Table 2

Outcomes of the high-quality studies per diagnosis

Adductor-related groin pain
ReferenceStudy typeNMean age (year)Type of sportsDiagnosisDuration of symptoms (months)Intervention treatment groupIntervention control group (s)Follow-up (months)Treatment success (%)Athletes RTP (%)Time to RTP (weeks)D&B quality score (points)
Weir et al66RCT4828.1FootballLong-standing adductor-related groin pain8Multimodal treatment and manual therapy (MM)Exercise therapy (ET)4–6MM: 50%†
ET: 50%
MM: 55% ¥
ET: 55%
MM: 12.8*
ET: 17.3
Holmich et al6RCT6830FootballLong-standing adductor-related groin pain9.9Exercise therapy (ET)Standard passive physical therapy (PT)6–7ET: 74%*
PT: 30%
ET: 79%*
PT: 14%
ET: 18.5
Schilders et al81PCS4326.4FootballLong-standing adductor-related groin pain9.4Surgical adductor tenotomyNA40.281%98%9.219
Paajanen et al69RCT6031FootballLong-standing Sportsman's hernia with/without adductor tendinitis12.5Surgical laparoscopic hernia repair with or without an adductor tenotomy (LR)Exercise therapy (ET)12LR: 97%*
ET: 50%
LR: 97%*
ET: 50%
  • *Significant improvement in favour of treatment group.

  • †No significant difference in outcome between treatment group and control group.

  • D&B, Downs and Black; N, number; NA, not applicable; NL, not listed; PCS, prospective case series; RCT, randomised controlled trial; RTP, return to play.