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Groin Pain Syndrome Italian Consensus Conference update 2023.

Gian N Bisciotti1, Raul Zini2, Matteo Aluigi3

  • 1Kinemove Rehabilitation Centers, Pontremoli, La Spezia, Italy - bisciotti@libero.it.

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Summary
This summary is machine-generated.

The 2023 Italian Consensus Conference updated groin pain syndrome (GPS) definitions and etiology. Experts agreed on a sports hernia definition and recognized 4 new GPS causes, expanding the classification.

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Area of Science:

  • Sports Medicine
  • Orthopedics
  • Athletic Training

Background:

  • Groin pain syndrome (GPS) is a complex and debated issue in sports medicine.
  • A 2016 Italian Consensus Conference (CC) established initial classifications for GPS etiology.
  • An update was needed to refine definitions and incorporate new clinical findings.

Purpose of the Study:

  • To update the terminology, clinical evaluation, and imaging assessment for groin pain in athletes.
  • To revise the etiological classification of groin pain syndrome based on current evidence.
  • To establish a consensus on the definition and diagnosis of sports hernias.

Main Methods:

  • A sequential, two-round online Delphi survey involving 55 experts.
  • A final consensus conference in person to discuss findings and reach agreements.
  • Review and discussion of documents covering sports hernias and potential new GPS causes.

Main Results:

  • Consensus was reached on a new clinical and imaging definition of sports hernia.
  • The etiological classification of GPS was updated, expanding to 12 categories and 67 pathologies (from 11 categories and 63 pathologies).
  • Four of five proposed new clinical situations were recognized as causes of GPS; one lacked sufficient evidence for consensus.

Conclusions:

  • The 2023 update provides a refined definition of sports hernia and an expanded etiological framework for GPS.
  • This consensus improves the diagnostic and clinical approach to groin pain in athletes.
  • Further research is needed for pathologies lacking sufficient evidence.