British Journal of Sports Medicine 2009;43:145
Occasional pieces
A 3G approach to a 3-dimensional problem
Centre for Health, Exercise and Sports Medicine, University of Melbourne, Melbourne, Australia
Professor Paul McCrory, Centre for Health, Exercise and Sports Medicine, University of Melbourne, P O Box 93, Shoreham, Victoria 3916, Australia; paulmccr@bigpond.net.au
Accepted 18 October 2008
| The first 150 words of the full text of this article appear below. |
Chronic groin, hip and gluteal pain is a common problem in athletes. Complex anatomy, non-specific presentation and a wide variety of potential causes mean narrowing the differential diagnosis may be difficult.
The experienced practitioner develops the skills to recognise patterns in presentation, which lead the direction of clinical examination. This knowledge base of both basic anatomy and science along with the clinical experience takes a considerable period of time to attain.1
Although some suggest the diagnostic power of history-taking and examination is poor,2 3 there is much evidence that this is due less to the diagnostic power of the test than to the decline in clinical skills in the pursuit of evidence-based medicine.4 5
Changes in medical education over the last decade will produce a new generation of doctors who have less of that knowledge base,6 and are expected to achieve consultant status much more rapidly without the confidence of
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