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<v ->Now you've already heard that sports hernia syndrome

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is not a true hernia, but I'd like to use

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this sailboat analogy to illustrate what happens

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in the anterior abdominal wall in this condition.

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So we've got a couple of sailboats here, and one sailboat

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shows these green lines, which are relevant.

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So let's begin with the mast.

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The mast represents the linea alba,

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and on either side of the mast,

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you've got the rectus abdominis muscles.

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Now on either side of this mast,

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which by the way is anchored to a hull,

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and the hull represents the fixed pubic bone

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and the bony structures on either side of it.

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This blue structure right here represents the sail,

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and the sail are the soft tissues

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that help anchor the rectus abdominis.

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The main muscles here are the obliques

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and to some extent the transverse abdominis.

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But not only is the sail attached to the mast in the middle,

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it's also attached to the fixed lateral aspect of the hull.

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So when you lose this attachment,

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now the sail is going to be waggling back and forth,

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but it also puts more pressure and stress

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on the midline structures, which have to take over.

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So what happens next is you get

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tears in the rectus abdominis.

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So you might get tears here.

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You might also get tears in the hull.

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And where would you see those tears?

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In the pre pubic plate in front of the pubic bone,

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and finally, in the keel you might also get

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transmitted forces especially if you're doing a lot

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of hip flection and adduction affecting the adductor magnus.

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So you can see how there's a very close interrelation

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between the sail, the oblique structures,

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the mast, the rectus abdominis, the fixed hull,

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which is the pubis and bones on either side,

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and the keel, which represents the adductor.

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This is where classic sports hernias are found.

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Let's move on, shall we?