Groin pain is a symptom manifesting in a wide spectrum of clinical disorders and diseases in athletes and non-athletes.
The Doha agreement in 2014 identified and classified groin pain in athletes and defined the following clinical entities 1, 2:
adductor-related, pubic-related, inguinal-related and iliopsoas-related groin pain
hip-related groin pain
other causes of groin pain
Differential diagnosis
Causes of groin pain assigned by location include the following 1-4:
Groin
Adductor-related (most common), pubic-related (least common), inguinal-related, and iliopsoas-related groin pain in athletes 1,2:
adductor enthesitis/tendonitis/tear
rectus abdominis insertional tendinopathy/strain
iliopsoas insertional tendinopathy/tendonitis/tear strain
Other causes:
pubic ramus fractures or stress fractures
-
apophysitis or avulsion injury
pain after hernia repair
inguinal lymphadenopathy
Hip
inflammatory or septic arthritis of the hip joint
slipped capital femoral epiphysis (adolescents)
Perthes disease (children and adolescents)
Spine and nerve entrapments
referred pain from disorders of the lumbar spine and sacroiliac joint
Pelvis
gynecological pathologies