Sportsmen Bulge

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Furthermore, he also aimed to eliminate pelvic muscle imbalance by performing tenotomy at the contracted adductors in some patients.

Chronic inguinal pain often develops in sportsmen that practice sports involving acts of turning and hitting while running ( 6). An 18-year review of sports groin injuries in the elite hockey player: clinical presentation, new diagnostic imaging, treatment and results.Evaluating muscle balance, motor control and flexibility may be important in preventing inguinal damage. We know that radiologic imaging can be highly useful for evaluating this clinical pathology, which is rather hard to diagnose.

Brown reported that he successfully treated 98 hockey players with a success rate of 97% using PTFE meshes. During examination, not only hip pathologies, but also potentially concomitant rectus abdominis or adductor longus tendon damage should also be investigated. Preperitoneal site dissection could not be performed in 4 patients due to a Mc Burney incision scar and TAPP was chosen.

The tendon will heal at a greater length, releasing tension and giving the patient a greater range of motion.

Due to the similarity of symptoms, imaging methods are important in distinguishing sportsman’s hernia from other reasons resulting in chronic inguinal pain. Caution should be taken about misinterpretation of acute edema as muscular avulsion (false positive finding) ( 26). Because different tissues may be affected and a traditional hernia may not exist, the medical community prefers the term "athletic pubalgia" to refer to this type of injury.This pathology may not be seen in all cases; for that reason, other pathologies such as dilation of the outer ring, conjoint tendon tears and inguinal ligament dehiscence should not be overlooked.