Anatomic structures that may be involved - one or more of the following:
(1) falx inguinalis
(2) internal abdominal oblique muscle
(3) external abdominal oblique aponeurosis
(4) transversalis fascia
(5) inguinal ligament
Risk is greater for an athlete who runs or skates at high speed with repetitive turning and twisting:
(1) football or soccer players
(2) hockey players
Clinical features:
(1) The patient experiences a unilateral, localized.inguinal pain.
(2) The pain worsens with strenuous exercise and is relieved by prolonged rest.
(3) In a male the pain may radiate to the scrotum or testicles.
(4) The pain is made worse by sit-ups, Valsalva maneuver, sneezing, coughing or kicking.
(5) Regional numbness may be present.
(6) Tenderness to palpation may be present over the conjoined tendon, pubic tubercle and/or inguinal ring.
Differential diagnosis:
(1) true inguinal hernia
