Brian P. Jacob, David C. Chen, Bruce Ramshaw, Shirin Towfigh (eds.) - The SAGES Manual of Groin Pain-Springer International Publishing (2016)

34. Patient with Groin Pain After
an Athletic Event
Kent W. Kercher
Chief Complaint
Left groin pain.
History
A healthy 20-year-old college scholarship football player presented
with a 6-month history of left groin pain. He was referred for possible
sports hernia related to pain that developed relatively acutely during
summer workouts prior to his most recent season. The pain was initially
localized to the pubic tubercle on the left and had improved somewhat
over the past 6 months with rest, physical therapy, and alterations in his
exercise routine, although he continued to have a deep, gnawing pain
localized to the left groin. There was no radiation of pain to the testicle
or into the left anterior thigh. He was able to play football during the past
season, but had significant ongoing discomfort with sit-ups, lunges, and
running, particularly when it involved quick changes in direction. Pain
was relieved with rest and oral anti-inflammatory medications. He had
been evaluated by an orthopedic surgeon who diagnosed athletic pubalgia
and recommended general surgical consultation. The patient wanted
to begin spring practice in the upcoming months and preferred to pursue
surgical intervention as soon as possible in order to facilitate return to
competitive athletics.
© Springer International Publishing Switzerland 2016
B.P. Jacob et al. (eds.), The SAGES Manual of Groin Pain,
DOI 10.1007/978-3-319-21587-7_34
435