Level 2B	In patients with chronic groin pain and clinically uncertain herniations, magnetic resonance imaging (MRI) and ultrasound (US) are valid diagnostic tools.
Level 3B	Ultrasound is a useful adjunct diagnostic tool, not only to evaluate the groin for hernias, with high overall accuracy, but also in SH to identify inguinal canal posterior wall deficiency in young men with no clinical signs of hernia with chronic groin pain.
Level 4	The management of groin injuries demands the recruitment of a team with experience with different aspects of groin pain.
	Both the history and quality of symptoms and the physical examination may help to differentiate between SH and TE.
	History of chronic groin pain that is nonresponsive to conservative treatment should raise suspicion of SH.
	MRI appears to have excellent diagnostic potential for assessing various causes of long-standing groin pain (LSGP) in athletes.
	MRI may not be a useful tool for deciding between operative or conservative treatment.
	MRI is a valuable tool to monitor the alterations with reference to their response to conservative treatment, which alos may help the athletes to return to their activities.
	Dynamic ultrasound shows promising results in accurately diagnosing SH.
	In selected cases, laparoscopic inguinal exploration may be helpful.
	Essentially, it is a diagnosis that can only be confirmed at surgery.