Management of severe lower abdominal or inguinal pain in high-performance athletes

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Bibliographic Details
Title translated into German:Behandlung von heftigen Unterbauch- oder Leistenschmerzen bei Leistungssportlern
Author:Meyers, W.C.; Foley, D.P.; Garrett, W.E.; Lohnes, J.H.; Mandlebaum, B.R.
Published in:The American journal of sports medicine
Published:28 (2000), 1 , S. 2-8, Lit.
Format: Publications (Database SPOLIT)
Publication Type: Journal article
Media type: Print resource
ISSN:0363-5465, 1552-3365
Online Access:
Identification number:PU199912405576

Author's abstract

The purpose of this study was to gain insight into the pathophysiologic processes of severe lower-abdominal or inguinal pain in high-performance athletes. We evaluated 276 patients; 175 underwent pelvic floor repairs. Of the 157 athletes who had not undergone previous surgery, 124 (79%) participated at a professional or other highly competitive level, and 138 patients (88%) had adductor pain that accompanied the lower-abdominal or inguinal pain. More patients underwent related adductor releases during the later operative period in the series. Evaluation revealed 38 other abnormalities, including severe hip problems and malignancies. There were 152 athletes (97%) who returned to previous levels of performance. The syndrome was uncommon in women and the results were less predictable in nonathletes. A distinct syndrome of lower-abdominal/adductor pain in male athletes appears correctable by a procedure designed to strengthen the anterior pelvic floor. The location and pattern of pain and the operative success suggest the cause to be a combination of abdominal hyperextension and thigh hyperabduction, with the pivot point being the pubic symphysis. Diagnosis of "athletic pubalgia" and surgery should be limited to a select group of high-performance athletes. The consideration of other causes of groin pain in the patient is critical. Verf.-Referat