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Sportman's Hernia
Significant interest has been generated in the sports world on this topic. The term “sports hernia” (or sportsman’s hernia) is a confusing diagnosis, including a hodgepodge of underlying pathologies and associated treatments. Several authors, including myself, question the diagnosis of hernia. Most authors make a diagnosis of sports hernia only if the pain is present with vigorous activity and not when the patient is at rest. Different authors have given different etiologies for sports hernia:
(A) strain, injury, or weakness of the abdominal muscles and posterior wall of the inguinal canal (B) enthesopathy about the pubis, adductor tendon, iliopsoas and rectus abdominus or osteitis (C) nerve entrapment syndromes (obturator, ilioinguinal, lateral femoral cutaneous, genitofemoral)
Very few authors have had good results with conservative treatment of sports hernias. The majority of the sports hernias are treated surgically.
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