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Surgical treatment of chronic groin pain in athletes
International Orthopaedics, 08/20/2012
Clinical Article
Dojcinovic B et al. – Any surgical procedure used for treating chronic groin pain should address the common causes of pain in this region. Adductor tendinosis can be present in up to 24.2 % of cases with sports hernia or may be isolated in 7 % of cases with chronic groin pain and must be treated by tenotomy. Resection of the genital branch of genitofemoral nerve and ilioinguinal nerve neurolysis should also be performed in patients with sports hernia.
Methods- The authors performed a prospective study over a six–year period.
- Ninety–nine (99) patients, all male, with chronic groin pain, resistant to conservative treatment, underwent a surgical procedure.
- Seventy athletes with sports hernia returned to sports in an average 4.23 weeks (range three–16).
- Adductor tendinosis symptoms were present in 24 patients (2 %) with sports hernia.
- Twenty–four patients that had an additional adductor tenotomy performed returned to sports in an average 11.6 weeks (range ten–15).
- Five patients with isolated adductor tendinosis (7 %) returned to sports in an average 13.4 weeks (range 12–16).
- All athletes except two (2.8 %) treated for sports hernia were satisfied with the results of treatment and could continue their previous level of activity.
