Accurately assessing and diagnosing hip and groin pain is a very difficult matter. This is, in no small part to the sheer number of structures which intersect this area. Dr. Franklyn-Miller introduces the “pubic clock” (see below) as an assessment aid for such issues. The clock clearly depicts each area of the hip and groin that needs to be assessed with these patients. To get the benefit of the pubic clock, locate the pubic symphysis on the painful side, from here use the clock to locate the source of pain (superior, inferior, medially or laterally).

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Dr. Frankly-Miller also uses what is called the groin triangle to aid his assessments. The groin triangle is made up of the anterior superior iliac spine (ASIS) (superior point), the pubic tubercle (medial point) and what is known as the 3G point. The 3G point is the mid distance between the ASIS and the superior pole of the patella anteriorly. In the posterior coronal plane the 3G point is double the distance from the spinous process of L5 lumbar vertebrae to the ischial tuberosity in the line of the femur.

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For a more in-depth understanding of the groin triangle and the anatomy of each border and point, see the below article published by Dr. Frankly-Miller in 2011. Also outlined within this article is further detail regarding the above mentioned pubic clock.

http://www.rehabroom.co.uk/resources/Groin%20Pubic%20Clock.pdf