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Core Muscle Injury Producing Groin Pain in the Athlete: Diagnosis and Treatment
Scott Mullen1, Morgan Hadley, Bryan Vopat
1From the Department of Orthopedic Surgery and Sports Medicine, The University of Kansas Health System, Kansas City, KS (Mullen, Hadley and Vopat) and the Department of Orthopaedic Surgery and Rehabilitation Atrium Health Wake Forest Baptist, Winston-Salem, NC (Wolf).
The Journal of the American Academy of Orthopaedic Surgeons
|March 28, 2023
Summary
Core muscle injury (CMI) causes groin pain in athletes, often from adductor and abdominal muscle strain. This review clarifies CMI definitions and effective treatments, analyzing clinical outcomes and failure rates for better athlete recovery.
Area of Science:
- Sports Medicine
- Orthopedics
- Rehabilitation
Background:
- Groin pain is a prevalent issue in athletes, frequently stemming from musculoskeletal causes.
- Core muscle injury (CMI), involving adductor and abdominal muscles, is a primary contributor to athletic groin pain.
- Despite extensive research since the 1960s, a lack of universal definition and treatment protocols complicates CMI management.
Approach:
- This article systematically reviews current literature on core muscle injury (CMI).
- It focuses on identifying common diagnostic characteristics and defining features of CMI.
- The review delineates various treatment protocols and analyzes their clinical outcomes and failure rates.
Key Points:
- Core muscle injury (CMI) encompasses strains of the adductor and abdominal muscles, leading to athletic groin pain.
- Standardized definitions and treatment strategies for CMI remain elusive.
- Clinical outcomes and failure rates vary significantly across different treatment methodologies for CMI.
Conclusions:
- A comprehensive understanding of CMI's defining characteristics is crucial for accurate diagnosis.
- Evidence-based treatment protocols are needed to optimize recovery and minimize recurrence in athletes with CMI.
- Further research should focus on standardizing CMI definitions and evaluating long-term treatment efficacy.
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