Although athletic injuries about the hip and groin occur less commonly than
injuries in the extremities, they can result in extensive rehabilitation t
ime. Thus, an accurate diagnosis and well-organized treatment plan are crit
ical. Because loads of up to eight times body weight have been demonstrated
in the hip joint during jogging, presumably even greater loads can occur d
uring vigorous athletic competition. The available imaging modalities are e
ffective diagnostic tools when selected on the basis of a thorough history
and physical examination. Considerable controversy exists as to the cause a
nd optimal treatment of groin pain in athletes, or the so-called "sports he
rnia." There has also been significant recent attention focused on intraart
icular lesions that may be amenable to hip arthroscopy. This article briefl
y reviews several common hip and groin conditions affecting athletic patien
ts and highlights some newer topics.