Sports hernia is a strain or tear of any soft tissue (muscle, tendon, ligament) in the lower abdomen or groin area. Treatment of athletes with symptomatic intra-articular hip pathology and athletic pubalgia/sports hernia: a case series.

Sports activities that involve planting the feet and twisting with maximum exertion can cause a tear in the soft tissue of the lower abdomen or groin. Since they identified scar tissue and nerve impingement at the external oblique level, they routinely performed nerve resection ( 49). He defined this condition of inguinal disruption that resulted in inguinal pain in athletes as “Gilmore’s groin” (widening of the superficial inguinal ring due to rupture in the oblique aponeurosis, rupture in the conjoint tendon and dehiscence between the inguinal ligament and ruptured conjoint tendon ( 11). The general public and media are more familiar with "sports hernia," however, and this term will be used for the remainder of this article. During examination, not only hip pathologies, but also potentially concomitant rectus abdominis or adductor longus tendon damage should also be investigated.We know that radiologic imaging can be highly useful for evaluating this clinical pathology, which is rather hard to diagnose.

Laparoscopic hernia repair with adductor tenotomy for athletic pubalgia: an established procedure for an obscure entity. 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.

We prefer laparoscopic TEP method in our clinic for treating sportsman’s hernia and we are of the opinion that this method is safer and more effective. Generally speaking, sportsmen undergo surgery at the end of the season and be ready again for the new season ( 2). Presence of bilateral bulging increases the possibility that there is a finding related to the clinical presentation even though the symptoms are unilateral. We are of the opinion that a mesh placed via TEP is more advantageous than an open technique in that it provides more physiological and less traumatic support for pelvic stability.