Available online 18 May 2024

During a football match, a 20-year-old male professional player with no previous major injuries of lower limbs felt an acute sharpening left groin pain while reaching the ball with the contralateral limb following a long pass reception. During clinical assessment, he reported an intense pain during palpation of the upper third of his medial left thigh, mostly localized over the adductor tendon group at its proximal insertion on the pubic bone. Additionally, he presented a very limited and

Groin injuries are common in football, accounting for up to 23% of all muscle injuries and adductor longus muscle is the most affected. Proximal avulsions of its insertion in the pubic bone are rare [1].

Recently, the PLAC anatomical concept has been introduced by Schilders et al. that intended to redefine the symphyseal groin anatomical relationship as typically known, alluding to a direct connection between the pyramidalis and adductor longus muscles through the anterior pubic ligament [2]. In

The authors declare that they have no competing interest.

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