FP14.5 Mapping the existing Landscape of Groin Pain Localisation and Clinical Examination: A Scoping Review

Clicks: 10
ID: 330926
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Star

Ranked #260 of 444 articles by views in Journal of hip preservation surgery

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 444 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract ICLA14 - The Extra-Articular Masterclass: Endoscopic Repairs, Ischiofemoral Fixes, and Complex Alignment, Auditorium A (BMCC Level 1), October 9, 2026, 14:00 - 16:00 Purpose Hip and groin pain accounts for up to 10% of sports medicine consultations and can cause significant functional limitation. Despite the growth of hip preservation surgery, no consensus exists on the optimal clinical examination for groin pain localisation. This review synthesises the current evidence on the reliability and diagnostic accuracy of clinical examination tests for groin pain localisation, using the four Doha agreement entities (adductor-, iliopsoas-, inguinal-, and pubic-related groin pain) as a framework. Methods A PRISMA-ScR-compliant scoping review was conducted according to Joanna Briggs Institute guidelines. Comprehensive searches of Medline and EMBASE databases were conducted from inception to September 2024. Studies investigating the reliability or diagnostic accuracy of physical examination tests for pain localisation in adults (≥18 years) with atraumatic musculoskeletal groin pain were included. Results From 1,024 records, 16 studies met the eligibility criteria. Adductor-related pain was most studied entity (11 studies); pubic- and iliopsoas-related pain were the least studied (5 studies). For adductor-related groin pain, palpation reliability ranged from κ=0.02-0.94. Resisted adduction testing was highly reliable (intra-rater κ=0.91, inter-rater κ=0.92). The adductor squeeze test at 90° achieved 85.4% sensitivity but is non-specific (negative likelihood ratio 1.95). For iliopsoas-related groin pain, palpation (intra-rater κ=0.84, inter-rater κ=0.81) and hip flexor stretch (intra-rater κ=0.81, inter-rater κ=0.85) are reliable. Resisted hip flexion is poorly reliable (intra-rater κ=0.32, inter-rater κ=0.64) and pain on resisted straight leg raise is diagnostically poor (sensitivity 62%, specificity 25%). Interexaminer reliability of inguinal palpation pain provocation tests was fair-to-moderate (κ=0.35-0.49), posterior wall structure palpation was slight (κ=0.01), and clustered palpation was moderate-to-substantial (κ=0.54-0.65). Abdominal resistance testing demonstrated low specificity (21-49%), whereas scrotal invagination (94%) and the Valsalva manoeuvre (79%) showed high sensitivity for inguinal related groin pain. Symphysis palpation demonstrated moderate-to-good inter-rater reliability for pubic-related groin pain (κ=0.37-0.70). Conclusions Clinical examination tests for groin pain localisation show variable reliability across all four Doha entities. No single clinical examination test reliably localises groin pain to a single Doha entity in isolation. Individual tests are better suited to ruling out than confirming entities. It is essential to integrate clinical examination findings with history and imaging for accurate diagnosis.
Reference Key
openalex_W7220360194 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Neel Badhe, Pratham Dalwadi, Joseph Dulleston, Vikas Khanduja
Are you one of these authors? Claim your profile
Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.109
URL
https://doi.org/10.1093/jhps/hnag043.109
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.