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Imaging Athletic Groin Pain.

Annu Chopra1, Philip Robinson2

  • 1X-Ray department, Musculoskeletal Centre, Leeds Teaching Hospitals, Chapel Allerton Hospital, Chapeltown Road, Leeds LS7 4SA, UK.

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|August 23, 2016
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Summary
This summary is machine-generated.

This article details four types of groin pain: adductor, pubic, inguinal, and iliopsoas. It explains their anatomy and how magnetic resonance (MR) imaging aids diagnosis, with other modalities useful for specific cases.

Keywords:
Adductor injuryAthleteGroin painImagingInguinal disruption

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Area of Science:

  • Sports Medicine
  • Radiology
  • Anatomy

Background:

  • Groin pain is a common ailment in athletes and the general population.
  • Accurate diagnosis is crucial for effective treatment and management.
  • Understanding the specific anatomical origins of groin pain is key.

Purpose of the Study:

  • To outline and differentiate four common causes of groin pain: adductor-related, pubic-related, inguinal-related, and iliopsoas-related.
  • To describe the functional anatomy associated with each type of groin pain.
  • To detail the primary imaging findings, focusing on MR imaging, for diagnosing these conditions.

Main Methods:

  • Review of anatomical structures involved in groin pain.
  • Description of clinical presentations associated with each pain type.
  • Detailed explanation of magnetic resonance (MR) imaging findings.
  • Discussion of the utility of plain radiographs and ultrasound as adjunct imaging modalities.

Main Results:

  • Adductor-related groin pain involves the adductor muscles and surrounding structures.
  • Pubic-related groin pain often relates to the pubic symphysis and associated musculature.
  • Inguinal-related groin pain typically involves the inguinal canal and surrounding tissues.
  • Iliopsoas-related groin pain is associated with the iliopsoas muscle and its sheath.
  • MR imaging provides comprehensive visualization of soft tissues and bony structures relevant to groin pain.

Conclusions:

  • Differentiating between adductor, pubic, inguinal, and iliopsoas related groin pain is essential for targeted treatment.
  • MR imaging is the principal modality for investigating groin pain, offering detailed anatomical insights.
  • Radiographs and ultrasound serve as valuable adjuncts for specific diagnostic scenarios and exclusion of alternative pathologies.