The groin flap is a reliable and well-established reconstructive option for pedicled or free-tissue transfer. Concern regarding its variable vascular origin and caliber has limited its use. To overcome this, a simplified guideline based on the transverse diameter of the patient's index and long fingers at the distal interphalangeal level has been developed. Thus "rule of two finger widths" posi...

BACKGROUND Hip and groin injuries are common in many sports. Understanding the factors differentiating athletes with hip/groin pain from those without these injuries could facilitate management and prevention. OBJECTIVE Conduct a systematic review and meta-analysis of the literature on factors differentiating athletes with and without hip/groin pain. METHODS The review was registered as PRO...

INTRODUCTION Groin injuries account for 10 to 15% of all soccer related injuries. A small number of these become chronic and in some cases groin injury is career-ending. As imaging findings are not well-correlated with complaints, Hölmich introduced a clinical classification system. This describes entities such as adductor-related and iliopsoasrelated groin pain. These entities can occur in iso...

OBJECTIVE To study the incidence and relevance of ectopic adrenal tissue in pediatric patients who underwent groin surgical explorations. MATERIALS AND METHODS We studied 1120 patients with groin surgical explorations during a period of 8 consecutive years. Patients' clinical data and histological findings were analyzed. RESULTS We found ectopic adrenal tissue in 13 patients in 1120 groin s...

OBJECTIVES To determine the cause of severe, disabling, groin pain. METHODS We describe in this case report 2 patients with severe groin pain. Two myoma-like masses were found on the uterus near the right round ligament. Both masses were excised via laparoscopy. RESULTS The pathology report of these 2 cases indicated adenomyosis. Both patients were asymptomatic after the procedure. Adenomyo...

SUMMARY Surgical manipulation of the groin can result in lymphatic injury in a significant number of patients leading to poor wound healing or infectious complications. Surgical repair of lymphatic injury is greatly aided by the precise and prompt intraoperative localization of the injured lymphatic vessels. We assessed and identified lymphatic leaks in 2 cases of surgical wound lymphorrhea occ...

INTRODUCTION Chronic groin pain in young athletic patients poses a difficult diagnostic and therapeutic challenge, especially with such a wide variety of potential causes. Sports hernias were first described in the early 1980s, and are an increasingly recognised cause of chronic groin pain. Injury to a number of high profile athletes has raised the public awareness of this condition. Typically ...