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Athletic pubalgia, also called sports hernia, [1] core injury, [2] hockey hernia, [3] hockey groin, [1] Gilmore's groin, [1] or groin disruption, [4] is a medical condition of the pubic joint affecting athletes. [5] It is a syndrome characterized by chronic groin pain in athletes and a dilated superficial ring of the inguinal canal.
Athletic activities (e.g. running, football, American football, ice hockey, tennis) Major trauma; Repeated minor trauma; Rheumatological disorders; Unknown cause; In the pre-antibiotic era, osteitis pubis was an occasional complication of pelvic surgery, and in particular, of retropubic prostatectomy.
It becomes dilated in a condition called athletic pubalgia. Abdominal contents may protrude through the ring in inguinal hernia. Thus lymphatic spread from a testicular tumour is to the para-aortic nodes first, and not the inguinal nodes.
Several other conditions have a similar presentation and must be considered when forming the diagnosis: inguinal hernia, an enlarged femoral lymph node, aneurysm of the femoral artery, dilation of the saphenous vein, athletic pubalgia, and an abscess of the psoas. [9] [10]
Treatment of FAI can be divided into those that are non-operative (conservative) and operative. Conservative treatment is often prescribed for those who have not yet received any therapy. [ 28 ] Conservative treatment includes physical therapy , avoidance of those activities that produce pain, and nonsteroidal anti-inflammatory drugs . [ 6 ]
Sports medicine is a branch of medicine that deals with physical fitness and the treatment and prevention of injuries related to sports and exercise. Although most sports teams have employed team physicians for many years, it is only since the late 20th century that sports medicine emerged as a distinct field of health care.
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Merling underwent a successful laparoscopic by athletic pubalgia surgeon Dr. William Myers to repair a sports hernia. As a result, he did not participate in most drills at the combine or the Clemson Pro day due to his recovery from surgery. However, on April 25, 2008, Merling had a private "pro day" for scouts and "performed well".