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The groin triangle: a patho-anatomic approach to the diagnosis of chronic groin pain in athletes
  1. Eanna Cian Falvey (e.falvey{at}ireland.com)
  1. University of Melbourne, Olympic Park Sports Medicine Centre, Australia
    1. Andrew Franklyn-Miller (franklynmiller{at}doctors.org.uk)
    1. University of Melbourne, Olympic Park Sports Medicine Centre, Australia
      1. Paul McCrory (p.mccrory{at}unimelb.edu.au)
      1. University of Melbourne, Australia

        Abstract

        Chronic groin pain is a common presentation in sports medicine. It is most often a problem in those sports that involve kicking and twisting movements whilst running. The morbidity of groin pain should not be underestimated, ranking behind only fracture and anterior cruciate ligament reconstruction, in terms of time out of training and play. Due to the insidious onset and course of pathology in the groin region it commonly presents with well-established pathology. Without a clear clinical/pathological diagnosis, the subsequent management of chronic groin pain is difficult. The combination of complex anatomy, variability of presentation and the non-specific nature of the signs and symptoms make the diagnostic process problematic. The paper proposes a novel educational model based on patho-anatomic concepts. Anatomical reference points were selected to form a triangle, which provides the discriminative power to restrict the differential diagnosis, and form the basis of ensuing investigation. This paper forms part of a series addressing the three dimensional nature of proximal lower limb pathology. The 3G approach (Groin, Gluteal, and Greater trochanter triangles) acknowledges this, permitting the clinician to move throughout the region, considering pathologies appropriately.

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