Athletes who participate in sports that require repetitive twisting an
d turning at speed, such as soccer or ice hockey, may be at risk of de
veloping a 'sports hernia'-disruption of the inguinal canal without a
clinically detectable hernia. Insidious onset of unilateral groin pain
is the most common symptom. Concurrent pathologies, such as osteitis
pubis and adductor tenoperiostitis, may complicate diagnosis. Plain ra
diographs and a bone scan can aid differential diagnosis, but herniogr
aphy is not recommended. Surgery is the preferred treatment. Structure
d rehabilitation should enable athletes to return to sports activity 6
to 8 weeks after surgery.