Tuesday, 11 May 2010

Pubic Inguinal Pain Syndrome - Sports Hernia ?

G. Campanelli

Received: 28 September 2009 / Accepted: 4 December 2009 / Published online: 6 January 2010

Sports hernia (SH) is a controversial condition which presents

itself as chronic groin pain. It is responsible for signiWcant

time away from work and sports competition, with

an incidence of between 0.5 and 6.2% [1–3]. Groin injury is

common in soccer and ice hockey players, but SH can be

encountered in a variety of sports, and even in normally

physically active people [1, 3]. For this reason, we think

that it is more appropriate to speak of pubic inguinal pain

syndrome (PIPS).

Over the past decade, the number of sports-related

injuries has increased as a function of increased athletic

activities, and the demand for an early return to work and

competitive sports puts pressure on the doctor for immediate

diagnosis and treatment [1–3].

The anatomy involved, diagnostic criteria and treatment

modalities are inconsistently described in the medical,

surgical and orthopaedic literature. In fact, there is no

evidence-based consensus available to guide the decisionmaking,

and most of the studies are level IV investigations

[1, 3, 4].
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