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Managing Groin Pain.

Randall Swain, Shannon Snodgrass

    The Physician and Sportsmedicine
    |December 27, 2017
    PubMed
    Summary

    Groin pain in athletes can stem from obvious muscle strains or gradual-onset issues like avulsion fractures or inguinal hernias. Diagnosis and treatment vary, from RICE therapy for strains to surgery for severe injuries or canal defects.

    Area of Science:

    • Sports Medicine
    • Orthopedics
    • Athletic Training

    Background:

    • Groin pain is a frequent complaint among athletes, particularly in kicking sports.
    • Acute muscle strains are a common and obvious cause of groin pain.
    • Gradual-onset groin pain presents a complex diagnostic challenge.

    Purpose of the Study:

    • To explore the differential diagnosis of gradual-onset groin pain in a young athlete.
    • To highlight orthopedic and nonorthopedic conditions that can mimic muscle strains.
    • To discuss diagnostic and management strategies for various causes of groin pain.

    Main Methods:

    • Case study of a 16-year-old male high school athlete with gradual-onset groin pain.
    • Review of potential diagnoses including avulsion fracture, osteitis pubis, and inguinal hernia.

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  • Discussion of treatment options based on diagnosis.

    • Main Results:

    • Gradual-onset groin pain necessitates a broad differential diagnosis beyond simple muscle strains.
    • Conditions such as avulsion fractures, osteitis pubis, and inguinal hernias require specific diagnostic approaches.
    • Treatment success depends on accurate diagnosis and tailored management.

    Conclusions:

    • Differentiating causes of groin pain in athletes is crucial for effective treatment.
    • Conservative management (RICE, rehabilitation) is effective for muscle strains and initial inguinal canal weakness.
    • Surgical intervention may be necessary for severe muscle tears or inguinal canal defects.