Best Practice Case Studies-DOHA Agreement Groin Pain

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The "Doha Agreement Meeting on Terminology and Definitions in Groin Pain in Athletes" aimed to standardize the confusing terminology surrounding groin injuries in athletes. The meeting, held on November 4, 2014, in Doha, Qatar, included 24 international experts from 14 countries. Through systematic reviews and a Delphi questionnaire, the experts achieved consensus on a clinically-based classification system for categorizing groin pain in athletes into three main categories: defined clinical entities, hip-related, and other causes.

1. <strong>Defined Clinical Entities for Groin Pain</strong>: This includes adductor-related, iliopsoas-related, inguinal-related, and pubic-related groin pain, primarily diagnosed through history and physical examination.

2. <strong>Hip-Related Groin Pain</strong>: The group acknowledged that hip joint issues could cause groin pain but did not specify a detailed classification for these causes, recommending thorough history, clinical examination, and appropriate tests when suspicion arises.

3. <strong>Other Causes of Groin Pain</strong>: These could include a range of orthopaedic, neurological, rheumatological, urological, and other systemic conditions, requiring clinical vigilance and comprehensive evaluation.

The meeting also highlighted the need for future research in areas such as epidemiology, risk factors, clinical examination reliability, imaging, treatment, prevention, and outcome measures. The systematic implementation of this taxonomy is intended to improve consistency in clinical practice and research and guide future studies towards better understanding and managing groin pain in athletes. The group recommended avoiding popular yet vague terms like "sports hernia" and "athletic pubalgia" to prevent confusion and improve clarity in diagnosing and treating groin pain in athletes. The plan is to update these definitions regularly as new research becomes available.

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Edition 2nd Edition

Related Case 2nd Edition, CASE 53

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2nd Edition, CASE 53

2nd Edition

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Doha Agreement

groin pain

athletes

terminology

classification system

defined clinical entities

hip-related pain

systematic reviews

Delphi questionnaire

future research