The adductor brevis tendon originates from the inferior pubic ramus and the body of the pubis before the muscle fans out to insert broadly on the upper third of the medial linea aspera. The proximal tendon is part of the conjoint adductor origin, lying deep to the adductor longus and superficial to the adductor magnus, and is one of several structures at the pubic attachment that can become a source of groin pain in athletes.
Adductor brevis tendinopathy or partial tear contributes to medial groin pain in kicking athletes and is part of the spectrum of athletic pubalgia. The adductor brevis origin is close to the obturator nerve's anterior branch, making pain referral patterns to the medial thigh possible. MRI demonstrates oedema or partial tearing at the pubic attachment. Management follows the same principles as adductor longus pathology.
Overuse or acute strain at the proximal adductor brevis origin produces medial groin pain worsened by resisted adduction and hip flexion, managed with graded loading, physiotherapy, and occasionally injection or surgical release for refractory cases.
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