II. Pathophysiology

  1. Compression Neuropathy of obturator nerve

III. Symptoms

  1. Deep ache at adductor origin near pubic bone
  2. Exercise provokes pain radiation and weakness
    1. Radiation from medial thigh into knee
    2. Exercise-related weakness (especially jumping)

IV. Diagnosis: Electromyogram (EMG)

  1. Indicated for symptoms greater than 3 months
  2. EMG shows denervation of adductor longus and brevis

V. Management

  1. Surgical neurolysis allows return to sport in weeks

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