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Understanding Athletic Pubalgia: A Review.

Brian Cohen1, Dominic Kleinhenz1, Jonathan Schiller1

  • 1Department of Orthopedics, The Warren Alpert Medical School of Brown University.

Rhode Island Medical Journal (2013)
|October 6, 2016
PubMed
Summary

Athletic pubalgia, or sports hernia, causes chronic groin pain in athletes without a true hernia. Diagnosis requires understanding hip anatomy and a thorough physical exam for effective management.

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Area of Science:

  • Sports Medicine
  • Orthopedics
  • Anatomy

Background:

  • Athletic pubalgia, commonly termed sports hernia, presents as chronic lower abdominal and groin pain.
  • It is a frequent cause of pain in athletes, often co-occurring with other conditions.
  • A true hernia is absent in cases of athletic pubalgia.

Purpose of the Study:

  • To review the anatomy, pathophysiology, diagnosis, and treatment of athletic pubalgia.
  • To discuss associated conditions like femoroacetabular impingement.
  • To emphasize the importance of a comprehensive diagnostic approach.

Main Methods:

  • Review of existing literature on athletic pubalgia.
  • Discussion of diagnostic strategies including physical examination and anatomical understanding.
Keywords:
athletic pubalgiagroin painimpingementsports hernia

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  • Analysis of treatment options and associated pathologies.
  • Main Results:

    • Athletic pubalgia is characterized by chronic groin pain without a hernia.
    • Accurate diagnosis hinges on a detailed physical exam and knowledge of hip/pelvic anatomy.
    • Associated conditions, such as femoroacetabular impingement, frequently accompany athletic pubalgia.

    Conclusions:

    • A thorough understanding of anatomy and a comprehensive physical exam are crucial for diagnosing athletic pubalgia.
    • Various management strategies exist for athletic pubalgia.
    • Recognizing and addressing associated conditions is vital for optimal patient outcomes.