CLINICAL EXAMINATION, DIAGNOSTIC IMAGING, AND TESTING OF ATHLETES WITH GROIN PAIN: AN EVIDENCE-BASED APPROACH TO EFFECTIVE MANAGEMENT

BACKGROUND & OBJECTIVE

There is a lack of clarity and consensus in clinical practice on the physical as well as diagnostic assessment and evidence-based management of athletes with groin pain. This clinical commentary aims to firstly, integrate the recent advances in the clinical examination, diagnostic imaging and testing of impairment, function & performance of athletes with groin pain; and secondly, explain how findings from athlete assessment can guide evidence-based management of groin pain.

METHODS

This clinical commentary is based on consensus between experts in the area of groin pain and information extracted from a wide range of research studies. The review was extensive and included data from over one-hundred studies.

RESULTS

Testing of physical and functional impairments: Reduced hip joint ROM has been validated in hip-related pathologies only. Reduced passive hip ROM is observed in avascular necrosis, femoro-acetabular impingement (FAI; specifically, hip internal rotation) and osteoarthritis (hip flexion ≤ 115°). Care

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