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Sportsmans hernia

Herwig Pokorny, Christoph Resinger, Ines Fischer, Veit Lorenz, Helge Noske, Stefan Podar, Friedrich Längle, Rudolf Schrittwieser
BACKGROUND: Current literature on chronic groin pain suggests that laparoscopic mesh repair on athletes enables a faster recovery and subsequent return to unrestricted athletic activities. The aim of this study was to evaluate the role of transabdominal preperitoneal (TAPP) mesh repair in athletes resistant to conservative therapy. METHODS: A multidisciplinary approach with tailored physiotherapy. Thirty-nine professional athletes with chronic groin pain were referred to surgery at a single clinic...
March 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Melih Paksoy, Ümit Sekmen
Groin pain is an important clinical entity that may affect a sportsman's active sports life. Sportsman's hernia is a chronic low abdominal and groin pain syndrome. Open and laparoscopic surgical treatment may be chosen in case of conservative treatment failure. Studies on sportsman's hernia, which is a challenging situation in both diagnosis and treatment, are ongoing in many centers. We reviewed the treatment results of 37 patients diagnosed and treated as sportsman's hernia at our hospital between 2011-2014, in light of current literature...
2016: Ulusal Cerrahi Dergisi
Alexandra Dimitrakopoulou, Ernest Schilders
Groin pain is common in athletes. Yet, there is disagreement on aetiology, pathomechanics and terminology. A plethora of terms have been employed to explain inguinal-related groin pain in athletes. Recently, at the British Hernia Society in Manchester 2012, a consensus was reached to use the term inguinal disruption based on the pathophysiology while lately the Doha agreement in 2014 defined it as inguinal-related groin pain, a clinically based taxonomy. This review article emphasizes the anatomy, pathogenesis, standard clinical assessment and imaging, and highlights the treatment options for inguinal disruption...
April 2016: Journal of Hip Preservation Surgery
Ethan Ostrom, Anthony Joseph
Athletes are particularly predisposed to injuries in the groin and pelvic region. Men in particular are predisposed to injuries like hernias in the inguinal region. The increased demands and training load on today's athletes combined with individual factors may create the environment for these injuries. Five areas categorize the pain present from different pathological entities in this region: adductor-related, iliopsoas-related, inguinal-related, pubic-related, and hip-related groin pain. It has been extremely difficult in the past to accurately diagnose what has been previously labeled sports hernia, sportsman's groin, or inguinal disruption...
March 2016: Current Sports Medicine Reports
Aali J Sheen, Zafar Iqbal
BACKGROUND: This article helps define the basic principles to diagnosis and manage one of the surgically correctable causes of the 'painful groin', which is commonly described as the sportsman's groin. DISCUSSION: Often many surgeons will describe a single pathology for the sportsman's groin such as a 'hernia' but often other coexisting etiologies may be present. Management relies on a multidisciplinary approach with a diagnosis initially made by a history of pain in the groin on exercise...
2014: BMC Sports Science, Medicine and Rehabilitation
Andreas Serner, Casper H van Eijck, Berend R Beumer, Per Hölmich, Adam Weir, Robert-Jan de Vos
BACKGROUND: Groin pain in athletes is frequent and many different treatment options have been proposed. The current level of evidence for the efficacy of these treatments is unknown. OBJECTIVE: Systematically review the literature on the efficacy of treatments for groin pain in athletes. METHODS: Nine medical databases were searched in May 2014. INCLUSION CRITERIA: treatment studies in athletes with groin pain; randomised controlled trials, controlled clinical trials or case series; n>10; outcome measures describing number of recovered athletes, patient satisfaction, pain scores or functional outcome scores...
June 2015: British Journal of Sports Medicine
D Kopelman, U Kaplan, O A Hatoum, N Abaya, D Karni, A Berber, P Sharon, B Peskin
BACKGROUND: Chronic groin pain appears in athletes with a diverse etiology. In a select few, it can be defined as a sportsman's hernia, that may be related, among other pathologies, to weakness of the posterior inguinal wall and may successfully respond to surgery. HYPOTHESIS: Surgical repair of the sportsman's hernia is associated with good functional outcomes, if the diagnosis is based on meticulous examination and follows a simple selection flowchart. STUDY DESIGN: Prospective case cohort study...
February 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Rick J M Sanders, Arjan P J Kokshoorn, Karel A Kolkman, Wybren A van der Wal, Corné J M van Loon
Groin pain in young athletes is a common problem, accounting for significant downtime in sports participation. It can be difficult to make the correct diagnosis as groin pain has a wide differential diagnosis, which encompasses acute as well as chronic causative factors. In this article this is illustrated by presenting three cases of patients who attended our hospital. In all three cases the main complaint was sports-related groin pain, and the patients presented with very similar symptoms. However, after further investigation the patients were diagnosed with three very different types of injury: sportsman's hernia; hip labral tear; and pubic osteitis...
2014: Nederlands Tijdschrift Voor Geneeskunde
Marta Cavalli, Grazia Bombini, Giampiero Campanelli
The "sportsman's hernia" commonly presents as a painful groin in those sports that involve kicking and twisting movements while running, particularly in rugby, football, soccer, and ice hockey players. Moreover, sportsman's hernia can be encountered even in normally physically active people. The pain experienced is recognized at the common point of origin of the rectus abdominis muscle and the adductor longus tendon on the pubic bone and the insertion of the inguinal ligament on the pubic bone. It is accepted that this chronic pain caused by abdominal wall weakness or injury occurs without a palpable hernia...
March 2014: Surgical Technology International
L Kuikka, H Hermunen, H Paajanen
Athletic pubalgia (sportsman's hernia) is often repaired by surgery. The presence of pubic bone marrow edema (BME) in magnetic resonance imaging (MRI) may effect on the outcome of surgery. Surgical treatment of 30 patients with athletic pubalgia was performed by placement of totally extraperitoneal endoscopic mesh behind the painful groin area. The presence of pre-operative BME was graded from 0 to 3 using MRI and correlated to post-operative pain scores and recovery to sports activity 2 years after operation...
February 2015: Scandinavian Journal of Medicine & Science in Sports
Aali J Sheen, B M Stephenson, D M Lloyd, P Robinson, D Fevre, H Paajanen, A de Beaux, A Kingsnorth, O J Gilmore, D Bennett, I Maclennan, P O'Dwyer, D Sanders, M Kurzer
INTRODUCTION: The aim was to produce a multidisciplinary consensus to determine the current position on the nomenclature, definition, diagnosis, imaging modalities and management of Sportsman's groin (SG). METHODS: Experts in the diagnosis and management of SG were invited to participate in a consensus conference held by the British Hernia Society in Manchester, U.K. on 11-12 October 2012. Experts included a physiotherapist, a musculoskeletal radiologist and surgeons with a proven track record of expertise in this field...
July 2014: British Journal of Sports Medicine
Omer Mei-Dan, Vicente Lopez, Michael R Carmont, Mark O McConkey, Gilbert Steinbacher, Pedro D Alvarez, Ramon B Cugat
Chronic, exercise-related groin pain is a debilitating condition. Nonoperative treatment has limited efficacy, but surgical intervention on the adductor-abdomino complex may be used to alleviate symptoms and allow return to play (RTP). The purpose of this study was to report the outcome of adductor tenotomy and hernioplasty for professional soccer players with groin pain. Between 2000 and 2006, a total of 155 professional and recreational soccer players with recalcitrant groin pain (with or without lower abdominal pain) and resistance to conservative treatment were included in this retrospective analysis...
September 2013: Orthopedics
Grainne Murphy, Paul Foran, Darra Murphy, Oliver Tobin, Michael Moynagh, Stephen Eustace
OBJECTIVE: We describe a new imaging sign, the "superior cleft sign", identified at both symphysography and MRI, which should be used as a marker of rectus abdominis/adductor longus attachment tearing. MATERIALS AND METHODS: A study population of 25 patients presenting with clinically suspected sportsman's hernia, who had undergone both symphysography and MRI of the groin were included for study. In each case, images were reviewed to determine the presence of a superior cleft, secondary cleft, and or both abnormalities...
June 2013: Skeletal Radiology
Nouredin Messaoudi, Christophe Jans, Steven Pauli, Roger Van Riet, Geert Declercq, Marc Van Cleemput
Soccer players frequently experience acute and chronic groin pain. Sportsman's hernia is a common injury in professional soccer players, that causes inguinal pain. The authors discuss their experience with the management of sportsman's hernia in professional soccer players competing in national and international competition in a retrospective review of prospectively collected data. Between March 2004 and December 2009, seventy-one professional soccer players were surgically treated for sportsman's hernia. Average age at surgery was 24 years, and average duration of symptoms from onset to surgical repair was 11 months...
September 2012: Orthopedics
Jules Comin, Haron Obaid, Greg Lammers, James Moore, Mark Wotherspoon, David Connell
BACKGROUND: Chronic groin pain is a common and debilitating condition in highly active athletes. Symptoms are often ascribed to the so-called Sportsman's Hernia, and these patients frequently undergo prolonged and often painful remedial physiotherapy, or, if the condition is refractory, surgery to repair the posterior inguinal wall. HYPOTHESIS: We hypothesised that radiofrequency denervation (RFD) of both the ilioinguinal nerve and inguinal ligament could be used to desensitise the groin region and enable the athlete to become pain-free...
April 2013: British Journal of Sports Medicine
Christophe Jans, Nouredin Messaoudi, Steven Pauli, Roger P Van Riet, Geert Declercq
Chronic groin pain in athletes is a difficult diagnostic and therapeutic condition. Between March 2004 and December 2009, 241 male athletes (mean age: 25.8 years, range: 16-41) in whom chronic sportsman's hernia was diagnosed, were surgically treated using a standardised technique. In this retrospective study, charts were analyzed for preoperative duration of symptoms and prior treatment. Perioperative complications were noted. Patients were contacted and were asked to answer a telephone questionnaire: 162 patients agreed to be questioned as part of the current study...
February 2012: Acta Orthopaedica Belgica
Antoni Scierski
No abstract text is available yet for this article.
February 2012: Polski Przeglad Chirurgiczny
Antoni Scierski
No abstract text is available yet for this article.
January 2012: Polski Przeglad Chirurgiczny
Mayank Jain, Om Tantia, Prakash Sasmal, Shashi Khanna, Bimalendu Sen
The differential diagnosis of chronic groin pain in athletes is a long list and its evaluation is a challenging task. Sports hernia, one of the common cause of these groin pains, had been managed both with open & endoscopic repairs in the past. We report a case of sports hernia in young footballer who presented with bilateral groin pain for 5 years. Endoscopic hernioplasty was done (by totally extra-peritoneal technique) which identified bilateral occult femoral hernia and were repaired simultaneously. Post op outcome was good with excellent results...
August 2010: Indian Journal of Surgery
Hannu Paajanen, Tuomas Brinck, Heikki Hermunen, Ilari Airo
BACKGROUND: Chronic groin pain in athletes presents often a diagnostic and therapeutic challenge. Sportsman's hernia (also called "athletic pubalgia") is a deficiency of the posterior wall of the inguinal canal, which is often repaired by laparoscopic mesh placement. Endoscopic mesh repair may offer a faster recovery for athletes with sportsman's hernia than nonoperative therapy. METHODS: A randomized, prospective study was conducted on 60 patients with a diagnosis of chronic groin pain and suspected sportsman's hernia...
July 2011: Surgery
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