Groin pain
Groin pain is a symptom manifesting in a wide spectrum of clinical disorders and diseases in athletes and non-athletes.
The Doha agreement in 2014 identified and classified groin pain in athletes and defined the following clinical entities :
Differential diagnosis
Causes of groin pain assigned by location include the following :
Groin
adductor-related, pubic-related, inguinal-related and iliopsoas-related groin pain in athletes
- osteitis pubis
- adductor enthesitis/tendonitis/tear
- rectus abdominis insertional tendinopathy/strain
- iliopsoas insertional tendinopathy/tendonitis/tear strain
other
- iliopsoas snapping
- iliopsoas bursitis
- iliopsoas abscess
- pubic ramus fractures or stress fractures
- apophysitis or avulsion injury
- inguinal hernia or femoral hernia
- pain after hernia repair
- inguinal lymphadenopathy
Hip
- osteoarthritis of the hip
- femoroacetabular impingement
- labral tears
- avascular necrosis of the hip
- transient osteoporosis of the hip
- arthritis of the hip joint (reactive or infectious)
- slipped capital femoral epiphysis (adolescents)
- Perthes disease (children and adolescents)
- femoral neck or head fractures
- acetabular fractures
- bone tumors
- soft tissue tumors
Spine and nerve entrapments
- nerve entrapment neuropathy
- referred pain from disorders of the lumbar spine and sacroiliac joint
- spondyloarthropathies
- iliopsoas abscess
Pelvis
- prostatitis/urinary tract infections
- gynecological pathologies
- prostate cancer
- transitional cell cancer
- testicular tumors