In recent years, there has been increased awareness and treatment of groin injuries in athletes. These injuries have been associated with various terminologies including sports hernia, core muscle injury (CMI), athletic pubalgia and inguinal disruption, among others. Treatment of these injuries has been performed by both orthopaedic and general surgeons and may include a variety of procedures such as rectus abdominis repair, adductor lengthening, abdominal wall repair with or without mesh, and hip arthroscopy for the treatment of concomitant femoroacetabular impingement. Despite our increased knowledge of these injuries, there is still no universal terminology, diagnostic methodology or treatment for a CMI. The purpose of this review is to present a detailed treatment algorithm for physicians treating patients with signs and symptoms of a CMI. In doing so, we aim to clarify the various pathologies involved in CMI, eliminate vague terminology, and present a clear, stepwise approach for both diagnosis and treatment of these injuries.

中文翻译：

---

一种治疗核心肌肉损伤的算法

近年来，对运动员腹股沟损伤的认识和治疗有所提高。这些损伤与各种术语有关，包括运动疝、核心肌肉损伤 (CMI)、运动性耻骨痛和腹股沟破裂等。这些损伤的治疗已由整形外科医生和普通外科医生进行，可能包括各种手术，例如腹直肌修复、内收肌延长、带或不带网片的腹壁修复，以及用于治疗伴随的股骨髋臼撞击的髋关节镜检查。尽管我们对这些损伤有了更多的了解，但仍然没有通用的术语、诊断方法或 CMI 治疗方法。本综述的目的是为医生治疗患有 CMI 体征和症状的患者提供详细的治疗流程。