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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
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.
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.
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