Generally speaking, osteitis pubis, which is visualized on MRI in the form of fluid in symphysis pubis joint and bone marrow edema, may not explain inguinal pain.

Sportsman’s hernia is treated via laparoscopic and open methods based on the surgeon’s preference, experience and mastery.While there may be several different reasons for inguinal pain in sportsmen, it should not be forgotten that inguinal hernia may sometimes be asymptomatic ( 19). We know that radiologic imaging can be highly useful for evaluating this clinical pathology, which is rather hard to diagnose.

As for obturator nerve impingement, it is diagnosed on the basis of reduced sensation and presence of a pins and needles feeling on the characteristic location along the medial surface of femur ( 19, 25). However, it should be kept in mind that 10% of the patients in this group received pre-operative open tenotomy. Laparoscopic repair of ‘sportsman’s hernia’ in soccer players as treatment of chronic inguinal pain. We performed laparoscopic repair on 20 patients based on the diagnosis of sportsman’s hernia (TEP:16, TAPP:4).developed a standard protocol that enhanced the role of MRI as a diagnostic tool for sportsman’s hernia. Magnetic resonance imaging is a preferred method in diagnosing sportsman’s hernia, as well ( Figure 2).

Some surgeons also performed a laparoscopic procedure where they incised the iliopubic tract from its origin, mobilized the ilioinguinal nerve and subsequently placed a mesh ( 43, 44). Treatment of athletes with symptomatic intra-articular hip pathology and athletic pubalgia/sports hernia: a case series. Sportsman’s hernia may also accompany other pathologies that lead to abdominal pain such as adductor tendinitis, osteitis pubis and pubic symphysitis ( 6, 18). For the diagnosis of sportsman’s hernia, it is necessary to have not only this imaging finding, but also other clinical and imaging findings. A radiologist with plenty of experience in ultrasonography may identify the significant protrusion of transverse fascia during Valsalva maneuver using a high-frequency probe ( Figure 3) ( 30).Peer-review: This manuscript was prepared by the invitation of the Editorial Board and its scientific evaluation was carried out by the Editorial Board. At the end of a follow-up period of 18 ( 6– 38) months on average, we determined that all our patients continued their professional sports careers with no inguinal pain ( Table 3).