![]() 2Īthletes give a history of an insidious onset of groin pain that is initially experienced at the end of a game, progressing to pain during play and eventually pain at rest. Anterior inguinal wall deficiency represents an injury of the external oblique muscle aponeurosis, whereas posterior inguinal wall deficiency represents an injury at the level of the transversus abdominis and internal oblique muscles and aponeuroses. ![]() 2 Practically, it is best appreciated as a deficiency that involves the anterior inguinal wall (external oblique muscle and aponeurosis), the posterior inguinal wall (transversus abdominis and internal oblique muscles), or both. Sports hernia represents an acquired deficiency of the inguinal wall and has been described by a myriad of names, such as Gilmore's groin, groin disruption, pubalgia, sportsman's hernia, prehernia complex, incipient hernia, symphysis syndrome and inguinal canal disruption. 1 This review is of the imaging of sports hernia. 2 The differential diagnosis is broad but the most common causes are considered to be adductor longus injury, common adductor-rectus abdominis dysfunction, osteitis pubis and sports hernia. 1 Groin pain in elite athletes is common and accounts for approximately 5% - 18% of all athletic injuries and is especially prevalent in kicking sports. The role of imaging, and particularly magnetic resonance imaging, is highlighted.Īthletic pubalgia is a general term to describe exertional pubic or groin pain. The review includes an overview of the anatomy and biomechanics of sports hernia by means of colour illustrations. The purpose of the review is to provide a practical imaging approach to this condition. ![]() Sports hernia represents a complex clinical and imaging entity. Lake, Smit and Partners, Durban, South Africa ![]()
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