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Athletic Pubalgia & Adductor strain

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Topic updated on 07/03/14 1:52am
Introduction
Presentation
  • Symptoms
    • lower abdominal pain and inguinal pain at extremes of exertion
  • Physical exam
    • inspection
      • tenderness to adductor longus
    • provocative tests
      • pain with valsalva and situps
Imaging
  • Obtain radiographs, MRI, and bone scan to rule out other cause of symptoms
Differential
  • Must be differentiated from subtle true inguinal hernia
Treatment
  • Nonoperative
    • rest and physical therapy for 6-8 weeks
      • indications
        •  first line of treatment
  • Operative
    • pelvic floor repair (hernia operation) vs. adductor / rectus recession
      • indications
        • after extensive nonoperative treatment fails
    • decompression of the genital branch of the genitofemoral nerve
      • indications
        • after extensive nonoperative treatment fails

 

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Qbank (1 Questions)

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(OBQ05.19) Sports that rely heavily on which of the following movements are felt to contribute to the overuse syndrome known as athletic pubalgia? Topic Review Topic

1. Hip extension and abduction
2. Hip extension and adduction
3. Hip flexion and abduction
4. Hip flexion and adduction
5. Lumbar hyperextension

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