When a groin lump is more than a simple groin lump
George Malietzis2011, Case Reports
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Abstract
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This case report details a rare instance of an avulsion fracture of the adductor muscles in a 23-year-old male footballer presenting as a groin lump following acute physical exertion. Initial diagnosis suggested an incarcerated groin hernia but further exploration revealed hemorrhagic contusions and a bone fragment linked to the adductor muscles. The report emphasizes the diagnostic challenges of groin lumps, the importance of thorough clinical evaluation, and the rarity of adductor avulsion fractures in athletic contexts.
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Groin pain is a common symptom in athletes. The complex anatomy of the area and the various terms used to describe the etiology behind groin pain have led to a confusing nomenclature. To solve this problem, three consensus statements have been already published in the literature: the Manchester Position Statement in 2014, the Doha agreement in 2015, and the Italian Consensus in 2016. However, when revisiting recent literature, it is evident that the use of non-anatomic terms remains common, and the diagnoses sports hernia, sportsman's hernia, sportsman's groin, Gilmore's groin, athletic pubalgia, and core muscle injury are still used by many authors. Why are they still in use although rejected? Are they considered synonyms, or they are used to describe different pathology? This current concepts review article aims to clarify the confusing terminology by examining to which anatomical structures authors refer when using each term, revisit the complex anatomy of the area, including the adductors, the flat and vertical abdominal muscles, the inguinal canal, and the adjacent nerve branches, and propose an anatomical approach, which will provide the basis for improved communication between healthcare professionals and evidence-based treatment decisions. Current concepts Groin pain is a common symptom in athletes, accompanied by a very complex nomenclature that makes diagnosis and treatment challenging. Despite the publication of three consensus statements, rejected terms are still widely used in the literature. Healthcare professionals dealing with groin pain should be careful when examining the literature, since the use of various terms in different ways may lead to false conclusions, thus making evidence-based practice difficult. Future perspectives Adopting results of all the available consensus statements is crucial for clarifying the terminology of groin pain. A specific anatomical diagnosis accompanying the classification proposed by the Doha agreement meeting, when possible, is strongly encouraged. A diagnostic approach and a treatment decision based on anatomy will facilitate evidence-based practice.
Ultrasound of the Groin: Techniques, Pathology, and Pitfalls
American Journal of Roentgenology, 2015
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International Journal of Research in Medical Sciences
Background: Groin hernia is a very common type abdominal wall hernia encountered in surgical practice. Irreducibility, obstruction and strangulation are its commonest complications which usually presents as acute emergencies. Emergency repair of complicated hernias is associated with poor prognosis and a high rate of post-operative complications even with better care, improved anaesthetic management and advanced surgical techniques. The aim of this study was to determine the various modes of presentation, clinical finding, diagnostic and therapeutic strategies and to evaluate the postoperative outcome in complicated groin hernia surgeries in our set up.Methods: The study was carried out among 40 patients of groin hernia, who had complicated clinical presentation like irreducibility, strangulation and obstruction in the department of general surgery, during the period from March 2012 to June 2014. Patients were enrolled into the study after proper consent for detailed clinical examin...
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The American journal of sports medicine
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Surgical treatment of chronic groin pain in athletes
International Orthopaedics, 2012
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