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[Sportman's hernia].

Camilla Ibsen Hauge¹, Lars Nannestad Jørgensen

¹Kirurgisk Afdeling K, Bispebjerg Hospital, 2400 København NV, Denmark.

Ugeskrift for Laeger

|December 7, 2010

Summary

Sportsman's hernia causes groin pain in athletes due to posterior inguinal weakness or muscle/tendon injuries. Surgery may help, but more research is needed to confirm its effectiveness.

Area of Science:

Orthopedics
Sports Medicine
Anatomy

Context:

Sportsman's hernia, characterized by insidious groin pain, predominantly affects young male athletes involved in sports requiring frequent kicking and twisting motions.
Pathophysiological theories suggest either a weakening of the posterior inguinal wall or injuries to fascial structures and pubic bone tendon insertions contribute to the condition.

Purpose:

To review the current understanding of sportsman's hernia, including its pathophysiology, diagnostic challenges, and treatment outcomes.
To highlight the limitations in current research, particularly the lack of randomized controlled trials with long-term follow-up.

Summary:

Sportsman's hernia presents with groin pain in athletes, linked to posterior inguinal wall weakness or musculotendinous injuries at the pubic bone.

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Diagnosis involves excluding other conditions, and conservative treatments are often ineffective.

While uncontrolled studies indicate surgical improvement, robust evidence from randomized trials is lacking to definitively establish surgery's role.

Impact:

This review underscores the need for high-quality research to clarify the optimal treatment strategy for sportsman's hernia.
Improved understanding and evidence-based guidelines can lead to better patient outcomes and more effective management of this sports-related injury.