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Updated: Mar 19, 2026

An Inertial Measurement Unit Based Method to Estimate Hip and Knee Joint Kinematics in Team Sport Athletes on the Field
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Groin Injuries (Athletic Pubalgia) and Return to Play.

Osama Elattar1, Ho-Rim Choi1, Vickie D Dills2

  • 1Orthopaedic Sports Medicine, University of Massachusetts, Worcester, Massachusetts.

Sports Health
|June 16, 2016
PubMed
Summary

Athletic pubalgia, a common cause of groin pain in athletes, involves overuse injuries to the abdominal wall. Surgical interventions offer successful outcomes, enabling most athletes to return to high-level competition.

Keywords:
athletic pubalgia (AP)differential diagnosisgroinhippainreturn to sportssurgical treatment

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Area of Science:

  • Sports Medicine
  • Orthopedic Surgery

Background:

  • Groin pain is prevalent in athletes participating in cutting, pivoting, or kicking sports.
  • Athletic pubalgia, an overuse injury, causes chronic groin and adductor pain due to rectus tendon disruption or posterior inguinal wall weakness.
  • It often necessitates surgical treatment after conservative measures fail.

Purpose of the Study:

  • To review the literature on athletic pubalgia, focusing on its causes, diagnosis, and treatment options.
  • To evaluate the effectiveness of surgical interventions for athletic pubalgia.

Main Methods:

  • A comprehensive literature search was conducted using PubMed from January 1920 to January 2015.
  • Keywords included "groin pain," "sports hernia," "athletic pubalgia," "adductor strain," "osteitis pubis," "stress fractures," "femoroacetabular impingement," and "labral tears."
  • The study design was a clinical review (Level 4 evidence).

Main Results:

  • Athletic pubalgia is characterized by rectus abdominis insertion disruption or posterior inguinal wall weakness from acute or repetitive injury.
  • Various surgical options have been reported for treating athletic pubalgia.
  • Successful outcomes with high return-to-sport rates are common following surgical intervention.

Conclusions:

  • Athletic pubalgia is a significant overuse injury in athletes, impacting the lower abdomen and groin.
  • Surgical management of athletic pubalgia demonstrates successful outcomes.
  • The majority of athletes treated surgically can return to their previous level of competition.