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Hip extension and abduction
51%
1321/2602
Hip extension and adduction
11%
298/2602
Hip flexion and abduction
12%
320/2602
Hip flexion and adduction
23%
604/2602
Lumbar hyperextension
2%
48/2602
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Athletica pubalgia (sports hernia) is theorized to be an overuse syndrome typically seen in high level athletes. It is theorized that emphasis on lower extremity strengthening (especially adductors) with minimal emphasis on rectus strengthening leads to muscle imbalance. Extension-abduction of the leg with eccentric contraction of the adductors leads to high shear stress on the rectus and may lead to tears of the transversalis fascia, rectus muscle, and/ or adductor magnus origin. While these may be detected on MRI, the diagnosis remains largely clinical. Non-operative treatment is attempted for 6-8 weeks, prior to considering surgery. Hernia repairs with mesh, rectus abdominus reattachment, and adductor release are all possible surgeries for this problem depending on the specific site of injury. Taylor et al found inguinal hernias and microscopic tears or avulsions of the internal oblique muscle seen at surgery in athletes with groin pain. Farber describes sports hernia as groin pain in the athlete without imaging abnormalities and tends to not improve without hernia-type surgery.
3.3
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