Pelvis instability is defined as the disturbance of this system between both functional (active and neural system) and structural (passive system) parts. Studies on sportsman’s hernia, which is a challenging situation in both diagnosis and treatment, are ongoing in many centers. Peer-review: This manuscript was prepared by the invitation of the Editorial Board and its scientific evaluation was carried out by the Editorial Board. The absence of randomized prospective studies comparing laparoscopic and open techniques is a reason for discussions on treatment. Activity-limiting lower abdominal and inguinal pain accounts for 10–13% of all injuries per year among football players ( 9, 10).

A sports hernia does not cause a visible bulge in the groin, like the more common inguinal hernia does. A better understanding of the pathophysiology of sportsman’s hernia would improve clinical course and further shorten the remission period. Pain in the lower and lateral parts of the inguinal ligament may be indicative of hip pathology or adductor longus damage while pain above the inguinal ligament may indicate sportsman’s hernia-related pain.

Some surgeons also performed a laparoscopic procedure where they incised the iliopubic tract from its origin, mobilized the ilioinguinal nerve and subsequently placed a mesh ( 43, 44).

As for obturator nerve impingement, it is diagnosed on the basis of reduced sensation and presence of a pins and needles feeling on the characteristic location along the medial surface of femur ( 19, 25). Sportsman’s hernia is a type of pain that is subtle and acute at onset, more significant at the groin region adjacent to the public tubercle; however, it is not yet related to an obvious pathology explaining the symptoms as in inguinal hernia. For sportsmen with the symptom of persistent pain in the inguinal site following surgery and tendocalcinosis as seen in ultrasonography, an adductor longus muscle tenotomy is recommended. If you have a sports hernia, when your doctor does a physical examination, they will likely find tenderness in the groin or above the pubis.Sports activities that involve planting the feet and twisting with maximum exertion can cause a tear in the soft tissue of the lower abdomen or groin. During examination, not only hip pathologies, but also potentially concomitant rectus abdominis or adductor longus tendon damage should also be investigated. Generally speaking, osteitis pubis, which is visualized on MRI in the form of fluid in symphysis pubis joint and bone marrow edema, may not explain inguinal pain. Sportsmen’s groin-diagnostic approach and treatment with the minimal repair technique: a single center uncontrolled clinical review.

Furthermore, prophylactic repair can also be made during TEP in asymptomatic contralateral groins ( 39). Generally speaking, sportsmen undergo surgery at the end of the season and be ready again for the new season ( 2). However, it should be kept in mind that 10% of the patients in this group received pre-operative open tenotomy. The soft tissues most frequently affected by sports hernia are the oblique muscles in the lower abdomen.We prefer laparoscopic TEP method in our clinic for treating sportsman’s hernia and we are of the opinion that this method is safer and more effective.