What is a sports hernia?
A sports hernia or inguinal disruption is a general term for pain that localizes to the inguinal area of an athlete without evidence of a definite herniation. Anatomically it is ill defined and is attributed to tension placed on the inguinal structures causing tearing and eliciting pain. Physical examination findings are subtle showing a dilated and tender superficial inguinal ring in the absence of a hernia and a tender pubic tubercle where the conjoined tendon inserts. A resisted sit-up can elicit pain at the pubic crest. Conservative treatment often fails, and laparoscopic surgical repair is usually successful.