Many athletes with a diagnosis of “sports hernia” or “athletic pubalgia” have a spectrum of related pathologic conditions resulting from. Athletes such as long-distance runners, soccer players, football players, lacrosse players, and wrestlers may hear the term “sports hernia” used to describe any. Athletic pubalgia, also called sports hernia, hockey hernia, hockey groin, Gilmore’s Groin, or groin disruption is a medical condition of the pubic joint affecting.

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By using this site, you agree to the Terms of Use and Privacy Policy. Fibers from the rectus abdominus, conjoint tendon a fusion of the internal oblique and transversus abdominusand external oblique merge to form the pubalia aponeurosis.

Sports Hernia/Athletic Pubalgia

Knee Surg Sports Traumatol Arthrosc. Although the presentation can be variable, athletes typically complain of gradually increasing activity-related lower abdominal and proximal adductor—related pain.

However, strengthening the hip adductors and abductors is important. Although nonsurgical treatment should initially be attempted, there are limited data evaluating the efficacy of such treatment. Thirty-six percent of athletes with athletic pubalgia have adductor tenderness.

Return to Play Athletes who require rehabilitation must have adequate hip range of motion, good strength, and be functional in their sport before returning to practice or competition. This improved sphericity and offset improves hip range of motion, which might help to protect the athletic pubalgia repair or result in resolution of athletic pubalgia symptoms when a concomitant or prior repair has not been performed.

An association between femoroacetabular impingement and athletic pubalgia has been recognized, with better outcomes reported when both are managed concurrently or in a staged manner. Gilmore 8 described plication of the transversalis fascia, reapproximation of the conjoint tendon to the inguinal ligament, and approximation of the external oblique aponeurosis Table 1.


Football and ice hockey players are affected most frequently, and both recreational and professional athletes may be affected. The evidence, however, is lacking regarding the short- and long-term efficacy of these injections. Laparoscopic surgery for chronic groin pain in athletes is more effective than nonoperative treatment: Ice, heat, and occasionally anti-inflammatory medications may improve symptoms.

Treatment Athlete and Treatment Strategies When contemplating options, a period of non-surgical treatment should be initially attempted. J Am Acad Orthop Surg.

In higher level athletes, hrenia, management of both disorders surgically, in a staged or concurrent manner, may allow for a more predictable return to sports with less time lost from athletics secondary to persistent symptoms and increased rehabilitation time. Injury to the abdominal wall at the fascial attachments of the rectus and adductors onto the pubis is implicated in athletic pubalgia. The exact lesion may differ, but common athletc findings at operation are:.

This pain usually radiates to the adductor muscle region and even the spots, although it puba,gia often difficult for the patient to pin-point the exact location. Taking time off from offending athletic pubalgka can lead to resolution of symptoms, but these frequently recur with resumption of sports. Jakoi et al Views Read Edit View history. Support Center Support Center. As pain in the groin and pelvis can be referred from a number of problems, including injuries to the lumbar spine, the hip joint, the sacro-iliac joint, the abdomen, and the genito-urinary system, diagnosis of athletic pubalgia requires skillful differentiation and pubic examination in certain cases where hernoa is intense groin pain.

Sports Med Athoetic Tissue Trauma. Coronal oblique and axial sequences through the rectus insertion and pubic symphysis should be obtained in addition to standard sagittal, coronal, and axial sequences. The author declared the following potential conflicts of interest: The diagnosis is based sporhs the patient’s history, clinical signs, and, increasingly, an MRI exam.


Because of the frequent overlap in pain location for various hip and pelvis disorders, diagnostic anesthetic injections are useful to determine the primary pain generators. If an athlete is in season and able to function at a high level despite pain, nonsurgical treatment and occasional nonnarcotic analgesics eg, nonsteroidal anti-inflammatory medications, acetaminophen are appropriate with consideration for surgery after the season if still symptomatic.

Br J Sports Med. J Orthop Sports Phys Ther. Find a sports medicine physician in your area at www.

No long-term follow-up was reported. An MRI or ultrasound may show soft tissue abnormalities such as a muscle or tendon injury. Br J Sports Med. Footnotes The author declared the following potential conflicts of interest: For US States – use only letter abbreviations.

Athletic pubalgia (sports hernia).

Sports hernia in National Hockey League players: Retrieved November 24, Various tests such as the anterior impingement pain with hip flexion, adduction, internal rotation are also indicative of concomitant hip joint pathology. After a period of rest, a gradual pain-free progression to sports may be possible.

Shoulder and upper arm Rotator cuff tear. Sprained ankle High ankle sprain Metatarsophalangeal joint sprain Turf toe. Studies are limited, however, lacking consistent objective criteria for making the diagnosis and assessing outcomes.


X-rays may show abnormalities in the hip or pubic sorts. This may take up to 12 weeks. Dislocation of jaw Whiplash. Patellar tendon rupture Achilles tendon rupture Shin splints.

Treatment of a hip capsular injury in a professional soccer player with platelet-rich plasma and bone marrow aspirate concentrate therapy. Retrieved April 30, Muschaweck U, Berger L. Archived from the original PDF on