The absence of randomized prospective studies comparing laparoscopic and open techniques is a reason for discussions on treatment. Salvador Morales Conde discussed the diagnosis and treatment methods for sportsmen with chronic inguinal pain and suggested that surgery should only be performed in case of unsuccessful conservative treatment. Direct X-rays may reveal congenital abnormalities such as femoroacetabular impingement, developing dysplasia of the hip as well as degenerative conditions of hip-spine-sacroiliac joints. The milestones in preventing inguinal damage are: identification of sportsmen under risk, minimization of known risk factors and follow-up of individual training load.

He also specified that the pathology was similar to “tennis elbow” and the symptoms could be resolved by mobilizing the ligament from the pubic tubercle ( 40). In many cases of sports hernia, the tendons that attach the thigh muscles to the pubic bone (adductors) are also stretched or torn. Richard Doddridge Blackmore was a well-known English novelist of the second half of the nineteenth century. One of the findings that is frequently identified in MRI is edema associated with stress in symphysis pubis due to an imbalance of powers and change of movement on the joint. Open suture repairs have come to be preferred less often today since they lead to more pain by obliterating the hernia defect and creating tension and by requiring more analgesia.Muschaweck focused on this point in practice since he considered that the essential reason behind pain in sportsman’s hernia was pressure on the genital branch of genitofemoral nerve. A better understanding of the pathophysiology of sportsman’s hernia would improve clinical course and further shorten the remission period.

In the year 1992, he published a large series including the results of the surgical treatment he performed in a group of 313 athletic patients with inguinal pain, most of whom were football players ( 11, 12). While some describe it as chronic pain syndrome associated with inguinal injury in sportsmen, it was defined as chronic inguinal pain secondary to new-onset posterior groin wall hernia by Gulmo ( 14) in 1980 and by Ekberg ( 15) in 1981. In some patients, the tissues will tear again during sports, and the surgical repair will need to be repeated. Preperitoneal site dissection could not be performed in 4 patients due to a Mc Burney incision scar and TAPP was chosen.It includes the concomitance of several pathologies; all of these develop through the same essential mechanism due to the underlying disturbance of pelvic stabilization. The tendon will heal at a greater length, releasing tension and giving the patient a greater range of motion. During your first appointment, your doctor will talk to you about your symptoms and how the injury occurred. Our patients started their exercises in week 4 after surgery and resumed their normal sports activities at the end of weeks 6–8. The 103 third parties who use cookies on this service do so for their purposes of displaying and measuring personalized ads, generating audience insights, and developing and improving products.

Generally speaking, sportsmen undergo surgery at the end of the season and be ready again for the new season ( 2).

Additionally, we deem it appropriate to state that it is important to take a multidisciplinary approach to sportsman’s hernia (orthopedics, physiotherapy, physical therapy, urology, obstetrics, neurosurgery). Bone scintigraphy may be used in diagnosing stress fractures, which are difficult to analyze in direct X-rays. Sportsman’s hernia cannot be clearly distinguished from pathologies that present with chronic inguinal pain symptoms. For sportsman’s hernia, the Shouldice, Bassini, Mc Vay and Maloney darning methods are used in modified ways ( 2). Groin pain associated with ultrasound finding of inguinal canal posterior wall deficiency in Australian Rules footballers.