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Patient:  27-year-old male, professional soccer player

Symptoms:  The patient's pain occurred suddenly and was first noticed six months prior to his office visit.  He continued to play through the season but not at the level desired.  He had severe left-sided adductor longus and pectineus pain with cutting, sprinting, running, sneezing, and turning over in bed.  Conservative therapy such as physical therapy aimed at the abdominal core, anti-inflammatories, and massage only helped the pain temporarily. 

Diagnosis: Core muscle injury confirmed by physical examination and MRI which showed a detachment at the rectus abdominis aponeurosis.   

Treatment & Rehabilitation:  The patient had a rectus abdominis injury with a complex adductor injury requiring multiple repairs.  At five weeks postoperative, the patient was doing well and was back to playing with his team.  Follow-up six months later revealed the patient was playing at his previous level at about six weeks after surgery.