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Inguinal-related groin pain — MRCGP AKT MCQ

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ModerateHip and GroinInguinal-related groin painMRCGP AKT

A 23-year-old footballer has inguinal pain worse with sprinting and resisted sit-up. There is no palpable hernia, but pain is reproduced by resisted abdominal contraction and adductor loading. What is the most likely diagnosis?

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Correct answer: E — Inguinal-related groin pain

The Doha classification includes inguinal-related groin pain where pain is in the inguinal canal region without a palpable hernia. It is provoked by abdominal resistance and athletic loading. Management is usually structured rehabilitation, with surgical opinion for refractory cases.

Reference: Doha agreement/BJSM