APEX Hip Enhancing Clinical Expertise and Proficiency (November 2023)-Core Muscle Injuries

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Video Summary

This lecture covers core muscle injuries, particularly in athletes experiencing exertional groin pain involving the rectus abdominis, adductor longus, and posterior inguinal canal. Diagnosis is challenging due to overlapping pelvic pathologies and vague injury mechanisms. Key diagnostic criteria include tenderness over the pubis, deep inguinal ring, and adductor origin, plus pain on resisted maneuvers. MRI with specific sequences aids diagnosis. Treatment starts conservatively with injections and physical therapy. Surgical repair, typically open without mesh for younger patients and laparoscopic with mesh for older, addresses tendon reinsertion and posterior wall stabilization. Postoperative rehabilitation spans healing to sports-specific conditioning, aiming to restore pelvic stability and function.

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Brian Busconi, M.D.

Keywords

core muscle injuries

exertional groin pain

rectus abdominis

adductor longus

posterior inguinal canal