Table I.

Clinical signs for detecting inguinal disruption; at least three out of five symptoms must be present

	Inguinal disruption based on the Manchester Consensus statement
1	Pinpoint tenderness over the pubic tubercle at the point of insertion of the conjoint tendon
2	Palpable tenderness over the deep inguinal ring
3	Pain and/or dilation of the external ring with no obvious hernia evident
4	Pain at the origin of the adductor longus tendon
5	Dull, diffuse pain in the groin, often radiating to the perineum and inner thigh or across the midline