Diagnosis & Treatment of Sports Hernia

The diagnosis of a Sport Hernia is based on:
1. The patient’s history
2. Clinical signs
3. Magnetic Resonance Image (MRI) Test

The most notable clinical signs:

1. Dilation of the superficial inguinal ring on the affected side,
which can be palpated by the examining doctor when the scrotum is inverted with the little finger.
2. Pain on coughing and sneezing
3. Pain while sitting up and squeezing the legs together

Most common findings during surgery are:

1. Torn external oblique aponeurosis
2. Tear in the conjoint tendon
3. Conjoint tendon torn from pubic tubercle
4. Dehiscence between conjoined tendon and inguinal ligament
5. Tear in the fascia transversalis
6. Abnormal insertion of the rectus abdominis muscle
7. Tear of the abdominal internal oblique muscle from the pubic tubercle
8. Entrapment of the ilioinguinal nerve or genitofemoral nerve
9. These lesions may occur at the same time
10. Also, many athletes have weakness or tearing of the adductor muscles or labral tears of the hip
11. When the adductor muscles are tight post injury, that can be enough to trigger symptoms.


The first conservative treatment option should be to restore normal motion after the adductor has begun to heal (usually 6–8 weeks post injury).

Sleeping in a prone position with the hip on the affected side flexed and externally rotated
can help in some athletes.

Some believe it is the most common cause of chronic groin pain in athletes

Conservative therapy like gentle stretching and a short period of rest may temporarily alleviate the pain, but definitive treatment consists of surgical repair followed by a structured rehabilitation

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