Symptoms include pain that begins insidiously at the adductor origin on the pubic bone and worsens with exercise. Diagnostic measures include reproduction of pain by stretching the pectineus muscle after exercise, electromyography, and a local anesthetic block of the obturator nerve.
Surgery allows most patients to resume previous levels of activity.
T he list of conditions that can cause acute or chronic groin pain in active patients is long, and the diagnosis and treatment can be complex and challenging. In our clinic, we have treated over 150 patients, and all have resumed sports participation following treatment. Knowing the signs and symptoms of this disorder can help physicians diagnose and treat it promptly, so their patients can resume physical activity and sports as soon as possible. After passing through a fibroosseous tunnel, it divides into the anterior and posterior branches, which exit the pelvis through the obturator foramen. The anterior branch innervates the adductor longus, adductor brevis, and gracilis muscles, and its sensory branch innervates the skin over the medial distal thigh.