Sports Hernia and Athletic Pubalgia
Groin injuries are common in sports, most of which are muscular/tendon strain-type injuries that resolve with conservative treatment. The term sports hernia or athletic pubalgia refers to a subset of athletic groin injuries that present with exertional inguinal/rectus abdominal insertional pain that limits athletic performance. These injuries not infrequently may have an associated adductor component. The diagnosis can be made based on the history and physical examination and supportive imaging, most commonly with a pelvic MRI. Surgery is indicated for athletes who fail 6–8 weeks of conservative management or who have evidence of a rectus abdominal tear on imaging. A variety of surgical approaches have been used to address this problem that comprises the spectrum from primary tissue repairs to both open and laparoscopic tension-free mesh repairs. In this chapter, the pathophysiology of athletic pubalgia injuries is reviewed along with diagnostic considerations and the different treatment options. The importance of a multidisciplinary approach to the diagnostic evaluation and treatment of these athletes along with structured rehabilitation program cannot be overemphasized and is essential to a successful outcome.
KeywordsGroin injuries Hernia Athletic pubalgia Sports hernia
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