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Groin Disruption
Aka: Groin Disruption
- See Also
- Groin Injuries in Athletes
- Sports Hernia
- Pathophysiology
- More diverse posterior wall defects than Sports Hernia
- Posterior abdominal wall abnormality or tear
- External oblique aponeurosis tear
- Conjoined tendon tear
- Dehiscence of conjoined and inguinal ligament
- Rectus abdominis Muscle tears
- Symptoms
- Exertion Groin Pain
- Provocative
- Valsalva Maneuver provokes pain in only 10% of cases
- Pain on resisted adduction of hip (65%)
- Half sit-ups
- Increased intra-abdominal pressure
- Signs
- Inguinal Hernia not detectable (affects posterior wall)
- Difficult to diagnose except during surgery
- Differential Diagnosis
- Sports Hernia
- Lateral and superior to Groin Disruption
- Radiology
- Imaging rules out other diagnoses
- Management
- Conservative therapy trial for 2-3 weeks
- Surgical exploration if conservative therapy fails
- Successful return to sport in 90% of cases
- References
- Schleihauf (2019) Crit Dec Emerg Med 33(5): 19-28
- Morelli (2001) Am Fam Physician 64(8):1405-14 [PubMed]