Authors’ Disclosure Statement: Dr. Ahmad reports that he is a consultant to Acumed and Arthrex, and receives research support from Arthrex, Stryker, and Zimmer Biomet. The other authors report no actual or potential conflict of interest in relation to this article.
In this review, we describe precise methods for evaluating the athlete’s hip or groin with an emphasis on recognizing the most common extra-articular and intra-articular pathologies, including adductor strains, athletic pubalgia, osteitis pubis, and femoroacetabular impingement with labral tears.
Conclusion
Careful, directed history taking and physical examination are essential in narrowing the diagnostic possibilities before initiating a workup for the common intra-articular and extra-articular causes of hip and groin pain in athletes.
Table 3 highlights the discussed physical examination maneuvers that can be used to diagnose and differentiate adductor strains, athletic pubalgia, osteitis pubis, and FAI.
Figure 6 highlights the location of pain commonly associated with each of these conditions. With these significant injuries, accurate diagnosis is required to ensure athletes receive appropriate treatment and return to play as quickly and safely as possible. With these significant injuries, accurate diagnosis is required to ensure athletes receive appropriate treatment and return to play as quickly and safely as possible.
Am J Orthop. 2017;46(1):10-16. Copyright Frontline Medical Communications Inc. 2017. All rights reserved.
