What is the agreement between clinical diagnosis and radiological imaging in acute groin injuries?
There is a notable discrepancy between clinical and radiological findings in acute groin injuries, particularly for iliopsoas and rectus femoris injuries, which should be considered during diagnosis.
Adductor injuries account for the majority of acute groin injuries. Iliopsoas and proximal rectus femoris injuries are also common. More than 1 in 5 injuries showed no imaging signs of an acute injury. Clinically diagnosed adductor injuries were often confirmed on imaging, whereas iliopsoas and rectus femoris injuries showed a different radiological injury location in more than one-third of the cases. The discrepancy between clinical and radiological findings should be considered when diagnosing acute groin injuries.
Serner et al. (Thu,) studied this question.