, UK.

The British Journal of Surgery
|May 3, 2000
PubMed
Summary
This summary is machine-generated.

Diagnosing sportsman's hernia, a cause of chronic groin pain, is challenging. While surgical repair offers benefits, its definition and optimal treatment require further clarification.

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Area of Science:

  • Sports Medicine
  • Orthopedic Surgery
  • Diagnostic Imaging

Background:

  • Sportsman's hernia, characterized by chronic groin pain, involves external oblique tears and potential occult hernias.
  • The precise definition, diagnostic methods, and treatment strategies for this condition remain incompletely understood.

Purpose of the Study:

  • To systematically review the literature on chronic groin pain, sportsman's hernia, and related injuries.
  • To analyze diagnostic and treatment approaches for sportsman's hernia.

Main Methods:

  • A comprehensive Medline search was conducted, retrieving literature from 1962 to 1999.
  • Analysis focused on studies related to chronic groin pain, groin injury, sportsman's hernia, and sportsman's groin.

Main Results:

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  • Routine use of CT and MRI for groin pain is not cost-justified, though they can aid in complex cases.
  • First-line investigations include plain radiography, ultrasonography, and scintigraphy; herniography may be useful for obscure pain.
  • No consensus exists on surgical procedures, but posterior inguinal wall repair provides therapeutic benefit in select cases.

Conclusions:

  • Diagnosing sportsman's hernia is difficult and requires differentiation from osteitis pubis and musculotendinous injuries.
  • Early surgical intervention is often successful after conservative management failure.