Sports hernia and femoroacetabular impingement in athletes: A systematic review

Table 1 Prevalence of femoroacetabular impingement in patients with sports hernia and groin disruption

Ref.	Primary pathology	Prevalence (%)
Garvey et al[13]	Sports hernia	121
Meyers et al[35]	Athletic pubalgia	27
Schilders et al[36]	Chronic adductor-related groin pain	34.1
Weir et al[32]	Long-standing adductor-related groin pain	94.1
Nepple et al[34]	Groin strain, sports hernia, hip flexor or hamstring strain	94.3
Sansone et al[37]	Adductor tenotomy for chronic groin pain	43.8
Economopoulos et al[38]	Athletic pubalgia	86

¹Restricted internal rotation and labral tear.

Table 2 Laparoscopic mesh repair treatment for sports hernias

Ref.	Treatment	Results	Recurrence
Diaco et al[42]	Preperitoneal approach (n = 96)	Return to active participation within 3-6 wk in 92/96 patients	-
Edelman et al[43]	Preperitoneal approach (n = 10)	Return to full activity within 4 wk in 9/10 patients	None
Ingoldby[44]	Laparoscopic vs conventional (n = 14 each)	Laparoscopic treatment superior: return to training in 4 wk (13/14 vs 9/14), resume full contact (3 wk vs 5 wk; P < 0.05)	Conventional: hernia, n = 1 after 22 mo; laparoscopic: pain, n = 1 after 5 mo
Susmallian et al[10]	Preperitoneal approach (n = 35)	Return to full activity in 34/35 patients	-
Srinivasan et al[45]	Extraperitoneal approach (n = 15)	Return to full activity within 4 wk in 13/15 patients	None
Genitsaris et al[46]	Transabdominal preperitoneal approach (n = 131)	100% of patients returned to full activity within 2-3 wk	Pain, n = 4; hernia, n = 1 after 7 yr
Paajanen et al[47]	Extraperitoneal approach vs conventional treatment (n = 30 each)	Laparoscopic treatment superior: return to full activity within 3 mo (27/30 vs 8/30)	-
Paajanen et al[48]	Extraperitoneal approach (n = 41)	Return to full activity within 4 wk in 39/41 patients	-
van Veen et al[49]	Extraperitoneal approach (n = 55)	100% of patients returned to full activity within 3 mo	-
Kluin et al[4]	Preperitoneal approach (n = 17)	Return to full activity within 3 mo in 13/17 patients	Minor symptoms, n = 2 after 1 yr
Ziprin et al[50]	Transabdominal preperitoneal approach (n = 17)	Return to full activity in 16/17 patients within a median of 42 d	Mild pain, n = 5