ADDUCTOR INJURY
As stress around the pubic symphysis progresses tears can develop in the anteroinferior margins of the pubic plate
In the past these have been referred to as secondary clefts
Occasionally they extend laterally to undercut the common adductor tendon attachment
Enthesopathy may develop at the common adductor attachment with traction changes in the underlying bone
These are frequently asymptomatic
Myotendinous junction tears can also occur more distally in the complex
Tears are also reported in the obturator externis, adductor brevis and gracilis muscles
