Sports hernia is a chronic groin injury in athletes related to repetitive kicking, twisting, or turning at high speeds. A cluster of five signs and symptoms warrants investigation of sports hernia: (1) a complaint of deep groin/ lower abdominal pain, (2) pain exacerbated by sport-specific activities and relieved at rest, (3) palpable tenderness over the pubic ramus, (4) pain with resisted hip adduction, and (5) pain with resisted abdominal curl-up. The diagnosis is clinical in nature and it is appropriate that health care providers are well educated and knowledgeable in the clinical presentation, differential diagnosis, and management options when confronted with athletes suffering from groin pain. This article attempts to provide a thorough summary of involved anatomy, clinical diagnosis, imaging, manual therapy and surgical management.
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