Sanders Rick J M, Kokshoorn Arjan P J, Kolkman Karel A, van der Wal Wybren A, van Loon Corné J M
Rijnstate Ziekenhuis, afd. Orthopedie, Arnhem.
Ned Tijdschr Geneeskd. 2014;158:A7787.
Groin pain in young athletes is a common problem, accounting for significant downtime in sports participation. It can be difficult to make the correct diagnosis as groin pain has a wide differential diagnosis, which encompasses acute as well as chronic causative factors. In this article this is illustrated by presenting three cases of patients who attended our hospital. In all three cases the main complaint was sports-related groin pain, and the patients presented with very similar symptoms. However, after further investigation the patients were diagnosed with three very different types of injury: sportsman's hernia; hip labral tear; and pubic osteitis. This emphasises the need for every general practitioner and medical specialist to understand that there is a wide differential diagnosis for groin pain in athletes, in order to be able to implement specific therapy targeting the actual cause of groin pain.
年轻运动员的腹股沟疼痛是一个常见问题,这导致他们在参与体育运动时大量时间无法上场。腹股沟疼痛的鉴别诊断范围很广,涵盖急性和慢性致病因素,因此很难做出正确诊断。本文通过介绍三位来我院就诊患者的病例对此进行说明。在所有三个病例中,主要症状均为与运动相关的腹股沟疼痛,且患者表现出非常相似的症状。然而,经过进一步检查,患者被诊断出患有三种截然不同的损伤:运动性疝;髋关节盂唇撕裂;以及耻骨炎。这强调了每个全科医生和医学专家都需要明白,运动员腹股沟疼痛的鉴别诊断范围很广,以便能够针对腹股沟疼痛的实际病因实施特定治疗。