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. 2015 Oct 20;5(3):214-22.
doi: 10.11138/mltj/2015.5.3.214. eCollection 2015 Jul-Sep.

Groin pain syndrome: an association of different pathologies and a case presentation

Gian Nicola Bisciotti  1 , Alessio Auci  2 , Francesco Di Marzo  3 , Roberto Galli  4 , Luca Pulici  5 , Giulia Carimati  5 , Alessandro Quaglia  5 , Piero Volpi  5
Affiliations

Groin pain syndrome: an association of different pathologies and a case presentation

Gian Nicola Bisciotti et al. Muscles Ligaments Tendons J. .

Abstract

Background: groin pain affects all types of athletes, especially soccer players. Many diseases with different etiologies may cause groin pain.

Purpose: offer a mini review of groin pain in soccer accompanied by the presentation of a case report highlighting the possible association of more clinical frameworks into the onset of groin pain syndrome, in order to recommend that clinical evaluations take into account possible associations between bone, muscle and tendon such as inguinal canal disease.

Conclusion: the multifactorial etiology of groin pain syndrome needs to be examined with a comprehensive approach, with standardized clinical evaluation based on an imaging protocol in order to evaluate all possible diseases.

Study design: Mini review- Case report (Level V).

Keywords: adductor tendinopathy; groin pain syndrome; osteitis pubis; sport hernia.

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Figures

Figure 1
Figure 1
Weight bearing antero-posterior pelvic radiograph shows an aspherical deformity of the left femoral head-neck junction (CAM -FAI ) associated with a modest reduction in the ipsilateral joint space.
Figure 2
Figure 2
MRI in axial scan STIR DP fat-sat, where it is possible to see how the edema extends to the whole pubic bone bilaterally. This finding is associated with the sign of the “secondary cleft” as a visible curvilinear high signal intensity image adjacent to the antero-inferior surface of the pubic symphysis.
Figure 3
Figure 3
During the dynamometric evaluation, a painful symptom at 3 or 4 quadrant level is suggestive for adductors tendinopathy, while a pain symptom at 1 and 2 level quadrant level is suggestive of an inguinal pathology.
Figure 4
Figure 4
Laparoscopic view of left inguinal region: 1) lateral umbilical ligament; 2) direct hernia; 3) medial umbilical ligament.
See this image and copyright information in PMC

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