Management of Abdominal Wall Hernias, Sports Hernias, and Athletic Pubalgia

Chapter

Abstract

Groin injuries are a common occurrence in sport, especially in elite-level athletes. Most of these injuries are muscular strains that resolve completely with standard conservative management measures. However, some groin injuries result in a significant loss of playing time and can be a source of persistent pain that limits performance. Over the last 20 years, a subset of athletes with chronic, unremitting groin pain known commonly as “sports hernia” has become increasingly recognized. These injuries present challenging diagnostic and therapeutic management problems for athletic trainers and physicians because of the broad range of diagnostic possibilities, the subtle physical exam findings, and the anatomic complexity of the lower abdominal and groin region. In this chapter, the clinical presentation, diagnostic evaluation, and treatment options for athletes with a possible sports hernia will be reviewed. The differential diagnosis of athletic groin pain will also be discussed since surgeons who treat these athletes must understand the spectrum of injuries in order to make an accurate diagnosis.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Section of Minimally Invasive SurgeryWashington University School of MedicineSt. LouisUSA
  2. 2.Department of SurgeryWashington University School of MedicineSt. LouisUSA
  3. 3.St. Louis Blues Hockey ClubSt. LouisUSA

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