3,745 results match your criteria groin pain


Pregnancy associated transient osteoporosis of the hip (PR-TOH): A non-obstetric indication to caesarean section. A case report with literature review.

Eur J Obstet Gynecol Reprod Biol 2021 May 5;262:28-35. Epub 2021 May 5.

Nuova Villa Claudia, Radiology Department, Via Flaminia Nuova 280, 00191, Rome, Italy; Polizia di Stato, Centro Clinico di Medicina Preventiva e Medicina Legale, Via Mamiani 2, Roma, Italy.

Pregnancy related transient osteoporosis of the hip (PR-TOH) is a rare condition that manifests with sudden pain located in the groin region, anterior thigh and buttocks. It is a benign and in the majority of cases self-limiting disease, related to bone marrow oedema. It occurs during the third trimester of pregnancy or less frequently during the post-partum period. Read More

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Treatment Options for Scrotal Migration of Ventriculoperitoneal Shunts: Case Illustration and Systematic Review of 48 Cases.

Oper Neurosurg (Hagerstown) 2021 May 14. Epub 2021 May 14.

Department of Neurosurgery, Kepler University Hospital, Neuromedcampus, Linz, Austria.

Background: Scrotal migration of intact or disconnected tubing is a rare complication of ventriculoperitoneal shunts. While some illustrative case reports can be found in the literature, a systematic review on treatment options is lacking.

Objective: To propose the first literature-based treatment algorithm on scrotal shunt migration. Read More

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Pathomechanism of Lower-level Discogenic Groin Pain and Clinical Outcomes of Percutaneous Endoscopic Discectomy for the Treatment of Discogenic Groin Pain.

Pain Physician 2021 May;24(3):E289-E297

The First Affiliated Hospital of Harbin Medical University, Nangang, Harbin, P.R. China.

Background: Groin pain can be induced by high-level (L1-L2 or L2-L3) lumbar disc herniation. However, 4.1% of patients with lower-level (L4-L5 or L5-S1) lumbar disc herniation also complained of groin pain. Read More

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Laparoscopic surgical treatment for hydrocele of canal of Nuck: A case report and literature review.

Surg Case Rep 2021 May 13;7(1):121. Epub 2021 May 13.

Department of Surgery, Sapporo Higashi Tokushukai Hospital, 3-1, N-33, E-14, Higahi-ku, Sapporo, Hokkaido, 0650033, Japan.

Background: Hydrocele of canal of Nuck (HCN) is a rare disease in adult female. The diagnosis and treatment of HCN is still a challenge for surgeons.

Case Presentation: A 56-year-old female presented with recent onset of occasional pain during exercise and an asymptomatic left groin swelling. Read More

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Factors related to the onset and recurrence of flares in hidradenitis suppurativa patients treated with adalimumab.

Ital J Dermatol Venerol 2021 May 13. Epub 2021 May 13.

Dermatology Unit, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.

Background: Hidradenitis suppurativa (HS) is characterized by periodic worsening of symptoms. However, clinical parameters associated with flare are still to be established. The aim was too investigate factors associated with flare outbreak in HS patients in treatment with adalimumab. Read More

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The fat anchor orchiopexy technique: results and outcomes from 150 cases surgical experience.

Pediatr Surg Int 2021 May 11. Epub 2021 May 11.

Pediatric and Adolescent Surgery Division, Department of Surgical Pathology, Medical, Molecular and Critic Area, University of Pisa, Pisa, Italy.

Purpose: The purpose of the study is to evaluate results and outcomes in a long-time follow-up period, by performing a novel testicular fixation procedure, known as "fat anchor orchidopexy" (FAO), for the treatment of palpable low inguinal undescended testis.

Materials And Methods: We retrospectively reviewed all patients who underwent scrotal orchiopexy technique, from May 2013 to May 2019, at the Pediatric Surgery Division of Department of Surgical Pathology, University of Pisa (Italy). FAO (Spinelli's technique) consists in anchoring the testicles to sub-scrotal fat with a single trans-scrotal incision. Read More

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Sex Differences, Sleep Disturbance and Risk of Persistent Pain Associated With Groin Hernia Surgery: A Nationwide Register-Based Cohort Study.

J Pain 2021 May 5. Epub 2021 May 5.

Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden; Department of Surgery, Skåne University Hospital, Malmö, Sweden.

Persistent pain after groin hernia repair is a major health problem. Sleep disturbance is associated with heightened pain sensitivity. The main objective of this study was to examine the role of sleep disturbance in the development and long-term maintenance of chronic postherniorrhaphy inguinal pain (CPIP), with exploration of sex differences. Read More

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Preoperative Modified Spermatic Cord Block PREDICTS SUCCESS in Candidates for Microscopic Spermatic cord denervation.

Urology 2021 May 4. Epub 2021 May 4.

Department of Urology, SUNY Upstate Medical University, Syracuse, NY, USA; Department of Urology, United Health Services, Johnson City, NY, USA.

Objective: To examine the utility of a modified spermatic cord block (MSCB) that targets known contributors to refractory chronic scrotal content pain (CSCP) at predicting postoperative pain relief following a microscopic spermatic cord denervation (MSCD).

Methods: A MSCB was performed in all patients with refractory CSCP. This was performed by injecting anesthetic circumferentially around the vas deferens and over the external ring. Read More

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Strangulated Amyand's hernia: management during the COVID-19 pandemic.

J Surg Case Rep 2021 Apr 30;2021(4):rjab153. Epub 2021 Apr 30.

Cambridge Oesophago-gastric Centre, Addenbrookes Hospital, Cambridge University Hospital NHS Foundation Trust, Cambridge CB2 2QQ, UK.

Amyand's hernia, presence of the appendix within an inguinal hernial sac, is a rare condition. We report a case of a 68-year-old woman who presented during the COVID-19 pandemic with an acute right groin pain due to a tender incarcerated inguinal hernia. Cross-sectional imaging confirmed an Amyand's hernia. Read More

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Historical analysis of the diagnosis and management of femoroacetabular impingement prior to the year 2000: a systematic review.

J Hip Preserv Surg 2020 Aug 14;7(3):378-389. Epub 2020 Dec 14.

Division of Orthopaedic Surgery, Department of Surgery, Evidence, and Impact, McMaster University Medical Centre, 1200 Main Street West, 4E15, Hamilton, ON L8N 3Z5, Canada.

: This systematic review aims to assess the diagnosis, indications and treatment of femoroacetabular impingement (FAI) prior to the year 2000 and to determine if historical concepts remain applicable today. PUBMED, MEDLINE and EMBASE were searched for literature evaluating the diagnosis/treatment of FAI prior to 2000. Cadaver/non-human, non-English and review studies were excluded. Read More

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Pediatric Acetabular Osteomyelitis Treated With Hip Arthroscopy.

J Am Acad Orthop Surg Glob Res Rev 2021 May 4;5(5):e21.00011. Epub 2021 May 4.

From the Division of Orthopaedic Surgery, Western University, London, Ontario, Canada (Dr. Lovse); the Division of Orthopaedic Surgery, University of Ottawa, Ottawa, Ontario, Canada (Dr. Coupal); the Division of Orthopaedic Surgery, CHEO, Ottawa, Ontario, Canada (Dr. Tice, Dr. Carsen); and the Division of Infectious Diseases, CHEO, Ottawa, Ontario, Canada (Dr. Le Saux).

Osteomyelitis of the acetabulum is a rare condition accounting for only 12% of pelvic osteomyelitis cases. This report describes a previously healthy 10-year-old girl with subacute acetabular osteomyelitis and subsequent development of secondary septic arthritis of the hip. The patient presented with 3 weeks of groin pain, elevated erythrocyte sedimentation rate and C-reactive protein, synovial thickening of the hip on ultrasonography and diffuse signal uptake in the acetabulum on magnetic resonance imaging. Read More

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Clinical Outcomes of Hip Arthroscopy for Hip Labrum Calcification in Young and Middle-Aged Patients.

Orthop Surg 2021 May 4. Epub 2021 May 4.

Medical School of Chinese PLA, Chinese PLA General Hospital, Beijing, China.

Objective: To investigate the methods and outcomes of hip arthroscopy for hip labrum calcification, and to discuss the clinical, imaging, and intraoperative findings of hip labrum calcification.

Methods: This is a therapeutic case series study. From January 2015 to June 2018, 15 patients who met the inclusion and exclusion criteria were followed up for at least 2 years for an analysis on the outcomes of arthroscopy in the treatment of hip labrum calcification and the clinical, imaging, and intraoperative findings of the patients. Read More

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Total extra peritoneal inguinal hernia repair: a single-surgeon preliminary findings report.

Folia Med (Plovdiv) 2021 Apr;63(2):183-188

Medical University of Plovdiv, Plovdiv, Bulgaria.

Introduction: Inguinal hernia repair is one of the most frequent operations in general surgery. Various techniques have been used to repair inguinal hernias since the first reconstructive technique described by Bassini in 1887. In 1989 Lichtenstein reported a new technique: tension free inguinal hernia repair. Read More

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Diagnostic accuracy of patient history in the diagnosis of hip-related pain: a systematic review.

Arch Phys Med Rehabil 2021 Apr 27. Epub 2021 Apr 27.

Doctor of Physical Therapy Program, Department of Public Health & Community Medicine, Tufts University School of Medicine.

Objective: To investigate the diagnostic accuracy of patient history associated with hip pain.

Data Sources: A systematic, computerized search of electronic databases (PubMed, MEDLINE, CINAHL, and Web of Science), a search of the grey literature, and review of the primary authors personal library was performed. Hip specific search terms were combined with diagnostic accuracy and subjective/self-report history-based search terms using the Boolean operator AND. Read More

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Arthroscopic Correction of Femoroacetabular Impingement for Concomitant Inguinal Disruption in Athletes With Dual Pathology.

Am J Sports Med 2021 Apr 29:3635465211007144. Epub 2021 Apr 29.

The Hip and Groin Clinic, UPMC Whitfield, Waterford, Ireland.

Background: Inguinal disruption and femoroacetabular impingement (FAI) are well-recognized sources of groin pain in athletes; however, the relationship between inguinal disruption and FAI remains unclear. In cases of dual pathology, where both entities coexist, there is no definitive consensus regarding which pathology should be prioritized for treatment in the first instance.

Purpose: (1) To examine the 2-year effectiveness and clinical outcome in athletes presenting with dual pathology in which the FAI component alone was treated with arthroscopic deformity correction. Read More

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Osteitis Pubis Treated With Platelet-Rich Plasma: A Case Report.

Clin J Sport Med 2020 Sep 22. Epub 2020 Sep 22.

*Physical Medicine & Rehabilitation Resident at Tufts Medical Center, Boston, Massachusetts; and †Tufts University School of Medicine, Boston, Massachusetts.

Osteitis pubis is a common source of groin pain in athletes participating in sports requiring kicking, twisting, and pivoting movements. Athletes will present with progressive pain or discomfort in the pubic area or groin. There is usually point tenderness over the pubic symphysis and pain localizing to the adductor or rectus abdominis tendons. Read More

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September 2020

Psychoda albipennis myiasis as a rare cause of erectile dysfunction: A case report.

Andrologia 2021 Apr 27:e14087. Epub 2021 Apr 27.

Department of Urology, Erciyes Kartal Hospital, Kayseri, Turkey.

Urogenital myiasis occurring with the settlement of fly larvae of the order Diptera is facultative and is rarely encountered in humans. This study presents a case of urogenital myiasis caused by Psychoda albipennis in a 42-year-old male patient. The patient was admitted to our hospital with complaints of groin pain, pollakuria and erectile dysfunction and claimed that he saw motile larvae in his urine. Read More

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Amyand's hernia complicated with appendicitis: an interval approach with transabdominal laparoscopic appendectomy and laparoscopic hernioplasty-a case report.

J Surg Case Rep 2021 Apr 14;2021(4):rjaa499. Epub 2021 Apr 14.

Department of General Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USA.

Amyand's hernia is a rare classification of inguinal hernia where the vermiform appendix is located within the hernial sac. This case report discusses a patient presenting with abdominal and groin pain shown to be an Amyand's hernia complicated by acute appendicitis on computed tomography. The patient was treated with a two-stage approach, involving transabdominal laparoscopic appendectomy and elective laparoscopic hernioplasty after recovery. Read More

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Longitudinal cohort study on preoperative pain as a risk factor for chronic postoperative inguinal pain after groin hernia repair at 2-year follow-up.

Hernia 2021 Apr 23. Epub 2021 Apr 23.

Hôpital Privé D'Antony, Antony, France.

Purpose: To assess the rate of late chronic postoperative inguinal pain (CPIP) after groin hernia repair in patients with different categories of preoperative VRS (Verbal Rating Scale) pain and to make a pragmatic evaluation of the rates of potentially surgery-related CPIP vs. postoperative continuation of preexisting preoperative pain.

Methods: Groin pain of patients operated from 01/11/2011 to 01/04/2014 was assessed preoperatively, postoperatively and at 2-year follow-up using a VRS-4 in 5670 consecutive groin hernia repairs. Read More

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Use of Preoperative Magnetic Resonance Imaging to Predict Clinical Outcomes After Core Muscle Injury Repair.

Orthop J Sports Med 2021 Apr 7;9(4):2325967121995806. Epub 2021 Apr 7.

Department of Orthopaedic Surgery, St. Joseph's University Medical Center, Paterson, New Jersey, USA.

Background: Core muscle injury (CMI), often referred to as a sports hernia or athletic pubalgia, is a common cause of groin pain in athletes. Imaging modalities used to assist in the diagnosis of CMI include ultrasound (US) and magnetic resonance imaging (MRI).

Purpose: To determine if preoperative MRI findings predict clinical outcomes after surgery for CMI. Read More

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How Many Patients Achieve an Acceptable Symptom State After Hip Arthroscopy for Femoroacetabular Impingement Syndrome? A Cross-sectional Study Including PASS Cutoff Values for the HAGOS and iHOT-33.

Orthop J Sports Med 2021 Apr 9;9(4):2325967121995267. Epub 2021 Apr 9.

Sports Orthopedic Research Center-Copenhagen (SORC-C), Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Denmark.

Background: Hip arthroscopy is a viable treatment for femoroacetabular impingement syndrome (FAIS). Clinically relevant improvements in hip function and pain after surgery are often reported, but it is less clear how many patients achieve an acceptable symptom state (Patient Acceptable Symptom State [PASS]).

Purpose: To investigate the proportion of patients who achieved a PASS 12 to 24 months after hip arthroscopy and to determine the cutoff scores of the 2 recommended and valid patient-reported outcome measures (the subscales of the Copenhagen Hip and Groin Outcome Score [HAGOS] and the International Hip Outcome Tool-33 [iHOT-33]) for which patients are most likely to achieve PASS. Read More

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Do hip and groin muscle strength and symptoms change throughout a football season in professional male football players? A prospective cohort study with repeated measures.

J Sci Med Sport 2021 Apr 10. Epub 2021 Apr 10.

Academic Centre for Evidence Based Sports Medicine (ACES), The Netherlands; Physiotherapy Utrecht Oost - Sports Rehabilitation and Manual Therapy Clinic, The Netherlands; Amsterdam Collaboration on Health and Safety in Sports (ACHSS)/IOC Research Centre of Excellence, The Netherlands.

Objectives: Groin injuries are common in professional male football and result in significant complaints, time-loss and cost. We aimed to study: 1. Normal values of hip muscle strength and self-reported hip and groin function (Hip And Groin Outcome Score (HAGOS)). Read More

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Intra-Operative Vascular Injury and Control During Laparoscopic and Robotic Mesh Explantation for Chronic Post Herniorrhaphy Inguinal Pain (CPIP).

Surg Technol Int 2021 04 20;38. Epub 2021 Apr 20.

Department of Surgery, David Geffen School of Medicine, Lichtenstein Amid Hernia Institute at UCLA Santa Monica, CA, USA.

Introduction: Chronic postherniorrhaphy inguinal pain (CPIP) is common following inguinal hernia repair. As even primary minimally-invasive inguinal hernia repairs carry a risk of significant intra-operative bleeding, it is unsurprising that reoperative groin exploration and mesh explantation for chronic post-inguinal herniorrhaphy pain confers an even higher risk of arteriotomy or venotomy due to a distorted anatomy and the presence of adhesions. In this report, we present a single institution's experience with the management of intra-operative vascular injury encountered during minimally invasive groin exploration and mesh explantation for CPIP. Read More

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Arthroscopic excision of intra-articular osteoid osteoma of the hip: A case series.

Arthroscopy 2021 Apr 15. Epub 2021 Apr 15.

Institute of Sports Medicine, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing 100191, China. Electronic address:

Purpose: 1) To identify the clinical features of intra-articular osteoid osteoma (OO) of hip, 2) to evaluate the clinical effect of arthroscopic excision for intra-articular OO.3) to summarize the characteristics of revision cases of hip OO and the revision surgery under arthroscopy on these cases.

Methods: We retrospectively reviewed the data of 25 patients who underwent arthroscopic excision of hip OO. Read More

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Cystic papillary adenoma of the seminal vesicle.

BMC Urol 2021 Apr 15;21(1):62. Epub 2021 Apr 15.

Austin Health, Melbourne, Australia.

Background: Primary Seminal Vesicle (SV) tumours are a rare entity, with most SV masses representing invasion of the SV by malignancy originating in an adjacent organ, most often the prostate. Previously reported primary SV epithelial tumours have included adenocarcinoma and cystadenoma, with limited prior reports of inracystic papillary structures.

Case Presentation: A 35-year-old male presented with azoospermia, intermittent macroscopic haematuria, and mild right iliac fossa and groin pain. Read More

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Renal Squamous Cell Carcinoma-related Polymyositis in a Patient with Autosomal Dominant Polycystic Kidney Disease.

Intern Med 2021 15;60(8):1237-1242. Epub 2021 Apr 15.

Nephrology Center and Department of Rheumatology, Toranomon Hospital, Japan.

A 74-year-old Japanese woman diagnosed with autosomal dominant polycystic kidney disease (ADPKD) was admitted to our institute for the further examination of right-side groin pain developing in the past week. The patient was diagnosed with polymyositis (PM). Diagnostic imaging showed a mass lesion measuring 8 cm and a renal stone in the right kidney. Read More

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Capsular closure versus unrepaired interportal capsulotomy after hip arthroscopy in patients with femoroacetabular impingement, results of a patient-blinded randomised controlled trial.

Hip Int 2021 Apr 12:11207000211005762. Epub 2021 Apr 12.

Specialized Center of Orthopaedic Research & Education (SCORE), Department of Orthopaedic Surgery, Xpert Orthopaedic Surgery Clinic, Amsterdam, The Netherlands.

Background: Hip capsular management after hip arthroscopy remains a topic of debate. Most available current literature is of poor quality and are retrospective or cohort studies. As of today, no clear consensus exists on capsular management after hip arthroscopy. Read More

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Screening to Detect Hip and Groin Problems in Elite Adolescent Football (Soccer) Players - Friend or Foe?

Int J Sports Phys Ther 2021 Apr 2;16(2):591-593. Epub 2021 Apr 2.

Sports Orthopedic Research Center Copenhagen (SORC-C), Department of Orthopedic Surgery, Amager-Hvidovre Hospital; Department of Clinical Medicine, University of Copenhagen.

Injury prevention strategies in team settings should not overlook early detection and secondary prevention. Monitoring systems may be an effective approach to detect common and troublesome injuries, such as hip and groin pain in football (soccer) players. The purpose of this International Perspective is to share our experiences with monitoring hip and groin pain in youth academy football and discuss challenges that surfaced. Read More

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