Abstract
Adductor injuries are a common cause of chronic groin pain in athletes. This pathology is often seen in athletes participating in cutting activities such as soccer, ice hockey, football, and rugby. Physical examination is notable for tenderness over the adductor origin and pain with resisted hip adduction. It is essential to also evaluate for the presence of sports hernia, which is frequently seen with adductor tendinopathy. Nonoperative treatment consists of rest, ice, and nonsteroidal anti-inflammatory medications followed by stretching and strengthening. Surgical release of the adductor longus tendon is indicated when symptoms do not respond to a course of conservative management. Adductor tenotomy surgical technique as well as postoperative protocol is reviewed in detail. Results following adductor tenotomy have demonstrated that it is an effective treatment for chronic adductor strain in athletes.
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