[A girl with a painful hip after a splits].

A 14-year-old girl had a painful hip after making a splits on a trampoline. On X-ray we discovered an avulsion fracture of the spina iliaca anterior superior, which healed in 6 weeks with conservative treatment.

Chronic pain after mesh repair of inguinal hernia: a systematic review.

Background: Chronic pain is a severe complication of mesh-based inguinal hernia repair. Its perceived risk varies widely in the literature. The current objectives are to review the incidence, severity, and consequences of chronic pain and its etiologies.

Pain after open preperitoneal repair versus Lichtenstein repair: a randomized trial.

Background: The open preperitoneal approach in inguinal hernia repair might have the benefit of a mesh in the preferred space without the disadvantages of an endoscopic procedure.

Methods: A total of 172 patients with primary inguinal hernia were randomized to undergo the open preperitoneal Kugel or the standard open anterior Lichtenstein procedure in a teaching hospital. The main outcome measures were operating variables, visual analog scale (VAS) pain scores, and consumed analgesics during the first 2 weeks postoperatively and at 3 months, neurological examination, and complications.