- SlidesAdductor-Related Groin PainLocalised groin pain at the adductor origin in a field-sport athlete, worse with cutting, kicking and changes of direction, with a positive squeeze test and pain on resisted adduction. It is one of four defined groin entities in the Doha taxonomy — and the reason to know that taxonomy is that athletes commonly have more than one at once.
- SlidesAthletic Pubalgia / Inguinal-Related Groin PainGradual lower abdominal, inguinal or groin pain with sprinting, cutting, kicking and sit-ups, worse with cough, sneeze and getting out of bed — long-standing, vague, and hard for the patient to localise. It is a load-sharing problem across the pubic and inguinal region, not a hernia, and the naming argument is visible in the literature itself.
- SlidesDeep Gluteal Syndrome (Piriformis-Related Sciatic Pain)Deep buttock pain, often with referral down the posterior thigh, worse with prolonged sitting, driving and positions of hip flexion, adduction and internal rotation — described as sciatic but usually without a clear lumbar story. It is non-discogenic sciatic entrapment in the deep gluteal space, and it stays a diagnosis of exclusion.
- SlidesExternal Snapping Hip (ITB over Greater Trochanter)A lateral hip snap, click or clunk as the iliotibial band or gluteus maximus passes over the greater trochanter, in a dancer, runner or gymnast. The clinical decision is binary — painless snapping needs reassurance and nothing else; painful snapping needs the lateral hip complex loaded and controlled.
- SlidesFemoroacetabular Impingement Syndrome (FAI — Cam / Pincer)Deep anterior groin pain and a pinching sensation with hip flexion or rotation in a young, active adult — worse with prolonged sitting, squatting and pivoting, with a positive FADIR and reduced internal rotation in flexion. It is a syndrome, not a shape: symptoms and signs and imaging findings, all three.
- SlidesGluteal Tendinopathy (Greater Trochanteric Pain Syndrome)Lateral hip pain over the greater trochanter in a woman aged 40-60, worse lying on that side, worse on stairs, worse standing on one leg. It is a compressive tendinopathy, not a bursitis, and every position that provokes it is hip adduction. Two tests in sequence do the diagnostic work. The scan does none of it.
- SlidesHip / Pelvic Stress Fracture (Femoral Neck / Pelvis)Gradual groin, hip or deep pelvic pain that hurts on weight-bearing, in an endurance athlete with a load spike or a low energy availability profile — often unable to hop, sometimes with night pain. It is a stress fracture until imaging says otherwise, and the tension side of the femoral neck is a surgical conversation.
- SlidesHip Labral Tear (± Chondral Lesion)Anterior groin pain with catching, clicking, locking or giving way, worse with pivoting, twisting and deep flexion in a young to middle-aged athlete. The defining fact is that labral tears are common in people with no hip pain at all — so symptoms and function decide the management, not the scan.
- SlidesHip OsteoarthritisGradual groin, buttock or thigh ache in someone over about fifty, with stiffness after inactivity, pain on walking, stairs and getting out of the car, and a capsular restriction of internal rotation and flexion. Exercise and education are first-line in every guideline that exists — including the Australian one.
- SlidesIliopsoas-Related Pain / Internal Snapping HipAnterior groin ache after kicking or sprinting, worse with hip flexion and sit-ups, sometimes with a click or snap. One of the four Doha groin entities, examined by tenderness deep to the inguinal ligament plus pain on resisted hip flexion — and the old line holds: a tight hip flexor is usually a weak one.
- SlidesPaediatric Hip Conditions (Screening)A limping child with hip, thigh or knee pain. Four conditions share that presentation — transient synovitis, slipped capital femoral epiphysis, Legg-Calvé-Perthes disease and septic arthritis — and they run from self-limiting to joint-destroying. This is a screening page: recognition and referral is the job.
- SlidesPelvic Girdle Pain (Pregnancy / Postpartum)Pain over the SIJ, gluteal region or pubic symphysis starting during or after pregnancy, aggravated by stairs, turning in bed and standing on one leg, and eased by rest or compression. Pain does not establish displacement, increased laxity or one universal load-transfer mechanism. Assess function and medical alternatives.
- SlidesProximal Hamstring TendinopathyDeep buttock pain at the ischial tuberosity, worst with sitting and with hip flexion combined with knee extension — long strides, uphill running, deadlifts. The cue is exact: pain with sitting plus proximal tenderness. Load it, don't stretch it, and expect months.
- SlidesPubic-Related Groin Pain (Osteitis Pubis / Pubic Bone Stress)Central pubic or lower abdominal pain in an athlete after a training spike, worse with kicking, sprinting, sit-ups and change of direction, with local tenderness at the symphysis and the bone beside it. Doha defines it by that tenderness, not by a resistance test. It is multi-factorial — treat the system, not the bone — and it has an infective form that is easy to forget.
This is a learning tool. It does not diagnose patients and does not replace your clinical educator.
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