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Multidisciplinary Assessment of 100 Athletes With Groin Pain Using the Doha Agreement: High Prevalence of Adductor-Related Groin Pain in Conjunction With Multiple Causes

Taylor, Rachel, MBChB*; Vuckovic, Zarko, MD*; Mosler, Andrea, BAppSc (Physio), MAppSc (Sports Physio); Agricola, Rintje, MD, PhD*,‡; Otten, Roald, BPhty*; Jacobsen, Philipp, Dip Phys*; Holmich, Per, MD, DMSc*,§; Weir, Adam, MBBS, PhD*

Clinical Journal of Sport Medicine: July 2018 - Volume 28 - Issue 4 - p 364–369
doi: 10.1097/JSM.0000000000000469
Original Research

Objective: To examine the prevalence of different causes of groin pain in athletes using the recent Doha consensus classification of terminology and definitions of groin pain in athletes.

Design: Descriptive epidemiological study.

Setting: Multidisciplinary sports groin pain clinic at Aspetar Orthopedic and Sports Medicine Hospital, Doha, Qatar.

Patients: The clinical records of 100 consecutive athletes with complaints of groin pain who attended the multidisciplinary sports groin pain clinic between January and December 2014 were analyzed.

Main Outcome Measures: The causes of groin pain were categorized according to terminology and definitions agreed upon at the Doha consensus meeting on groin pain classification in athletes. The classification system has 3 main subheadings; defined clinical entities for groin pain (adductor-related, iliopsoas-related, inguinal-related, and pubic-related groin pain), hip-related groin pain, and other causes of groin pain in athletes.

Results: The majority of athletes were male (98%) soccer players (60%). Multiple causes for groin pain were found in 44% of the athletes. Adductor-related groin pain was the most prevalent defined clinical entity (61% of athletes), and pubic-related groin pain was the least prevalent (4% of athletes).

Conclusions: Adductor-related groin pain is the most commonly occurring clinical entity in this athlete population in mainly kicking and change of direction sports and frequently, multiple causes are found.

Clinical Relevance: This is the first study to use the Doha agreement classification system and highlights the prevalence of adductor-related groin pain and that often multiple clinical entities contribute to an athlete's groin pain. Consequently, prevention programs should be implemented with these factors in mind.

*Aspetar Orthopedic and Sports Medicine Hospital, Doha, Qatar;

La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Victoria, Australia;

Erasmus University Medical Centre, Rotterdam, the Netherlands; and

§Sports Orthopedic Research Center Copenhagen, Department of Orthopedic Surgery, University Hospital of Copenhagen, Amager and Hvidovre, Denmark.

Corresponding Author: Rachel Taylor, Ground Floor Sheridan Building, Moore Park Road, Moore Park, Sydney, NSW 2021 (

The authors report no conflicts of interest.

Received January 02, 2017

Accepted April 13, 2017

Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.