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Sports Medicine

, Volume 39, Issue 3, pp 225–234 | Cite as

The Anatomy of the Pubic Region Revisited

Implications for the Pathogenesis and Clinical Management of Chronic Groin Pain in Athletes
  • Brett A. Robertson
  • Priscilla J. Barker
  • Marius Fahrer
  • Anthony G. Schache
Review Article

Abstract

Chronic groin pain is a common complaint for athletes participating in sports that involve repetitive sprinting, kicking or twisting movements, such as Australian Rules football, soccer and ice hockey. It is frequently a multifactorial condition that presents a considerable challenge for the treating sports medicine practitioner. To better understand the pathogenesis of chronic groin pain in athletes, a precise anatomical knowledge of the pubic symphysis and surrounding soft tissues is required. Several alternative descriptions of pubic region structures have been proposed. Traditionally, chronic groin pain in athletes has been described in terms of discrete pathology requiring specific intervention. While this clinical reasoning may apply in some cases, a review of anatomical findings indicates the possibility of multiple pathologies coexisting in athletes with chronic groin pain. An appreciation of these alternative descriptions may assist sports medicine practitioners with diagnostic and clinical decision-making processes. The purpose of this literature review is to reappraise the anatomy of the pubic region, considering findings from cadaveric dissection and histology studies, as well as those from diagnostic imaging studies in athletes.

Keywords

Pubic Symphysis Groin Pain Rectus Abdominis Rectus Sheath Chronic Groin Pain 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgements

No funding was provided for the preparation of this article and the authors have no conflicts of interest directly relevant to its contents.

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Copyright information

© Springer International Publishing AG 2009

Authors and Affiliations

  • Brett A. Robertson
    • 1
  • Priscilla J. Barker
    • 2
  • Marius Fahrer
    • 2
  • Anthony G. Schache
    • 3
  1. 1.School of PhysiotherapyThe University of MelbourneMelbourneAustralia
  2. 2.Department of AnatomyThe University of MelbourneMelbourneAustralia
  3. 3.Department of Mechanical Engineering, Melbourne School of EngineeringThe University of MelbourneMelbourneAustralia

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