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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.