Video Runtime: 141 Minutes; Learning Assessment Time: 50 Minutes
This course is a recording of a previously hosted live webinar event. Polling and question submission features are not available for this recording. Format and structure may differ from standard MedBridge courses.
The evaluation and rehabilitation of hip injuries in the athlete is a complicated and often misunderstood area of sports medicine. Over the course of the past five years, significant strides have been made in adding some clarity (and in some cases adding to confusion) to diagnosis and treatment of athletic groin pain. We will take you through an evidence-based evaluation of groin injuries with an emphasis on femoroacetabular impingement syndrome and athletic pubalgia. By understanding the current literature, you will be better able to simplify your evaluation and clinical reasoning when an athlete presents with groin pain.
1. What Is Athletic Groin Pain and Who Is Affected?
To further understand the athlete presenting with groin pain, we need to understand what characteristics lead to the initial development of this painful condition. This chapter will take you through risk factors for development, movement characteristics, objective/subjective findings within this patient population, and how to organize your evaluative process.
2. Femoroacetabular Impingement Syndrome
Femoroacetabular impingement syndrome (FAIS) is one of the most complicated, overanalyzed, and misunderstood pathologies seen in the athletic population. This course will take you through the associated patient characteristics, evaluation findings, and radiological criteria needed for an accurate diagnosis. We will also discuss the current literature in regard to both conservative and surgical management of this patient population. At the end of this chapter, you will understand what the subjective history and special testing can tell us, and what it cannot. You will also understand how this condition is best managed both conservatively and surgically.
3. Athletic Pubalgia
Athletic pubalgia, also known as a sports hernia or chronic adductor-related groin pain, has a bounty of names, but there is often more confusion than concrete facts when it comes to diagnosis and management. This complex pathology consists of injury to the hip flexor, inguinal, adductor, and/or pubic regions. Due to the complexity and multiple underlying pathologies, the treating clinician needs a systematic approach to their evaluation and treatment process. This course will break down each subset of athletic pubalgia into a thorough evaluation in order to identify the underlying pathology and appropriate management strategy.
4. Question and Answer Session
This chapter is a viewer-submitted question and answer session facilitated by John Snyder.