Sports hernia: Diagnosis and therapeutic approach

Adam J. Farber, John H. Wilckens

Research output: Contribution to journalArticle

Abstract

Groin pain is a common entity in athletes involved in soccer, ice hockey, Australian Rules football, skiing, running, and hurdling. An increasingly recognized cause of groin pain in these athletes is a sports hernia, an occult hernia caused by weakness or tear of the posterior inguinal wall, without a clinically recognizable hernia, that leads to a condition of chronic groin pain. The patient typically presents with an insidious onset of activity-related, unilateral, deep groin pain that abates with rest. Although the physical examination reveals no detectable inguinal hernia, a tender, dilated superficial inguinal ring and tenderness of the posterior wall of the inguinal canal are found. The role of imaging studies in this condition is unclear; most imaging studies will be normal. Unlike most other types of groin pain, sports hernias rarely improve with nonsurgical measures; thus, open or laparoscopic herniorrhaphy should be considered.

Original languageEnglish (US)
Pages (from-to)507-514
Number of pages8
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume15
Issue number8
DOIs
StatePublished - Aug 2007

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ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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