Patient: 25-year-old male, professional bull rider
Symptoms: Patient reported pain in the right adductor and groin. It was sudden and occurred while riding a bull. The area was tender to touch. Pain was with running, sprinting, sneezing, lifting, and with any adductor maneuver. Pain limited the patient's ability to rid a bull. The pain was worse with activity.
Diagnosis: This was an acute injury and required immediate surgery. He was diagnosed with bilateral core muscle injuries with a primary adductor component affecting the adductor longus, brevis, and pectineus. MRI showed a midline rectus abdominis adductor aponeurotic plate tear with an avulsed and retracted right adductor longus and bilateral adductor tendinosis.
Treatment & Rehabilitation: The patient underwent direct repairs and releases and was back to riding at eight weeks. At 2 months postoperative, he was back to participating fully in his sport. His rehabilitative course was longer due to the severity of his injury and the nature of his sport.