Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
Groin symptoms in athletes have been likened to the Bermuda Triangle as sports physicians, orthopaedists, surgeons and therapists alike are easily sucked into a sea of confusing suppositions and assumptions.1 Possibly the greatest advance in the understanding and appreciation of ‘sports hernia’ has been the recent acknowledgment by a multidisciplinary panel of experts that there is in fact no hernia associated with the condition and they have coined the term ‘inguinal disruption’.2 Unfortunately, although the authors describe a constellation of symptoms, the label again suggests a localised pathology rather than a syndrome.
A broader focus required
As much as we concentrate our collective efforts on repairing a defect in an anatomical area or treating what we consider to be the primary area of injury, perhaps we should explore and investigate the concept that symptoms are a result of a structural failure of tissue to compensate for abnormal loads created by an imbalance of forces across the groin area. Single or multiple areas of groin injury may represent a failure of the same functional unit. The proposal of a ‘pubic joint’, distinct from the symphysis pubis, which involves numerous anatomical structures and their resultant forces at different contact sites can explain the multiple pathologies that exist in this condition. …