["Chronic inguinal strain" in top-athletes and its treatment (author's transl)]

The picture of "chronic inguinal strain" must be regarded as a further development of the "gracilis-syndrome" described by Schneider in 1964 (posttraumatic pibic osteonecrosis). These are rupture of the tendons of gracilis and adductor-longus, degenerated at their points of insertion on the pubic bone. Only surgery is successful. As described by Schneider, the tendon is divided and osteonecrotic tissue removed. If there is rupture the necrotic part of the tendon is excised, the remainder suture red to the nearby tendon. Re-fixation of the tendon at the pubic bone is unnecessary because of the very monor adduction-function of gracilis. Return to sport will be possible-on average-after 6-8 weeks.