Side strain in sport: a narrative review of pathomechanics, diagnosis, imaging and management for the clinician.

Severe abdominal pain man suffering from stomach ache holding his belly and having painful cramps.

The objective of this study was to provide an overview of the published literature on epidemiology, pathomechanics and risk factors for side strain injury in sport, complemented by clinical perspectives of diagnosis and management strategies that are not covered in the literature. A review of the literature was completed with all studies on side strain up until October 2015 included. As the studies were unable to be synthesised the findings were placed in a clinical context. As there were no papers on the management of side strain a clinical perspective from cricket was included. Literature on side strain in sport is sparse with only nine papers dedicated to the injury. These comprise epidemiology, case studies, small case series and clinical reviews on imaging, injection and surgery. The epidemiology demonstrates that side strain is most commonly associated with cricket and baseball. Side strain typically occurs acutely mostly on the side contralateral to the dominant arm in athletes. Diagnosis is clinical with consistent imaging features that typically demonstrate a tear of the internal oblique from the lower ribs. Recovery periods can be prolonged and recurrence may occur. There has been no research on the management of side strain and the relationship between clinical assessment and imaging findings and time to return to play or risk of recurrence.

Side strain injury is prevalent in cricket and baseball. Recovery is extended and recurrence may occur. Incidence appears to be increasing. Knowledge on side strain is limited.


Published by


My interest in health and fitness started at a young age. Even though I had been educated and trained as an engineer in Europe I always want to follow my passion. I have made some guest appearances on a health educational program TV in Europe and, this experience, has made me follow my passion of sharing wellness information with others.

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )


Connecting to %s