Athletic pubalgia , also called sports hernia , hernia hockey , groin hockey , Gilmore's Groin , or groin disorder is a medical condition of the pubic joint that affects the athlete.
This is a syndrome characterized by chronic groin pain in athletes and shallow rings that are dilated from the inguinal canal. Football and ice hockey players are most often affected, and both recreational and professional athletes may be affected.
Video Athletic pubalgia
Presentations
Symptoms include pain during exercise movement, especially hip extension, and twisting and twisting. This pain usually radiates into the adductor muscle region and even the testicles, although it is often difficult for the patient to pinpoint the exact location.
After a sporting activity, people with athletic pubalgia will be stiff and sore. A day after the game, getting out of bed or car will be difficult. Any activity that increases intra-abdominal pressure, such as coughing, sneezing, or sports activities can cause pain. In the early stages, the person may be able to continue playing their sport, but the problem usually worsens.
As pain in the groin and pelvis can be referred from a number of problems, including lumbar spine injury, hip joints, sacro-iliac joints, stomach, and genito-urinary system, athletic pubalgia diagnosis requires skilled differentiation and genital examination in cases certain where there is intense groin pain.
The diagnosis is based on patient history, clinical signs, and, increasingly, MRI exams. Symptoms can often be reproduced by maneuvers such as doing sit-ups or crunches. Pain can also be generated with the patient in "frog position," where the patient is supine with knees bent and heels together.
Actual lesions may be different, but common pathological findings during surgery are:
- tear the external oblique aponeurosis
- tear in conjoin tendon
- Conjoin tendon ripped from pubic tubercle
- dehiscence between the conjunctive tendon and the inguinal ligament
- ripped on transversalis fascia
- abnormal insertion of the rectus abdominis muscle
- tears in the abdominal muscles of the pubic tubercle
- ilioinguinal nerve traps or genitofemoral nerves
Some of these lesions may occur simultaneously. Also, many athletes have a weakness or tear of the adductor muscles or the pelvic lobes of the hip. When the adductor muscles have a tight post injury, it can be enough to trigger the symptoms. The first conservative treatment option should restore normal movement once the adductor has started to recover (usually 6-8 weeks after the injury). Sleeping in the stomach with the hip on the affected side is flexed and rotated externally can heal on some individuals.
The exact incidence of this entity is unknown: some believe it is the most common cause of chronic groin pain in athletes, while others argue that it is only rare. Conservative therapy (gentle stretching and short rest periods) can relieve temporary pain, but definitive treatment consists of surgical repair followed by structured rehabilitation.
Maps Athletic pubalgia
References
Source of the article : Wikipedia
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