Woodward J Scott, Parker Andrew, Macdonald Robert M
Int J Sports Phys Ther. 2012 Feb;7(1):85-100.
Case Report
Injury or weakness of lower abdominal attachments and the posterior inguinal wall can be symptoms of a "sports hernia" and an underlying source of groin pain. Although several authors note conservative treatment as the initial step in the management of this condition, very little has been written on the specific description of non-surgical measures. Most published articles favoring operative care describe poor results related to conservative management; however they fail to report what treatment techniques comprise non-operative management.
The subject of this case report is a professional ice hockey player who sustained an abdominal injury in a game, which was diagnosed as a sports hernia. Following the injury, structured conservative treatment emphasized core control and stability with progressive peripheral demand challenges. Intrinsic core control emphasis continued throughout the treatment progression and during the functional training prior to return to sport.
The player completed his recovery with return to full competition seven weeks post injury, and continues to compete in the NHL seven years later.
Surgical intervention has been shown to be effective in the treatment of the "sports hernia." However it is the authors' opinion that conservative care emphasizing evaluation of intrinsic core muscular deficits and rehabilitation directed at addressing these deficits is an appropriate option, and should be considered prior to surgical intervention.
病例报告
下腹附着结构及腹股沟后壁的损伤或薄弱可能是“运动性疝”的症状及腹股沟疼痛的潜在根源。尽管有多位作者指出保守治疗是该病治疗的初始步骤，但关于非手术措施的具体描述却鲜有著述。大多数支持手术治疗的已发表文章描述了与保守治疗相关的不佳结果；然而，它们并未报告非手术治疗包括哪些技术。
本病例报告的对象是一名职业冰球运动员，其在一场比赛中腹部受伤，被诊断为运动性疝。受伤后，结构化的保守治疗强调核心控制和稳定性，并逐步增加对周边需求的挑战。在整个治疗过程以及恢复运动前的功能训练期间，始终强调内在核心控制。
该运动员在受伤后七周完全康复并重返比赛，七年后仍继续在国家冰球联盟（NHL）参赛。
手术干预已被证明对“运动性疝”的治疗有效。然而作者认为，强调评估内在核心肌肉缺陷并针对这些缺陷进行康复的保守治疗是一种合适的选择，在手术干预之前应予以考虑。
