ABSTRAKT

Muscle and/or tendon injuries in the groin region are rather uncommon. These injuries occur most often as athletic injuries. The symptoms are often uncharacteristic, which can result in a long delay to establish a correct and specific diagnosis.
The overuse strain injury, resulting in chronic tendinitis of the adductor muscle/tendon units, especially the adductor longus, is the most common injury to the groin. The rectus femoris and/or rectus abdominis muscle/ tendon units can also be affected.
Computed tomography, magnetic resonance imaging, and ultrasonography have been widely adopted in the last few years, establishing diagnosis of muscle/tendon injuries.
The differential diagnoses are numerous. The most commonly overlooked differential diagnoses are chronic inflammation of the prostate and small inguinal hernias. A multidisciplinary approach is therefore valuable in many patients with chronic groin pain.
The recommended treatment is a supervised rehabilitation exercise program with a gradually increasing range of motion, strength, and coordination training. Surgical treatment is rarely indicated. In patients where nonsurgical treatment has failed, surgery may be necessary. Tenotomy of the adductor longus tendon has been shown to give satisfactory results in many patients.