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A complete approach to groin pain.
1Department of Family Medicine, McGill University, Montreal, QC, H2W 1S4, CAN. vincentl@sportsmed.lan.mcgill.ca.
Diagnosing groin pain requires a detailed history and physical exam due to its many causes. Identifying the specific source is key, as conservative treatments are often effective for groin pain.
Area of Science:
- Orthopedics
- Sports Medicine
- Physical Examination
Background:
- Groin pain presents a diagnostic challenge due to its diverse origins, encompassing both sports-related and non-sports-related conditions.
- A thorough patient history and targeted physical examination are crucial for accurate diagnosis.
Purpose of the Study:
- To highlight the importance of focused history-taking and physical exam maneuvers in evaluating patients with groin pain.
- To provide a comprehensive overview of potential causes of groin pain.
Main Methods:
- Review of common and less common causes of groin pain.
- Emphasis on differential diagnosis through specific questioning and examination techniques.
Main Results:
- Numerous potential etiologies for groin pain exist, including stress fractures, avascular necrosis (Legg-Calvé-Perthes disease), slipped capital femoral epiphysis, labral tears, bursitis, and muscle strains.
- Other considerations include osteitis pubis, hernias (inguinal and sports hernia), and nerve entrapment (ilioinguinal neuralgia).
Conclusions:
- A systematic approach to history and physical examination is essential for diagnosing the underlying cause of groin pain.
- Conservative management strategies are frequently successful once an accurate diagnosis is established.
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