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Clinically Relevant Anatomy. Bones and muscles attaching the pubis are important in understanding pubalgia. Femur, and pelvis and all the muscles that attach to pubic symphysis are important for the anatomic perspective of pubalgia.
Anatomy and Biomechanics. Sports hernia/athletic pubalgia is activity-related lower abdominal and proximal adductor–related pain seen in athletes. Although some authors distinguish between the terms “sports hernia” and “athletic pubalgia,” there is considerable overlap in patient presentation and anatomic structures involved.
Athletic Pubalgia, more commonly known as sports hernia, is defined as chronic lower abdominal and groin pain without the presence of a true hernia. It is increas-ingly recognized in athletes as a source of groin pain and is often associated with other pathology.
Symptoms can appear acutely or insidiously, primarily as groin and lower abdominal pain that can radiate toward the perineum and proximal adductors. Pain is exacerbated by athletic activity such as kicking, cutting, and sprinting.
Athletic pubalgia comprises a common group of injuries which potentially affect multiple musculotendinous and ligamentous structures of the pubic region. The complex, interrelated anatomy and the similarity of clinical symptoms often lead to diagnostic confusion.
1 mar 2024 · The typical presentation of athletic pubalgia is an athlete with chronic exercise induced lower abdominal pain and groin pain that often radiates into the perineum, inner thigh, and scrotum. 2, 15 The pain can be relieved with cessation of physical activity but usually returns once strenuous physical activity resumes.
Introduction. Athletic pubalgia (sports hernia ) is a cluster of distinct injuries that are grouped together because of the common location of pain, overlapping activity triggers, and lack of physical exam findings.
