Sports hernia, or groin pain, or athletic pubalgia is a common injury among athletes, particularly those who participate in sports that require twisting of the torso, steep and sudden changes of direction body, or run in parallel to the body plane.
Sports Hernia is characterized by persistent groin and pubic symphysis pain and lead athletes to prolonged absence from sports and career breakage for professional athletes if not treated properly. If symptoms persist surgery is often required for repair.
Statistically sports hernia corresponds to 2-8% of all sports injuries, 13% in those who play football, while at least 58% of those professionally engaged in football, said they had at least one episode with symptoms like those of the syndrome in their carrier.
In fact during physical examination, there is no true hernia, but symptoms mimic inguinal hernia that we all know.
Differential diagnosis includes a variety of pathological conditions around groin region and hip joint, but much more often, the condition refers to symphysis pubis area, above genitals, in the abdominal and adductor muscles common aponeurosis area.
Although it is often reported by the patient’s own history, acute injury in the abdominal wall and / or adductor muscles during sports is also a common cause of the syndrome.
Physical therapy and stretching exercises of the adductors, is the method of choice in the initial stages of the syndrome.
The surgical treatment comprises a plurality of invasive methods such as suturing techniques, section of adductor longus, and restoration of the posterior wall of the inguinal canal or laparoscopic mesh placement very recently.
A new revolutionary, non-invasive surgical technique has recently been applied by of Dr. Alevrogiannis and his colleagues.
The presentation of this minimally invasive surgical method and primary clinical results of the technique were presented in the 1st European Congress on Sports Injury held in Kalamata (Aug. 26 to 31, 2013) and were warmly welcomed by hundreds of foreign Orthopedics & Sports Medicine doctors, who participated in it.
The technique involves fully arthroscopic fractional lengthening of adductor longus bilaterally while decongesting of the common aponeurosis near the pubic symphysis is performed.
The operation is performed under general anesthesia. The athlete is placed in a special frog leg position and specific arthroscopic portals allow direct vision of afferent points.
The duration of the surgery is no more than 15 minutes on each side of the body.
With the revolutionary new surgical technique we avoid to place a metal mesh or any foreign object in the athlete’s abdomen, who is immediately mobilized and self-handling. He can walk easily without crutches.
With this new minimally invasive technique no hospitalization is needed. The patient gets rid of his persistent symptoms without any complications. He can start immediately postoperatively a “tailor-made” rehabilitation protocol.