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Sports hernia/athletic pubalgia: evaluation and management
1Minnesota Orthopedic Sports Medicine Institute at Twin Cities Orthopedics, Edina, Minnesota.
Sports Health
|March 4, 2014
Summary
Athletic pubalgia, or sports hernia, is a common cause of athletic disability. Managing associated hip disorders like femoroacetabular impingement concurrently improves outcomes.
Area of Science:
- Orthopedics
- Sports Medicine
- Athletic Training
Background:
- Sports hernia, also known as athletic pubalgia, is a significant cause of athletic disability and lost training time.
- Current research is limited by a lack of standardized diagnostic criteria and outcome assessment methods.
- Objective criteria for diagnosis and outcome evaluation remain inconsistent in existing literature.
Purpose of the Study:
- To review the current literature on sports hernia/athletic pubalgia.
- To evaluate diagnostic and treatment strategies.
- To explore the relationship between athletic pubalgia and hip disorders.
Main Methods:
- A comprehensive literature search was conducted using the PubMed database up to January 2013.
- Reference lists of relevant articles were also hand-searched.
- The study design is a review article with a Level 5 evidence rating.
Main Results:
- Nonsurgical treatment outcomes for athletic pubalgia are poorly documented.
- Surgical interventions demonstrate high return-to-athletic activity rates (>80%), irrespective of the specific surgical approach.
- Comparing surgical techniques is challenging due to procedural diversity and inconsistent outcome measures.
- A growing body of evidence suggests a link between hip disorders, such as femoroacetabular impingement, and athletic pubalgia in some athletes.
- This association complicates treatment decision-making.
Conclusions:
- A recognized association exists between femoroacetabular impingement and athletic pubalgia.
- Concurrent or staged management of both conditions appears to yield better patient outcomes.
- Integrated treatment strategies for combined hip and groin pathology are recommended.
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