The series we describe in our article
1includes only elite hockey players, and our approach and results may not be generalizable to other athletes or people with groin pain. We have now operated on 29 National Hockey League players with the approach described in the article, and all have returned playing at an elite level. In only one of these athletes was a weakened posterior wall found. In that patient, in addition to division of the nerve and reinforcement of the external oblique aponeurosis, the posterior wall was reinforced with sutures. On the other hand, all of the patients in the series had tears in the external oblique aponeurosis, with emergence of neurovascular branches through the tears, similar to what Drs Smedberg and Roos describe in 7 of their 11 patients. Because of the ubiquity of this finding in our own series, we believe it is important to perform a thorough search for small tears with perforating neurovascular branches, and divide all these branches and the ilioinguinal nerve, itself. We take this approach for all athletes we treat, and have found that the resulting numbness in the groin is well-tolerated by the patients, far better than the pain and disability experienced preoperatively.
- Irshad K
- Feldman LS
- Lavoie C
- Lacroix VJ
- Mulder DS
- Brown RA
Operative treatment of “hockey groin syndrome”: 12 years experience in National Hockey League players.
Surgery. 2001; 130: 759-766
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- Operative treatment of “hockey groin syndrome”: 12 years experience in National Hockey League players.Surgery. 2001; 130: 759-766
© 2002 Mosby, Inc. Published by Elsevier Inc. All rights reserved.