Groin pain in athletes |
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Authors: | Email author" target="_blank">Kim?Edward?LeBlancEmail author Karl?A?LeBlanc |
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Institution: | (1) Department of Family Medicine, Louisiana State University Health Sciences Center, 1542 Tulane Avenue, New Orleans, LA 70112, USA;(2) Surgical Specialty Group Inc., Baton Rouge, LA, USA |
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Abstract: | Groin pain in athletes is not infrequently a cause of frustration and aggravation to both doctor and patient. Complaints in
the groin region can prove difficult to diagnose, particularly when they are of a chronic nature. These injuries are seen
more commonly in sports that require specific use (or overuse) of the proximal musculature of the thigh and lower abdominal
muscles. Some of the more common sports would be soccer, skiing, hurdling, and hockey. The differential diagnosis can cover
a rather broad area of possibilities. Most common groin injuries are soft-tissue injuries, such as muscular strains, tendinitis,
or contusions. More difficult areas to pinpoint are such entities as osteitis pubis, nerve entrapment, the so-called "sports
hernia," or avulsion fractures, to name but a few. The evaluation of such patients includes a familiarity with the sport and
possible mechanism of injury (i.e., taking a careful history), meticulous physical examination of the groin, abdomen, hips,
spine, and lower extremities. Diagnostic examinations may or may not prove helpful in formulating a final diagnosis. Some
patients may be required to undergo procedures, such as laparoscopic evaluation of the region to obtain adequate information
that allows a proper diagnosis and treatment plan. This article describes many of the possible causes of groin pain in athletes.
The list is quite lengthy, and only the more common problems will be discussed in detail.
Presented, in part, at the American Hernia Society annual meeting in the Riverside Hilton, New Orleans, LA, USA in May 2001. |
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Keywords: | Groin pain Athletes Hernia |
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