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25 years and I've never had a single problem in my entire life. No, thank you very much for your time today and I stage is yours. Uh Perfect. Uh Thank you very much. So, um it's the young adult um hip uh sessions today. Um as you know, um the groin is not always the hip and um as we know, and we see uh quite often that we had um um that, you know, we, we go with all this um um enthusiasm to uh give someone um um a nice uh arthroscopy and uh that coming back with the pain in the groin. Uh and we see no um good outcome from the arthroscopy. And we do know from the evidence that the reason, the most common reason that an arthroscopy has failed is their own diagnosis. This is the latest evidence assess. Uh So, um you probably know that with e ea we worked uh the last 2.5 years in a project. We started 2023 I think, 2022. Uh and we looked at the um at the growing uh pain in young people. Now, I work mainly with uh only exclusively uh with hip and growing uh complex cases and exclusively with young people and aid athletes. Um so, and whatever I say today, it's mainly obviously for young uh young patient doesn't want to move. I have no disclosures. So we start, we will start with a, a definition and diagnosis but you know, you're all young here. Uh It's very important uh the ethos and the ethics in, in medicine is very important. You can um talk about things without looking at the evolution and we are here today because some people they were there for us. Uh and obviously, 50 years ago, we didn't know anything about the growing professor Perez from uh as they have and they have a really um history, big history in growing pain who started 4550 years ago to look at the growing. And I can, that doesn't work very well. And he wrote this uh paper uh for the first time back in 1980. And he said that the groin injuries are very difficult to diagnose. The symptoms are diffused and 45 years down the line, I can tell you that no one wants to come and work with me, not with me, but with uh the groin because they find people, they find the groin is very uh complex. Again. We have a bit of problem and uh professor Per, who is uh the co chair of Consensus, uh worked for 35 years uh uh with a doctors and the um and the growing issues. And uh back in 1999 published this paper in Lancet and this is a protocol that we still use 2526 years down the line and it does work very well. Um, per is an orthopedic surgeon. And so he should talk about surgery despite that, um he used the rehabilitation protocols and exercise medicine since then, massive amount of papers um came out and we know now a lot about growing, but we didn't know the same like 50 years ago. And so I always start my lectures with this. Um can you identify the panda? And in the beginning, you can't really, you know, a mom called these dogs, you cannot identify the panda. It's really difficult. So what I hope at the end of this lecture is to lectures, to help him to identify the panda. Why the uh the uh growing is uh difficult, why you have this confusion, why people they don't want to deal with that? Well, it's a complex anatomy. Everyone knows this. The problem is that mix and coexisting pathology and conditions can be, we can have a problem with the hip and have um um impeachment, have other things in the hip, but also have problem uh with the groin. So we can see many entities. Clinical diagnostic findings are not always in harmony. And that means that you know, when you have a com mph. Uh we will see theology in the scan with uh the groin is not the same. So you can see clinically a lot of things, but uh diagnostically you can uh there are strong connections between the tendons and the muscles. Uh and uh these muscles, they're not sitting in front of the pelvic bone loosely. They have large incisions in the pelvic bone and they produce this wall force producing uh muscles. And this is a big problem until 2015. Um uh The uh terminology was very, very confusing and very complicated and we looked at it um back in 2014 and obviously, I'll, I will go through that if this is not enough. Uh You have this complex nerve uh supply that is causing more um more um confusion here. And I have to say that lately, first of all, um an orthopedic said both are specializing in hip and groin. Why you should see testicular pain and scrotum pain and pain, anal pain, believe me or not. I see this all the time. Uh So for this reason, uh because we know that we have the referral pain um at the last maybe uh 10 years or less. I um I do a lot of uh blocks. So we do inguinal blocks. Uh we do greater nerve blocks and we do them the same way that we do the intraarticular injections in the uh intra particular hip problems, uh both working diagnostically uh for diagnostic reasons. But also if these people that have rehabilitation potential, uh we give them uh the block and we continue with uh the rehabilitation now. But we are the worst enemy. I always say that we make the growing terminology uh complex and we have seen this few years ago uh back in 2024 with the study. Um Adam, we are a professor and a team um who sent a one single diagnosis, one single diagnosis in 23 international experts in the world. This is the guru of growing. They came back with 22 different terms for the same condition. So it was very clear then that um we should do something and it doesn't matter. Do we say the same thing with a different way? Does it make a difference? We know that does make a difference? And uh there's a lot of evidence out there that works uh do matter and the language is so important. So there was uh there are many reviews and uh studies. This is a systematic review on how different terminology for the same condition can influence the management uh preferences. So for this reason, um um Adam and uh professor invited all these experts in Doha 10 years ago um to discuss about all that. And it was at this time when this fantastic paper came out the Doha Agreement meeting in terminology and definition in growing pain. In athletes and this open access you can, it's a, it's a revolutionary uh paper since then, things have changed. And in the sport world, we do use the same language uh nowadays. But in the orthopedic world still uh things are confusing. And for this reason, we sat together uh with um the test uh professor and Professor Per Holmi and a big group of people from around the world. And we looked at the uh different things. But one of the things we look is the classification and the terminology of uh growing pain. So the summary of, of this is uh the QR Code, um you can um get the summary of uh our consensus. So what we uh did over the past decade, uh we didn't reinvent the wheel. Uh We have seen that the several consensus statements uh were out there and again, the orthopedic world, as I said uh before was more confused and um the adoption was poor. So the aim of the ESCA epa and Esma uh was to be these foundation for more precise communication in terms of terminology. But we looked at the clinical examination and theological investigation.