Motor, sensation, and reflex examination of the lower extremities and groin is unremarkable. Examination of the groin region reveals diffuse tenderness throughout the anteromedial groin. There is tenderness at the adductor insertion extending into the medal soft tissues of the thigh. There is tenderness at the pubic symphysis as well as at the superior aspect of the pubic bone. Pain is intensified with sit-ups and resisted hip adduction.
Pelvic compression increases pain.
Hip range of motion is full, with reproduction of pain upon internal rotation. Scouring test is negative. There are no deformities or hernias appreciated. At this point, review your differential diagnosis and revise as appropriate. The critical aspect of the athlete s history is the recurrence of symptoms in the pubic and adductor regions despite aggressive, comprehensive therapy.