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Pubic-related groin pain — MSRA MCQ

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ModerateHip and GroinPubic-related groin painMSRA

A 28-year-old footballer has chronic central pubic pain worsened by sprinting and change of direction. There is pubic symphysis tenderness and pain with bilateral resisted adduction. What is the most likely diagnosis?

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Correct answer: A — Pubic-related groin pain

The Doha classification describes pubic-related groin pain as tenderness at the pubic symphysis and adjacent bone. Pain with resisted adduction can coexist but the maximal tenderness is central. Rehabilitation addresses trunk, hip and adductor load tolerance.

Reference: Doha agreement/BJSM