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The JBJS Quiz of the Month is a collection of 10 relevant questions from each orthopaedic subspecialty. The questions are drawn from JBJS Clinical Classroom, which houses over 4,500 questions and 3,100 learning resources. Take the Quiz to see how you score against your peers!

NOTE: This quiz does not earn users CME credits. The questions must be answered within Clinical Classroom to earn CME credits.

A 19-year-old male patient who is a football running back presents with 5 days of pelvic pain related to cutting and pivoting during play. The pain radiates to his perineum and adductors. Symptoms are moderate and only bother him with high-level running and cutting activities in football. Which of the following is the best next step in management?
    • Platelet rich plasma injection
      • Platelet-rich plasma is not typically used to treat a sports hernia.

 

  • Core, hip and lower extremity rehabilitation

The patient’s history is consistent with a sports hernia (athletic pubalgia). The initial treatment is nonoperative with rehabilitation of the core, hip and lower extremities.

 

 

  • Referral to a general surgeon

Nonoperative treatment should be tried initially. Referral to a general surgeon may be necessary at a later date but not initially.

 

 

  • Corticosteroid injection

A corticosteroid injection is not typically used to treat a sports hernia.

 

 

 

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