Abstract
Recently, incomplete inguinal hernias have been reported as a cause of incurable groin pain in young athletes. In 1993, Hackney proposed that such injuries be called sports hernia. We experienced 16 patients with 19 sports hernias. Subjects were all soccer player at senior high school in Saga city ranging in age from 16 to 18 years, who complained of groin pain when performing full exercises. Most patients had tender points at the anulus inguinalis superficialis; at the lateral edge of the adductor longus tendon and at the anterior superior iliac spine. Pain was caused when performing hip adduction under resistance. Patients also had a sensory disturbance in the region of the ilioinguinalis nerve. We used ultrason ography and MRI under abdominal pressure to diagnose the presence of a sports hernia, and whether this was complicated by inflammation of symphysis pubis.All patients were treated with surgical repair of the inguinal hernia, and became pain-free, however 5 patients with the added complication of inflammation of the symphysis pubis still had motion pain.We propose that the mechanism causing this groin pain involves an exertional entrapment neuropathy around the annulus inguinalis as radial tunnel syndrome.
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