Advanced Search

Home > Journals > Medicina dello Sport > Past Issues > Medicina dello Sport 2011 June;64(2) > Medicina dello Sport 2011 June;64(2):113-23

ISSUES AND ARTICLES   MOST READ   eTOC

CURRENT ISSUEMEDICINA DELLO SPORT

A Journal on Sports Medicine


Official Journal of the Italian Sports Medicine Federation
Indexed/Abstracted in: BIOSIS Previews, EMBASE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,163

 

Medicina dello Sport 2011 June;64(2):113-23

 ORIGINAL ARTICLES

Sport hernia: a missed cause of chronic groin pain in athletes

Guglielmi A. 1, Folath M. 1, Mariani P. P. 2

1 Villa Stuart Clinic, Rome, Italy
2 Foro Italico University, Rome, Italy

Sports hernia is a painful groin pathology that affects male athletes. It is difficult to diagnose since it is frequently confused with the different pathologies of the inguinal region. Sudden movements of the trunk may lead to a laceration of the aponeurotic fascia of the abdominal musculature or a bulging of the posterior wall of the inguinal canal that cause localized suprapubic pain radiating to the thigh. There is no visceral extrusion in sports hernia. The pain is caused by irritation of sensory nerve fibers of the ilioinguinal or genitofemoral nerve. Proper physical preparation is fundamental especially in prevention. Physiotherapy is indicated for acute cases, while surgical treatment is preferable either after failure of conservative treatment or in cases where the diagnosis has clearly demonstrated an alteration of the posterior wall of the inguinal canal. Treatment should combine neurolysis of the sensory fibers, while preserving the motor fibers, and repair of the muscular defects.

language: English, Italian


FULL TEXT  REPRINTS

top of page