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Related Experiment Video

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New Anatomical Concepts regarding Pubic-Related Groin Pain: A Dissection Study.

Thomas Mathieu1, Francis Van Glabbeek2, Lenie Denteneer3

  • 1Department of ASTARC, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium; Department of Physical and Rehabilitative Medicine, Antwerp University Hospital, Edegem, Belgium.

Annals of Anatomy = Anatomischer Anzeiger : Official Organ of the Anatomische Gesellschaft
|February 26, 2024
PubMed
Summary

This study reveals complex adductor anatomy, identifying three conjoint tendons and their pubic ligament attachments. Understanding these connections clarifies groin pain origins in athletes and patients.

Keywords:
AnatomyDissectionsInferior pubic ligamentPubic ligamentsPubic symphysis

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Human Anatomy

Background:

  • Pubis-related groin pain is a complex clinical challenge.
  • Detailed understanding of adductor muscle and pubic ligament anatomy is crucial.

Purpose of the Study:

  • To map all musculotendinous attachments to the pubic ligaments.
  • To investigate inter-adductor fusions in detail.

Main Methods:

  • Dissection of pubic symphyses in 22 cadavers (14 female, 8 male).
  • Focus on adductor fusions, pubic ligaments, and tendon attachments.
  • Calculation of prevalence for conjoint tendons and ligament attachments.

Main Results:

  • Three types of conjoint tendons identified: adductor brevis/gracilis (90.9%), adductor brevis/adductor longus (50.0%), and adductor longus/gracilis (50.0%).
  • All adductor longus, adductor brevis, and gracilis attached to the anterior pubic ligament.
  • Adductor brevis (64%) and gracilis (100%) attached to the inferior pubic ligament.

Conclusions:

  • Proximal adductor anatomy is more intricate than previously understood.
  • The adductor brevis/gracilis conjoint tendon is most prevalent.
  • Clarifying these anatomical attachments aids in understanding groin pain pathophysiology.