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Diagnosing
This may be helpful, specifics to sports hernias.
MRI and Ultrasound sequences demonstrating the sports hernia injury
http://sportsmedicineimaging.com/topics/sports-hernia/
On this page it says the difference in surgery is there is “no hernia sac” with a sports hernia since it is just a torn muscle just as Dr Towfigh mentioned (ANATOMICAL SURGICAL PHOTOS< BE FOREWARNED)
Radiology interpreted by an expert with a positive exam appears to be how the diagnosis is made