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​Symptoms and Signs – Differential Diagnosis of Groin Pain, Active Patient
MUSCULOSKELETAL
• Avascular necrosis of the femoral head
• Avulsion fracture (lesser trochanter, anterior superior iliac spine,
anterior inferior iliac spine)
• Bursitis (iliopectineal, trochanteric)
• Entrapment of the ilioinguinal or iliofemoral nerve
• Gracilis syndrome
• Muscle tear (adductors, iliopsoas, rectus abdominis, gracilis,
sartorius, rectus femoris)
• Myositis ossificans of the hip muscles
• Osteitis pubis
• Osteoarthritis of the femoral head
• Slipped capital femoral epiphysis
• Stress fracture of the femoral head or neck and pubis
• Synovitis
HERNIA RELATED
• Avulsion of the internal oblique muscle in the conjoined tendon
• Defect at the insertion of the rectus abdominis muscle
• Direct inguinal hernia
• Femoral ring hernia
• Indirect inguinal hernia
• Inguinal canal weakness
UROLOGIC
• Epididymitis
• Fracture of the testis
• Hydrocele
• Kidney stone
• Posterior urethritis
• Prostatitis
• Testicular cancer
• Torsion of the testis
• Urinary tract infection (UTI)
• Varicocele
GYNECOLOGIC
• Ectopic pregnancy
• Ovarian cyst
• Pelvic inflammatory disease (PID)
• Torsion of the ovary
• Vaginitis
LYMPHATIC ENLARGEMENT IN GROIN
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