Abstract
Athletic pubalgia is a condition of the lower abdominal and inguinal region caused by weakness or tearing of the rectus abdominus insertion to the superior pubic ramus. Generally, the athletic pubalgia patient will have either pinpoint or generalized pain in the area of the distal rectus abdominus, at its insertion upon the pubis. MRI utilizing the axial oblique plane is key to identifying pathology at the aponeurosis of the adductor longus and rectus abdominis. Initial conservative treatment includes relative rest and physical therapy. Surgical treatment focuses on the insertion of the rectus abdominus to the pubis, along with stabilization of the interface between the rectus and conjoined tendon, with reinforcement of the posterior wall of the inguinal canal if indicated.
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King, S.T., Tuck, J.A., Roberto, C.M., Busconi, B. (2015). Athletic Pubalgia and Sports Hernia: Evaluation and Management. In: Brockmeier, S. (eds) MRI-Arthroscopy Correlations. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2645-9_34
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