The sports hernia is a cause of chronic groin pain in athletes. The diagnosis can be made by taking a thorough history and elucidating the appropriate findings on examination. The main feature of the examination is a painful, enlarged cough impulse from a weakness of the posterior wall of the inguinal canal. Treatment is by surgical repair. Success rates in terms of a pain-free return to activity are 80–90. The condition has been reported in many countries and is gaining world wide acceptance.
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