Bou Antoun Myriame, Reboul Gilles, Ronot Maxime, Crombe Amandine, Poussange Nicolas, Pesquer Lionel
1 Department of radiology, HEGP hospital, Assistance publique-hôpitaux de paris (AP-HP), University Paris Descartes , Paris , France.
2 Hernia center, Clinique du sport, Bordeaux-Mérignac , Mérignac , France.
Br J Radiol. 2018 Dec;91(1092):20170856. doi: 10.1259/bjr.20170856. Epub 2018 Jul 25.
Inguinal canal-related groin pain is common in athletes and may involve numerous structures such as the conjoint tendon and the transversalis fascia. Ultrasound is the only dynamic tool that shows the passage of preperitoneal fat at the level of the Hesselbach triangle and allows excluding true inguinal hernias. Fascia transversalis bulging and inguinal ring dilatation may also be described. MRI assesses injuries of rectus abdominis and adductor longus enthesis and osteitis symphysis but its accuracy for the diagnosis of inguinal-related groin pain remains debated.
腹股沟管相关的腹股沟疼痛在运动员中很常见,可能涉及联合腱和腹横筋膜等众多结构。超声是唯一能动态显示海氏三角水平腹膜前脂肪通过情况并可排除真性腹股沟疝的工具。也可描述腹横筋膜膨出和腹股沟环扩张。磁共振成像(MRI)可评估腹直肌和长收肌止点损伤以及耻骨联合炎,但其对腹股沟相关腹股沟疼痛的诊断准确性仍存在争议。