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<v ->Dr. P here.

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We've got some cool anatomy in front of you,

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but I wanna focus on the symptoms

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of Sports Hernia Syndrome, or Sports Hernia,

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because many people find this an enigmatic diagnosis.

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As we've said before, it's not a true hernia.

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It's not an umbilical hernia, a spigelian hernia,

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a petit's hernia, there's all kinds of hernias,

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including a direct hernia.

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But in this syndrome, there isn't a palpable defect

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with anything going through it.

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It is a weakness due to Repetitive Overuse Syndrome.

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And who gets it?

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Elite, twisting, turning athletes, who generate power.

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Now, what are the symptoms?

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The classic symptom of Sports Hernia is groin pain.

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Now, those of you that do musculoskeletal imaging

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and are musculoskeletal clinicians know that groin pain

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can be caused by a whole host of things,

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like Lumbar Disk Disease.

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It could be caused by a labral tear.

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In fact, I've had innumerable labral tears,

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at least five, that presented as Sports Hernia Syndrome.

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What else do they get?

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Pubic pain.

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Diminished function.

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The inability to generate power, speed, force.

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They also may have symptoms that cross the midline,

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which is rather bizarre and enigmatic to the clinician.

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The pain is usually a dull pain.

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Occasionally it's burning.

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And frequently, that groin pain will extend

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into the inner thigh or the scrotum.

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And then when you do imaging, initially,

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in the hands of a non-expert, it's normal.

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Let's move on.