{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T02:03:07Z","timestamp":1789437787446,"version":"build-2803163510"},"reference-count":38,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Groin pain is a common and diagnostically challenging presentation. Imaging often detects hernias that are not clinically evident (\u2018imaging\u2010only hernias\u2019) which can lead to unnecessary surgical intervention and under\u2010diagnosis of musculoskeletal conditions like adductor\u2010related groin pain (ARGP). This study evaluates long\u2010term outcomes of patients diagnosed with ARGP in a variety of settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a retrospective study of patients diagnosed with ARGP (between January 2021 and June 2024) using the Groin\u2010MAP. Patients were categorised into groups: (1) ARGP with imaging\u2010only hernia, (2) ARGP with clinical inguinal hernia and (3) ARGP following inguinal hernia repair. Long\u2010term patient\u2010reported outcome measures were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Follow\u2010up was completed for 110 of 133 eligible patients at a median of 29\u2009months (range 10\u201366). Group 1 (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200947) reported 90% satisfaction after management of their adductor pain alone; only 1\/47 had a hernia repair elsewhere. Group 2 (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200929) reported 90% satisfaction with equivalent management of ARGP, but varied management for inguinal hernia. Up\u2010front hernia repair was opted for by 14\/29 and 15\/29 opted for watchful waiting, of which 2 progressed to surgery. Group 3 (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200934) had a higher symptom burden; yet 70% maintained mild or no activity limitation and 1\/34 had revision hernia surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ARGP is under\u2010recognised as a cause of groin pain in surgical practice, and is best diagnosed on physical examination. Patients with ARGP have good long\u2010term outcomes without intervention for incidental imaging\u2010only inguinal hernias. Those with clinical inguinal hernias might delay or avoid surgical repair by addressing concomitant ARGP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70966","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T02:00:13Z","timestamp":1789437613000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long\u2010Term Outcomes of Patients With Adductor\u2010Related Groin Pain: Assessing the Clinical Relevance of Imaging\u2010Only Hernias"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-8218-8513","authenticated-orcid":false,"given":"Daniel","family":"O'Connor","sequence":"first","affiliation":[{"name":"Surgical Education Research and Training (SERT) Institute, Royal North Shore Hospital  St Leonards New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3995-4285","authenticated-orcid":false,"given":"Nazim","family":"Bhimani","sequence":"additional","affiliation":[{"name":"Surgical Education Research and Training (SERT) Institute, Royal North Shore Hospital  St Leonards New South Wales Australia"},{"name":"Northern Clinical School University of Sydney  St Leonards New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Turner","sequence":"additional","affiliation":[{"name":"Lifecare Northern Sports Physiotherapy  St Leonards New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6690-342X","authenticated-orcid":false,"given":"Thomas J.","family":"Hugh","sequence":"additional","affiliation":[{"name":"Surgical Education Research and Training (SERT) Institute, Royal North Shore Hospital  St Leonards New South Wales Australia"},{"name":"Northern Clinical School University of Sydney  St Leonards New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.5301\/hipint.5000403"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000469"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/sms.14248"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891\u2010019\u20102794\u20107"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029\u2010017\u20101668\u2010x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029\u2010018\u20101774\u20104"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports\u20102015\u2010094869"},{"key":"e_1_2_9_9_1","unstructured":"Royal Australian College of Surgeons \u201cChoosing Wisely Guidelines NPS Medicinewise \u201d2016 https:\/\/www.choosingwisely.org.au\/recommendations\/racs."},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.16845"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010002\u20109283\u2010y"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010001\u20108145\u20103"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.05.1251"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2021.109928"},{"key":"e_1_2_9_15_1","unstructured":"The Australian Institute of Health and Welfare (AIHW) \u201cMusculoskeletal Conditions and Comorbidity in Australia. 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