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Sports hernias.

Diana L Diesen1, Theodore N Pappas

  • 1Department of Surgery, Duke University, DUMC 3479, Durham, NC 27710, USA. diese001@mc.duke.edu

Advances in Surgery
|November 2, 2007
PubMed
Summary
This summary is machine-generated.

Sportsman's hernia, a cause of chronic groin pain in athletes, involves rectus abdominal wall injury without a palpable hernia. Surgical rectus reattachment offers a 95% success rate for pain relief and return to sports.

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Area of Science:

  • Sports Medicine
  • Orthopedic Surgery
  • Athletic Training

Background:

  • Sportsman's hernia, characterized by chronic groin pain in athletes, stems from rectus abdominal wall weakness or injury.
  • It affects high-performance male athletes and is often diagnosed through clinical evaluation, as imaging cannot definitively rule it out.
  • The condition involves exertional inguinal/pubic pain without a palpable hernia, distinguishing it from traditional hernias.

Purpose of the Study:

  • To define sportsman's hernia and outline its appropriate surgical management.
  • To differentiate sportsman's hernia from true hernias and discuss diagnostic challenges.
  • To evaluate the efficacy of rectus reattachment surgery for treating this condition.

Main Methods:

  • Diagnosis relies on thorough patient history and physical examination.

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  • Radiographic studies like ultrasound or MRI may assist in differential diagnosis but cannot confirm sportsman's hernia.
  • Surgical treatment focuses on unilateral or bilateral rectus reattachment, potentially combined with adductor release.

    • Main Results:

    • Rectus reattachment surgery addresses the underlying injury at the rectus insertion, unlike other hernia repair methods.
    • Traditional hernia repairs (Lichtenstein, laparoscopic, etc.) are less effective as they do not stabilize the pelvis.
    • Post-operative physical rehabilitation is crucial for patient recovery.

    Conclusions:

    • Sportsman's hernia is best treated surgically by rectus reattachment, which stabilizes the pelvis.
    • This targeted approach leads to a 95% success rate in pain resolution and return to competitive athletics.
    • Adductor release may be indicated concurrently if adductor-related symptoms are present.