Surgery Book

Gastroenterology

//fpnotebook.com/

Groin Disruption

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

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree